Substantiation of Application of Drain Operations at the Thoracic Duct with Chronic Lympho-Venous Insufficiency of the Lower Limbs

Peripheral (lower limb) and central (thoracic duct) lymphodynamics were studied in 40 patients who suffered from chronic lymphovenous insufficiency of the lower limbs using ultrasound (US) scanner in. The other 40 patients (without any pathology of vessels) were under the same control. The findings obtained of lymphatic hypertension in patients who suffered from chronic lympho-venous insufficiency of the lower limbs both in the peripheral and at thoracic duct levels and development of dynamic insufficiency of the thoracic duct orifice. It allowed us to apply variants of draining operations at the cervical part of the thoracic duct to decrease lymphatic hypertension. The series of experiments on the anatomic material, particular on 19 corpses of different constitution were have been performed to improve the method of performing lympho-venous anasthomosis (LVA). Thus the method of surgical treatment of chronic lymphovenous insufficiency of the lower limbs (patent № 2466685) was introduced. Variants of draining operations of the thoracic duct were performed in 30 patients who suffered from chronic lympho-venous insufficiency of the lower limbs. The effect was studied and comparative assessment of the results of treatment with traditional methods was also conducted. The experience of application of draining operations in the thoracic duct and immediate favorable results allowed us to continue our research in a given direction

Ultrasound method (US), thoracic duct, the thoracic duct orifice, chronic lympho-venous insufficiency of the lower limbs, lymphodynamics