LITERATURE REVIEW
Cardiovascular Surgery
doi: 10.25005/2074-0581-2024-26-1-117-132
UNDERSTANDING OF CHRONIC VENOUS DISEASES AS A MULTIDISCIPLINARY PROBLEM: SHIFTING FROM A DISEASE-SPECIFIC, LINEAR VIEW TO A COMPREHENSIVE SYSTEM PERSPECTIVE

O. SHIRINBEK1,2, G.V. MNATSAKANYAN2, S.N. ODINOKOVA3

1Surgery Department, Centre for Medical and Corporate Training, Moscow, Russian Federation
2“SM-Clinic” Phlebology Centre, Moscow, Russian Federation
3Department of Human Anatomy and Histology, N.V. Sklifosovsky Institute for Clinical Medicine, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation

Chronic venous diseases (CVD) are examined in this review from the perspective of the continuity of the venous system of the lower extremities and pelvis. The review emphasizes the most clinically significant manifestations of venous insufficiency in the lower extremities, pelvic veins, and varicose veins of the scrotum and hemorrhoids. Due to the unity of pathogenesis and similarity of symptoms of venous stasis in different locations, the review stresses the need for a multidisciplinary approach in managing this category of patients. Assessing venous symptoms in the presence of comorbidities such as osteoarthritis, diabetes mellitus, and arteriosclerosis obliterans of the lower extremities is one of the most essential clinical tasks facing a phlebologist. At the same time, the modern trend in the treatment of CVD, regardless of the anatomical location, is endovenous and minimally invasive technologies that combine surgical radicalism with minimally invasive interventions. This review is based on analyzing published materials in the three most common electronic databases: PubMed, Web of Science, and EMBASE. The primary search query strategy included the following keywords: chronic venous disease, venous insufficiency, pelvic venous disorders, hemorrhoidal disease, and varicocele.

Keywords: Chronic venous diseases, varicose veins of the lower extremities, pelvic vein diseases, varicocele, hemorrhoids.

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Authors' information:

Shirinbek Olimi
Doctor of Medical Sciences, Head of the Surgical Department, Centre for Medical and Corporate Training; Deputy Chief Doctor for Surgery and Head of the “SM-Clinic” Phlebology Centre
ORCID ID: 0000-0003-2116-2247
E-mail: olims@mail.ru

Mnatsakanyan Gevorg Vachikovich
Candidate of Medical Sciences, Physician, “SM-Clinic” Phlebology Centre
ORCID ID: 0000-0001-8402-4381
E-mail: cordestro@yandex.com

Odinokova Saniya Nailevna
Candidate of Medical Sciences, Assistant of the Department of Human Anatomy and Histology, N.V. Sklifosovsky Institute for Clinical Medicine, I.M. Sechenov First Moscow State Medical University
ORCID ID: 0000-0002-5403-8456
E-mail: saniya_odinokova@mail.ru

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Shirinbek Olimi
Doctor of Medical Sciences, Head of the Surgical Department, Centre for Medical and Corporate Training; Deputy Chief Doctor for Surgery and Head of the “SM-Clinic” Phlebology Centre

125130, Russian Federation, Moscow, Staropetrovsky proezd, 7a, bld. 22

Tel.: +7 (926) 4307382

E-mail: olims@mail.ru

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