SURGICAL TREATMENT OF PATIENTS WITH INTERVERTEBRAL DISC HERNIATIONS COMBINED WITH EPIDURAL VARICOSE VEINS

Objective. To study the effect of varicose veins in the epidural space on the generation of compressive pain in patients with lumbar disc herniations. Material and Methods. A total of 382 patients operated on for complications of lumbar disc herniations were examined. The study group included 207 (54.2 %) patients with herniated lumbar intervertebral discs combined with varicose veins in the epidural plexus. The control group included 175 (45.8 %) patients with intervertebral disc herniations without pathological changes in the venous pool. Results. Patients from the study group had intraoperative complications. They were associated with bleeding from varices in the epidural space in 97 (46.9 %) patients and with violation of the integrity of the dura mater in 22 (10.6 %) patients. Conclusion. Varices of the epidural plexus in the lumbar spine, along with herniated intervertebral disc, is one of the components exerting the compressive action on spinal nerve roots. Intraoperative bleeding and inadequate hemostasis in late postoperative period are the causes of adhesive epiduritis. Hir. Pozvonoc. 2012;(3):57-62.