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Цель — устранить риск перемещения сгустка крови из поверхностных вен в глубокие и снизить риск опасных осложнений [1](https://polyclinika.ru/direction2/operatsionnyy-blok/krossektomiya/). \n\nКроссэктомия может выполняться как экстренно, так и планово, а также в качестве одного из этапов других операций (например, минифлебэктомии) [3](https://www.klinikasoyuz.ru/flebologiya/khirurgicheskoe-lechenie-flebologicheskikh-zabolevaniy/krossektomiya-lechenie-trombozov/)[4](https://MedSwiss-SPb.ru/services/khirurgiya/krossektomiya/)[7](https://klinikabudzdorov.ru/centr-hirurgii/flebologiya-khirurgiya/krossektomiya/).\n\n\n\n## Показания\n**Некоторые показания к кроссэктомии**: \n* восходящий тромбофлебит [3](https://www.klinikasoyuz.ru/flebologiya/khirurgicheskoe-lechenie-flebologicheskikh-zabolevaniy/krossektomiya-lechenie-trombozov/); \n* постоянные рецидивы тромбофлебита [3](https://www.klinikasoyuz.ru/flebologiya/khirurgicheskoe-lechenie-flebologicheskikh-zabolevaniy/krossektomiya-lechenie-trombozov/); \n* гнойный тромбофлебит [3](https://www.klinikasoyuz.ru/flebologiya/khirurgicheskoe-lechenie-flebologicheskikh-zabolevaniy/krossektomiya-lechenie-trombozov/); \n* устойчивый к лечению тромбофлебит [3](https://www.klinikasoyuz.ru/flebologiya/khirurgicheskoe-lechenie-flebologicheskikh-zabolevaniy/krossektomiya-lechenie-trombozov/); \n* тромбофлебит в зоне коленного сустава и выше [3](https://www.klinikasoyuz.ru/flebologiya/khirurgicheskoe-lechenie-flebologicheskikh-zabolevaniy/krossektomiya-lechenie-trombozov/). \n\nИзолированную операцию проводят при остром восходящем тромбофлебите, чтобы пресечь распространение тромбоза на глубокие венозные структуры [4](https://MedSwiss-SPb.ru/services/khirurgiya/krossektomiya/).\n\n## Противопоказания\n**Некоторые противопоказания к кроссэктомии**: \n* тромбофилия — склонность к формированию тромбов [4](https://MedSwiss-SPb.ru/services/khirurgiya/krossektomiya/); \n* атеросклеротическое поражение сосудов ног [4](https://MedSwiss-SPb.ru/services/khirurgiya/krossektomiya/); \n* беременность, период грудного вскармливания [4](https://MedSwiss-SPb.ru/services/khirurgiya/krossektomiya/); \n* тромбоз глубоких вен нижних конечностей [4](https://MedSwiss-SPb.ru/services/khirurgiya/krossektomiya/); \n* инфекционные заболевания с лихорадкой [4](https://MedSwiss-SPb.ru/services/khirurgiya/krossektomiya/); \n* некомпенсированный сахарный диабет [4](https://MedSwiss-SPb.ru/services/khirurgiya/krossektomiya/). \n\nОтносительное противопоказание — конусовидное ожирение в области бёдер, препятствующее ношению компрессионного трикотажа [4](https://MedSwiss-SPb.ru/services/khirurgiya/krossektomiya/).\n\n## Подготовка\n**Перед операцией необходимо пройти полное клиническое обследование** для выявления заболеваний и состояний, которые могут стать противопоказанием к хирургическому лечению или усложнить операцию [3](https://www.klinikasoyuz.ru/flebologiya/khirurgicheskoe-lechenie-flebologicheskikh-zabolevaniy/krossektomiya-lechenie-trombozov/). В обследование входят лабораторные анализы, ультразвуковое исследование вен, консультация терапевта и анестезиолога [3](https://www.klinikasoyuz.ru/flebologiya/khirurgicheskoe-lechenie-flebologicheskikh-zabolevaniy/krossektomiya-lechenie-trombozov/). \n\n**Операция** может проводиться под местной анестезией, при выполнении кроссэктомии как этап комбинированной флебэктомии — под общей анестезией [4](https://MedSwiss-SPb.ru/services/khirurgiya/krossektomiya/).\n\n## Реабилитация\n**После операции рекомендуется ранняя активизация** — встать и пройтись рекомендуется уже в первые часы, чтобы снизить риск венозного застоя и ускорить восстановление [2](https://lit-clinic.ru/medicinskie-uslugi/krossektomiya/). **Компрессионный трикотаж** носят по индивидуальной схеме (обычно 2–6 недель), что поддерживает венозный отток [2](https://lit-clinic.ru/medicinskie-uslugi/krossektomiya/). \n\n**Некоторые рекомендации**: \n* питьевой режим [2](https://lit-clinic.ru/medicinskie-uslugi/krossektomiya/); \n* постепенное увеличение нагрузки [2](https://lit-clinic.ru/medicinskie-uslugi/krossektomiya/); \n* исключение тепловых процедур в ранний период [2](https://lit-clinic.ru/medicinskie-uslugi/krossektomiya/). \n\n**Консервативную терапию** необходимо продолжать в течение одного-двух месяцев (по решению врача) [3](https://www.klinikasoyuz.ru/flebologiya/khirurgicheskoe-lechenie-flebologicheskikh-zabolevaniy/krossektomiya-lechenie-trombozov/).","linksData":[{"sourceId":1,"url":"https://polyclinika.ru/direction2/operatsionnyy-blok/krossektomiya/","shownUrl":"https://polyclinika.ru/direction2/operatsionnyy-blok/krossektomiya/","title":"Кроссэктомия - 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