title: [Extra-peritoneal operations in arteriosclerotic lesions of the abdominal aorta and its branches].
abstract: The study is based on the analysis of the results of examination and operative treatment of 692 patients with atherosclerotic lesions of the aorta, its branches, and the limb arteries. The advantages of the extraperitoneal approach to the aorta over the transperitoneal approach in aorto-femoral reconstructions is proved. Stable postoperative intestinal paresis, peritonitis, intraabdominal bleeding, eventration, and adhesive disease do not occur with this approach. Such operations are not attended by a high incidence of coronary and cerebral vascular complications during and after the operation. The work gives the first appraisal of the results of postoperative plasmapheresis (21 patients) applied for normalization of hemorheological and lipoprotein disorders in different periods after the operation. The suggested complex approach to the treatment of atherosclerosis obliterans facilitates improvement of the immediate and late-term results of reconstructive operations on the vessels.
authors.forename: R Z
authors.initials: RZ
authors.lastname: Losev
authors.forename: V A
authors.initials: VA
authors.lastname: Gavrilov
authors.forename: M L
authors.initials: ML
authors.lastname: Kliachkin
mesh_terms: D000328:Adult; D000368:Aged; D001012:Aorta, Abdominal / Q000601:surgery; D001018:Aortic Diseases / Q000601:surgery*; D001162:Arteriosclerosis Obliterans / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D008161:Lumbosacral Region / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010537:Peritoneum / Q000601:surgery; D012272:Ribs / Q000601:surgery; D013908:Thoracotomy
vernacular_title: Vnebriushinnye operatsii pri ateroskleroticheskikh porazheniiakh briushnoĭ aorty i ee vetveĭ.