[Indication and choice of amputation level of the lower extremity in obliterative vascular diseases].
The work substantiates the indications for amputation of the lower limb in patients with obliterating diseases of the vessels. The main among them are progressive gangrene and decompensated ischemia of the limb in impossible performance of a restorative operation. It is pointed out that the level of the amputation should be chosen according to the condition of collateral circulation. Ultrasonic examination based on Doppler effect, allowing measurement of regional systolic pressure, is of principal significance in its evaluation. Analysis of the results of amputations in 111 patients with consideration for the value of regional systolic pressure showed that in 61 (51%) patients the amputation was performed through the leg or foot with immediate favorable results.
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D000671:Amputation, Surgical / Q000379:methods*; D001794:Blood Pressure; D003097:Collateral Circulation; D005734:Gangrene; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D007866:Leg / Q000098:blood supply* / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler
Pokazaniia i vybor urovnia amputatsii nizhneĭ konechnosti pri obliteriruiushchikh zabolevaniiakh sosudov.