[The choice of surgical strategies in bacterial infections of the transplants after the reconstructive surgery of the aorto-femoral segment].
The experience of the purulent complications treatment occurring while synthetic prosthesis application in the aorto-femoral region and venous shunts-in femoral-popliteal zone is presented. Reconstructive procedures on the abdominal aorta and peripheral arteries were conducted in 4462 patients of whom in 158 (3.5%) the transplant infecting occurred. All the patients were divided conventionally on three groups: with local and total infecting of the transplant and with angiogenic sepsis. New methods of reoperative procedures depending on the infecting kind were proposed. Application of the surgical tactics elaborated for the transplant infecting on aorto-ileal and femoral-popliteal levels have permitted to reduce the lethality from 49.8 to 13.2%, to save the life in 158 (75.5%) patients and to achieve the lower extremities revascularization.
Dominiak
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Institut klinicheskoĭ i éksperimental'noĭ khirurgii AMN Ukrainy, g. Kiev.
D001012:Aorta, Abdominal / Q000601:surgery; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000382:microbiology*; D016459:Prosthesis-Related Infections / Q000382:microbiology*; D013203:Staphylococcal Infections / Q000382:microbiology*