title: [Treatment of pyogenic complications after reconstructive surgery on blood vessels with use of synthetic prosthesis].
abstract: Factors influencing result of surgical treatment of patients with festered postoperative wounds have been studied. Algorythm of determination of tactics for examination and treatment of this category of patients was established. The results obtained are based on the analysis of personal surgical treatment autcomes in 1526 patients with decompensated ischemia of extremities and 57 patients with clinical symptoms of deep suppuration. Division of purulent complications into primary and secondary is suggested. Effectiveness of various modes of prophylaxis was studied--systemic and indirect endolymphatic route for introduction antibiotics, intraoperative application of pellicle ESBA, usage of antimicrobial vascular prosthesis "SISAN". The best results were obtained in the two latter methods. Various methods of surgical treatment in infected vascular prosthesis are reviewed.
authors.forename: I P
authors.initials: IP
authors.lastname: Mikhaĭlov
authors.forename: V L
authors.initials: VL
authors.lastname: Lemenev
mesh_terms: D000900:Anti-Bacterial Agents; D001672:Biocompatible Materials / Q000009:adverse effects*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D003657:Decision Making; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D006801:Humans; D019651:Plastic Surgery Procedures / Q000009:adverse effects*; D012086:Reoperation; D013492:Suppuration / Q000188:drug therapy / Q000209:etiology / Q000601:surgery; D013530:Surgical Wound Infection / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D001672:Biocompatible Materials
vernacular_title: Lechenie gnoĭnykh oslozhneniĭ posle rekonstruktivnykh sosudistykh operatsiĭ s ispol'zovaniem sinteticheskikh protezov.