title: On the terms to perform minor amputations for chronic critical lower limb ischaemia after successful vascular reconstruction.
abstract: Assessed herein are the results of treating a total of 119 patients presenting with chronic critical ischaemia of the lower extremities accompanied by necrosis of distal portions of the foot. All patients underwent various successful operations of lower-limb revascularization, followed by evaluating the terms of healing of the wounds on the foot after necrectomy and minor amputations. A conclusion was made that after successful limb revascularization for critical ischaemia in patients with atherosclerosis accompanied by coagulative necrosis, performing minor amputations and necrectomies should be delayed.
authors.affiliation: Chair of Faculty Surgery, Samara State Medical University, Samara, Russia. mail@clinica-samsmu.ru
authors.forename: A N
authors.initials: AN
authors.lastname: Vachev
authors.forename: D A
authors.initials: DA
authors.lastname: Chernovalov
authors.forename: M S
authors.initials: MS
authors.lastname: Mikhailov
mesh_terms: D000368:Aged; D000671:Amputation, Surgical / Q000009:adverse effects / Q000379:methods; D001158:Arteries / Q000503:physiopathology / Q000601:surgery*; D001162:Arteriosclerosis Obliterans / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D005260:Female; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D023821:Limb Salvage / Q000009:adverse effects / Q000379:methods; D035002:Lower Extremity / Q000098:blood supply / Q000473:pathology / Q000601:surgery; D008297:Male; D008991:Monitoring, Physiologic / Q000379:methods; D009336:Necrosis / Q000209:etiology / Q000473:pathology / Q000601:surgery; D010043:Outcome and Process Assessment, Health Care; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D011379:Prognosis; D012039:Regional Blood Flow; D012189:Retrospective Studies; D020379:Risk Adjustment; D013997:Time Factors; D014945:Wound Healing