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Surgical treatment of patients with arrhosive bleedings undergone reconstructive surgeries on the aorta and lower limbs arteries

Mikhaĭlov, I.P.; Lemenev, V.L.

Khirurgiia 9: 10-13

2004

ISSN/ISBN: 0023-1207
PMID: 15477804
Document Number: 575634
Results of surgical treatment of 25 patients with arrhosive bleedings were analyzed. All of them had functioning shunts and severe infectious complications of the wounds in the region of Scarp's triangle. Infected wounds existed from 15 days to 18 months. Bleeding from the wound of Scarp's triangle was seen in 96% cases (24). Insufficiency of distal anastomosis due to arrhosia was in 15 patients (60%). Arrhosive bleeding from anastomosis of the synthetic graft with aorta or common iliac arteries was in 8 (32%) cases, insufficiency of distal anastomosis of femoral-tibial bypass was seen in 2 (8%) patients. Various extrafocal surgeries are method of choice in the treatment of arrhosive bleedings. These surgeries may be performed simultaneously (at first bypass, then removing of graft) or during 2-3 stages in lengthy purulent-inflammatory process.

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