Predicting the risk of septic and necrotic complications in femoral amputation stump
Gostishchev, V.K.; Lipatov, K.V.; Asatrian, A.G.; Vvedenskaia, O.V.
Khirurgiia 11: 4-8
2013
ISSN/ISBN: 0023-1207 PMID: 24300602 Document Number: 668032
Treatment results of 430 patients with ischemic gangrene of lower limbs were analyzed and major risk factors of postoperative complications considering the femoral amputation stump were outlighted. These are: the high level of artery occlusion, ligature muscle compression in the stump, absence of active drainage and elderly age (more than 80 years), anemia. The intraoperative use of laser Doppler flowmetry gives the possibility to assess the potential viability of muscles at the amputation level. Predicting the risk of local postoperative complications allowed the differential approach to the stump formation and improved the treatment results.