ABSTRACT
The article presents a review of literature sources covering possibilities of peiforming in situ aortofemoral reconstructions in surgical treatment of infected aortofemoral grafts. This methodology makes it possible to improve the outcomes of treatment for paraprosthetic infection at the expense of decreasing lethality and morbidity, increasing parameters of patency of grafts and lower limb salvage in the remote postoperative period. Mention should be made that in situ secondary aortofemoral reconstructions are fraught with danger of relapsing paraprosthetic infection, therefore many publications are dedicated to search for prostheses most resistant to infection. The article also presents the results of works devoted to the use of various types of prostheses for in situ secondary aortofemoral reconstructions: prostheses made of polytetrafluoroethylene (PTFE), synthetic grafts saturated with various antibacterial drugs and gelatine, cadaveric allografts, synthetic prostheses treated with silver ions, autovenous conduits based on the femoral and popliteal veins.
Subject(s)
Aorta, Abdominal/surgery , Blood Vessel Prosthesis Implantation/adverse effects , Blood Vessel Prosthesis/adverse effects , Femoral Artery/surgery , Prosthesis-Related Infections , Reoperation/methods , Blood Vessel Prosthesis/classification , Blood Vessel Prosthesis Implantation/methods , Humans , Outcome Assessment, Health Care , Peripheral Arterial Disease/diagnosis , Peripheral Arterial Disease/surgery , Prosthesis-Related Infections/diagnosis , Prosthesis-Related Infections/surgerySubject(s)
Abdominal Abscess , Blood Vessel Prosthesis Implantation/adverse effects , Blood Vessel Prosthesis/adverse effects , Kidney , Laparotomy/methods , Nephrectomy/methods , Prosthesis-Related Infections , Abdominal Abscess/diagnosis , Abdominal Abscess/etiology , Abdominal Abscess/physiopathology , Abdominal Abscess/surgery , Angiography/methods , Aorta, Abdominal/surgery , Blood Vessel Prosthesis Implantation/methods , Femoral Artery/surgery , Humans , Imaging, Three-Dimensional , Kidney/pathology , Kidney/surgery , Male , Middle Aged , Prosthesis-Related Infections/diagnosis , Prosthesis-Related Infections/etiology , Prosthesis-Related Infections/physiopathology , Prosthesis-Related Infections/surgery , Renal Artery/surgery , Reoperation , Treatment Outcome , Ultrasonography, Doppler, Duplex/methods , Vascular PatencyABSTRACT
Presented in the article is a rare clinical case report concerning successful treatment of a female patient with vaginal paraganglioma of the neck - a tumour extending from the level of the trunk of the common carotid artery in cranial direction to the base of the skull. Mentioned are difficulties of carrying out an operational intervention requiring the use of certain surgical techniques. The tumour was removed as a single block with the involvement into the process of the major vessels of the neck and nervous formations. The reconstructive operation performed was common carotid - internal carotid prosthetic repair with a 6.3-4.5 mm cone-shape prosthesis 'Gore-tex' on the right.
