RESUMO
The results are presented of combined revascularization of the lower extremities and the penis in 29 patients with Leriche's syndrome. This was effected by placing an autogenous venous shunt between the branch of a prosthesis or the common femoral artery and one of the dorsal arteries of the penis. Preoperatively lost sexual function was restored in 6 patients, while in 16 the sexual function was maintained at the preoperative level or improved in the late postoperative period. A comparison of the results obtained with the sexual performance of patients who had undergone bifurcated aortofemoral shunting only, prompted the conclusion that this surgical procedure was effective in the prevention and treatment of vasculopathic impotence in Leriche's syndrome.
Assuntos
Aorta Abdominal/cirurgia , Disfunção Erétil/cirurgia , Artéria Femoral/cirurgia , Artéria Ilíaca/cirurgia , Perna (Membro)/irrigação sanguínea , Síndrome de Leriche/cirurgia , Pênis/irrigação sanguínea , Anastomose Cirúrgica , Artérias/cirurgia , Prótese Vascular , Disfunção Erétil/prevenção & controle , Seguimentos , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
The authors have developed a method for forecasting the degree of the hypotensive effect of surgery for renovascular hypertension. Fifteen digital parameters were determined in 36 patients with unilateral lesions of the renal arteries by the following methods of preoperative examination: the establishment of the duration of hypertension, radio-isotope renography, determination of renin activity in the peripheral and renovascular (venous) blood, rheonephrography. The obtained set of characteristics was used for the prediction of postoperative arterial pressure values by means of one of the methods of mathematical statistics, the regression analysis in an "SM-4" electronic computer according to a specially created multivariate regression program in the "Fortran-4" language. The high accuracy of predicting the arterial pressure by this method was confirmed by clinical trials. Forecasting postoperative arterial pressure by this method allows us to substantiate with a high degree of fidelity the advisability of reconstructive surgery and opens up realistic prospects for improving its results.
