RESUMO
Purulent-septic complications after reconstructive surgeries in patients with chronic lower limb ischemia are the great problem of vascular surgery. Analysis of 135 reconstructive surgeries in chronic lower limb ischemia was carried out. Purulent and septic complications were reported in 17 (12.59%) patients. Variants of treatment and outcomes are described.
Assuntos
Isquemia/cirurgia , Perna (Membro)/irrigação sanguínea , Complicações Pós-Operatórias/terapia , Infecção da Ferida Cirúrgica/terapia , Procedimentos Cirúrgicos Vasculares , Adulto , Idoso , Anti-Infecciosos/uso terapêutico , Doença Crônica , Drenagem , Feminino , Humanos , Perna (Membro)/cirurgia , Masculino , Pessoa de Meia-Idade , Modalidades de Fisioterapia , Complicações Pós-Operatórias/patologia , Supuração , Infecção da Ferida Cirúrgica/patologia , Resultado do Tratamento , Procedimentos Cirúrgicos Vasculares/efeitos adversosRESUMO
Endoscopic examination of the stomach and duodenum with microscopic examination of biopsy material was performed in 66 patients with lower limbs chronic ischemia before reconstructive surgeries on aorto-ilio-femoral segment. High incidence (30.3%) of erosive-ulcerous diseases of the stomach and duodenum was revealed, 12% of the patients had undergone surgeries on the stomach and duodenum due to peptic ulcer. Hemodynamic studies of mesenteric vessels showed some increase of their diameter, slight increase of blood velocity, decrease of pulsation indices and circulatory resistance which may be regarded as the phenomenon of blood shunting and reduced blood flow in terminal branches of visceral vessels. Erosive-ulcerous diseases of the stomach and duodenum are more severe in patients with lower limbs critical ischemia.
