Surgical treatment patients with ulcerous necrotic diseases of lower limbs of ischemic genesis

  • Ю. С. Малахов 32 Central Military Navy clinical hospital
  • Ю. С. Марчик 32 Central Military Navy clinical hospital
  • Д. А. Аверьянов 32 Central Military Navy clinical hospital
  • А. В. Иванов 32 Central Military Navy clinical hospital
Keywords: necrotic lesions, lower limbs, Ischemia, ulcer, foot, treatment

Abstract

About 2-3 % from the population of the earth suffer from Chronic obliterating diseases of lower limbs arteries. The analysis of the results of surgical treatment of 89 patients with ulcerous necrotic diseases of lower limbs of ischemic genesis (IV stage according to the classification of Fontain - Pokrovsky) have been performed during 2002 - 2006. Overwhelming majority ofpatients were males. The groups of patients were homogeneous in sex and age. All patients have been surveyed under the unified scheme combined with obligatory performance of angiographic examination of lower limb vessels and an estimation of ways of arterial outflow according to Rutherford (1997). Depending on a level and character of affect, the following procedures have been carried out by us: aorto-femoral - 6 % (4), iliofemoral - 10,4 % (7), femoro-popliteal - 58,2 % (39), femoro-tibial - 3 % (2), endarterectomia - 6 % (4), angioplasty and stenting - 3 % (2), profundoplastica - 3 % (2). When bypassing was impossible, arterialization of superficial or deep venous system of the foot - 10,4 % (7) was performed. 32 patients (retrospective material) were given a complex conservative treatment without performance of arterial reconstruction. In this group 11 (34,3 %) high amputations have been performed as a result offailure of treatment. We consider that all patients with purulent-necrotic affects of lower limbs on a background of ischemia should have an obligatory consultation with an angiosergeon in order to define an opportunity of performing arterial reconstructive operation for preservation of the limb and its basic function.
Published
2018-05-31
How to Cite
Малахов, Ю., Марчик, Ю., Аверьянов, Д., & Иванов, А. (2018). Surgical treatment patients with ulcerous necrotic diseases of lower limbs of ischemic genesis. Bulletin of the International Scientific Surgical Association, 1(3), 61-62. Retrieved from http://surgjournal.ru/index.php/BISSA/article/view/122
Section
Original Articles