Novosti
Khirurgii
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Year 2007 Vol. 15 No 4

EXPERIENCE EXCHANGE

TSILINDZ A.T., VASILEVSKY V.P., KARDIS A.I., IOSKEVICH N.N., CHERNY D.V.

TRAUMA SURGERY OF THE BASAL VEINS

In the paper the results of the blood flow surgical restoration are analyzed in 31 patients with the basal venous injuries of various localization (vena cava inferior – 8, iliac – 7, femoral – 6, brachial – 5, vena cava superior, internal jugular, subclavian, axillary, popliteal – 1). Vascular damage was caused by pierce or incised wounds in 16 cases; by car accidents – in 4 cases; in 11 cases injuries were iatrogenic. In 7 cases injury of the artery and the vein was combined. In 17 patients operation was aimed to restore damaged basal veins integrity (side suture - 12, circular suture – 3, autovenous prosthetics – 2). Ligation of the damaged venous vessels was performed for three times. In case of iatrogenic trauma, damaged vein integrity was restored by the vascular suturing in 10 cases; in one case vena cava inferior andcommon iliac veins were ligated to stop continuous bleeding. In the group with the iatrogenic vena cava inferior iatrogenic trauma 2 patients died. In case of the combined arterial vessels lesions, acute ischemia was cupped off in all cases. Ligation of the basal vein wasn’t accompanied by marked venous insufficiency of the limbs.

Keywords: basal venous vessel, trauma, side and circular sutures, autovenous prosthetics
p. 103 - 107 of the original issue
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Contacts | ©Vitebsk State Medical University, 2007