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Year 2010 Vol. 18 No 5
GENERAL AND SPECIAL SURGERY
LATE COMPLICATIONS AT THE RECONSTRUCTIVE SURGICAL TREATMENT OF THE AORTA-ILIAC SEGMENT
Objectives. To reveal the factors influencing the development of late complications of aorta-iliac reconstructive surgery to determine high risk groups of the patients.
Methods. Case histories of 33 patients who were operated on from 2005 to 2009 at Gomel regional vascular surgery department for late complications of aorta-iliac surgeries were analyzed.
Results. It was revealed that maximal number of cases (90,7%) of late complications was noted in patients who had been initially operated on for sub- and decompensated blood supply deterioration. Clinical manifestations of prosthesis thrombosis are more severe than ones in case of false aneurism. False aneurisms were developed later (7,1±4,5 yrs vs. 4,6±4,7 yrs in case of the thrombosis) but required multiple surgery more often (40% and 22% correspondingly).
Conclusions. Patients with trophic leisure at different stages of expressions are more vulnerable to late complications. Therefore the use of the prosthetic grafts at that situation is unsafe and application of autogenous conduits seems to be reasonable.
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