When stitching the damaged vessels successfully used manual seam and the seam soudatsusen apparatus.
Often encountered in the postoperative period were local complications of preoperational wound infiltrates — 6, the marginal necrosis — 5, festering — 2. They all have a relationship with duration of surgery and the extent of damage to the soft tissues.
In 2 patients was observed thrombosis of the arteriovenous graft, which has not been eliminated after repeated surgical interventions on vessels. The outcome of gangrene of the limb.
The nearest and remote results of surgical treatment of patients with damage to the main arteries can be assessed as good if there was no complaints at moderate load, reverse the development of trophic disorders and as satisfactory when pain, small pastoznost and absence of pulsation in the distal arteries of the operated limb.
It is well known that one of the criteria of effectiveness of surgical treatment is the rehabilitation of the victims. So, from the number of examined patients in the follow up period of 34 persons fully able-bodied and working on specialnostyu less than 28 patients have a limited capacity to 4, disabled — 2.
We are confident that, subject to proper employment, and working conditions most of these patients will remain disabled in long terms.
Conclusion the Arteriovenous graft is the most suitable plastic material in acute injuries of the main blood vessels and damage. It should be applied in the form of patches in the implementation of the closure of the defect of artery wall or shunt during the replacement of large defects.
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