Suzdaltsev Sergey Evgenievich (Postgraduate student of the Department of Hospital Surgery of IMO NovSU, cardiovascular surgeon of the Department of Vascular Surgery of GOBUZ "Novgorod Regional Clinical Hospital" )
Sulimanov Rushan Abdulkhakovich (MD, Professor of the Department of Hospital Surgery IMO НовГУ Head of the Department of Thoracic Surgery GOBUZ "Novgorod Regional Clinical Hospital")
Sukovatkin Sergey Ivanovich (Postgraduate student of the Department of Hospital Surgery IMO
Yaroslav the Wise Novgorod State University,
Institute of Medical Education, Department of Hospital Surgery.
Head of the Vascular Surgery Department of the GOBUZ "Novgorod Regional Clinical Hospital"
)
Suzdaltseva Olga Nikolaevna (a 6th-year student of the Medical Faculty of IMO Yaroslav the Wise Novgorod State University
Institute of Medical Education, Department of Hospital Surgery
)
Tindikova Svetlana Alekseevna (5th year student of the Medical Faculty of the Yaroslav the Wise Novgorod State University,
Institute of Medical Education, Department of Hospital Surgery.
)
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Relevance: The high frequency of postoperative complications and mortality remains the main problem of open interventions on the aorto-femoral segment.
Objective: To study the relationship between the constitutional parameters of the patient and the surgical access used in open aorto- bifemoral reconstructions.
Materials and methods: 220 patients underwent surgery for lesions of the aorto-femoral segment of type C and D according to TASC II, using laparotomy access (group I - 117 patients), and retroperitoneal access (group II - 103 patients). The groups studied the incidence of systemic postoperative complications and mortality, as well as the parameters of the constitution, assessing the presence or absence of overweight and obesity. The χ2* criterion and the Mann-Whitney U-test** in the Statistica 10 package were used to calculate the data.
Results: In group I, 31 (26.4%) cases of systemic complications were noted, among which 21 (67.7%) patients were overweight or obese. Deaths in group I were recorded in 14 (11.9%) clinical cases, of which 11 (78.6%) patients are obese or overweight. In group II, the number of systemic complications was 28 (27.2%) cases, among which there were 10 (35.7%) overweight patients. Mortality in group II was recorded in 11 (10.7%) cases, of which 2 (18.2%) patients had signs of overweight or obesity.
Conclusions: In patients with signs of obesity, the use of retroperitoneal access during open reconstructions of the aorto-femoral segment is associated with the lowest number of postoperative systemic complications and mortality, in contrast to laparotomic access.
Keywords:laparotomic access, retroperitoneal access, constitutional parameters of the patient, systemic postoperative complications, mortality, aorto-femoral segment, Lerish syndrome
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Read the full article …
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Citation link:
Suzdaltsev S. E., Sulimanov R. A., Sukovatkin S. I., Suzdaltseva O. N., Tindikova S. A. THE EFFECT OF SURGICAL ACCESS ON THE RESULTS OF OPEN RECONSTRUCTIONS OF THE AORTO-FEMORAL SEGMENT IN PATIENTS WITH DIFFERENT PARAMETERS OF THE CONSTITUTION // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2023. -№06. -С. 223-228 DOI 10.37882/2223-2966.2023.06.36 |
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