Prevalence and structure of postoperative wounds complications in patients operated for critical limb ischemia
Journal Title: Хірургія України - Year 2018, Vol 0, Issue 3
Abstract
The aim — to evaluate the prevalence of postoperative wounds complications in patients after critical limb ischemia surgery and to study its structure and incidence rate depending on the complicated postoperative wound type. Materials and methods. The treatment results of 758 patients with occlusive and stenotic lesions of the aortoiliac and femoralpopliteal arterial segments of lower extremities supervised in ambulatory were analyzed. 783 reconstructive surgeries were performed in the of Vascular Surgery department for the period from 2014 to 2016. The average age of the examined patients was 66.64 ± 0.65 years. The stages of soft tissue infection were determined according to the Szilagyi’s classification (1972). Results and discussion. Noninfectious postoperative wound complications were 5.4 %, lymphatic 12 (29.3 %) and ischemic 29 (70.7 %). Lymphatic complications manifested in lymphocele and among all postoperative complications was 6.8 %, ischemic — 16.5 %. Infectious postoperative wound complications among all patients was 17.81 %, among all surgical interventions was 17.24 %. Conclusions. The high incidence of postoperative wound complications (23.22 %) operated for critical lower limb ischemia requires improvement and development of new therapeutic and prophylactic techniques for followup care of such patients. Infectious complications cause numerous postoperative risks with lengthening of the wound healing duration and impair vascular reconstruction. The high rate of surgical site infection creates preconditions for special attention of vascular surgeons to infectious component in the postoperative wounds care.
Authors and Affiliations
T. I. Vykhtyuk, Yu. G. Orel
Keywords
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- EP ID EP416296
- DOI 10.30978/SU2018-3-71
- Views 128
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