The problem of surgical infection in patients with diabetes, after operations on the aorto-iliac segment

Authors

  • V. I. Desyaterik Dnipropetrovsk Medical Academy Kryvyi Rih City Clinical Hospital No. 2
  • A. V. Davidenko Dnipropetrovsk Medical Academy Kryvyi Rih City Clinical Hospital No. 2
  • V. A. Slobodyanyuk Dnipropetrovsk Medical Academy Kryvyi Rih City Clinical Hospital No. 2
  • V. G. Zheleznyak Dnipropetrovsk Medical Academy Kryvyi Rih City Clinical Hospital No. 2
  • A. B. Bogatyrev Dnipropetrovsk Medical Academy Kryvyi Rih City Clinical Hospital No. 2
  • V. V. Kabachenko Dnipropetrovsk Medical Academy Kryvyi Rih City Clinical Hospital No. 2
  • A. N. Prokuda Dnipropetrovsk Medical Academy Kryvyi Rih City Clinical Hospital No. 2
  • S. V. Malyuta Dnipropetrovsk Medical Academy Kryvyi Rih City Clinical Hospital No. 2

DOI:

https://doi.org/10.11603/2414-4533.2017.3.8124

Keywords:

ischemic lesions of the vessels of the lower extremities, diabetes mellitus, purulent-septic complications.

Abstract

The aim of the work: to analyze the frequency and causes of purulent-septic complications in patients who underwent endoprosthetic repair of the aorto-iliac segment. Analysis of purulent-septic complications in 54 patients who were operated for ischemic lesions of the vessels of the lower extremities in diabetes mellitus was conducted. All patients underwent interventions on the aorto-iliac segment using synthetic vascular prostheses. In accordance with the classification of purulent-septic complications of reconstructive operations 5 cases of complications available in our practice, we divided into 2 groups – prosthetic sepsis; infection of the graft without clinical and laboratory manifestations of sepsis. The frequency of purulent-septic complications 9.2 percent, almost all of these patients had grade III-IV ischemia and were operated on urgent indications. In 3 cases, infection of the graft without bacteremia patients were operated before the development of erosive bleeding, which allowed 2 patients to save limbs, and 1 patient was discharged after performing the high amputation of the limb. In two cases a partial resection of the infected portion of the bifurcation prosthesis from separate access and subsequent re-reconstruction. In one case in a patient with progressive limb ischemia removed the infected bifurcation prosthesis, and surgery was performed subclavianfemoral bypass grafting extraanatomical on the one hand, and high amputation of the contralateral limb. Prosthetic sepsis occurred in 2 patients, 1 patient died.

Author Biography

V. I. Desyaterik, Dnipropetrovsk Medical Academy Kryvyi Rih City Clinical Hospital No. 2

 

References

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Published

2017-11-08

How to Cite

Desyaterik, V. I., Davidenko, A. V., Slobodyanyuk, V. A., Zheleznyak, V. G., Bogatyrev, A. B., Kabachenko, V. V., … Malyuta, S. V. (2017). The problem of surgical infection in patients with diabetes, after operations on the aorto-iliac segment. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (3), 119–121. https://doi.org/10.11603/2414-4533.2017.3.8124

Issue

No. 3 (2017)

Section

REPORTS

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