Journal «Angiology and Vascular Surgery» • 

1999 • VOLUME 5 • №1

CLINICAL AND IMMUNOLOGICAL DYNAMIC PROGNOSIS OF DEEP WOUND INFECTION IN RECONSTRUCTIVE SURGERY OF ATHEROSCLEROTIC ABDOMINAL AORTA OR LOWER LIMB ARTERIES

Voskanyan Yu.E., Vafin A.Z., Vyrvyhvost A.V.
Surgical Department №1, Stavropol State Medical Academy,
Stavropol, Russia

The main risk factors for vascular graft or anastomosis infection were determined in 363 patients operated for atherosclerosis of abdominal aorta or lower limb arteries. They were: external wound infection, paragraft hematomas, blank wound suture and passive drainage from paravasal space, medial access to femoral vessels. The role of postoperative secondary immunodeficiency was demonstrated as well as cyclic fluctuations of immune status during early postoperative period and critical periods when the risk of infection was the most high: 3-4 and 7-8 days after operation. Simple and effective system of dynamic prognosis for vascular graft infection, allowing to predict the complication rate with 98.9% of probability was suggested.

P. 95-102

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