Novosti
Khirurgii

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Year 2017 Vol. 25 No 3

REVIEWS

A.V. ROMANOVICH 1, V.Y. KHRYSHCHANOVICH 2

PARAPROSTHETIC INFECTION IN VASCULAR SURGERY: CURRENT STATE OF THE PROBLEM

EE "Belarusian State Medical University" 1,
SEE "Belarusian Medical Academy of Post-Graduate Education" 2,
Minsk
The Republic of Belarus

Infection of synthetic vascular grafts after the emergency and scheduled arterial reconstructive operations is considered to be the most dangerous complication in vascular surgery. Postoperative wound suppuration occurred in 0.2-5% of patients and mortality rate varies from 25% to 88% of cases; the risk to lose the lower limbs reaches 60%. The article presents the etiology, symptoms, clinical presentation and diagnosis of synthetic prosthesis suppuration after the arterial reconstructive surgery. The existing treatment methods of the infected synthetic vascular grafts are described in details; the advantages and disadvantages of then each are discussed. Immediate and long-term results of various kinds of surgical treatment of local prosthetic graft infection have been presented. Then short-term high complications and amputation rates related to extra-anatomic bypass requires a search for alternative technique for infective paraprosthetic leakage repair. The advantages of reconstruction-associated procedure in situ are the adequate lower-limb revascularization and the best long-term treatment results compared with extra-anatomic bypass. This article reviews the currently available biological and synthetic graft materials routinely used in world practice for the repeated reconstructive surgeries: coated synthetic vascular prostheses, autovenous grafts, native and cryopreserved arterial allografts.

Keywords: aorta, diagnosis, graft, infection, prosthetic, treatment outcomes, complications
p. 292-299 of the original issue
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Address for correspondence:
210024, Republic of Belarus,
Minsk, Kizhevatov str., 58,
UZ "City Clinical Hospital of Emergency Medical Care"
department of surgical diseases N2, Belarusian State Medical University
Tel.: 375 44 760 33 70,
E-mail: romanovicha.v@mail.ru,
Aleksander V. Romanovich
Information about the authors:
Romanovich A.V. Assistant of department of surgical diseases N2, EE "Belarusian State Medical University".
Khryshchanovich V.Y. MD, Ass. Professor, Head of department of the emergency surgery, SEE "Belarusian Medical Academy of Post-graduate Education".
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