[Femoro-popliteal reocclusion. Obligatory reoperation?]

The paper presents 408 cases of femoro-poptiteal reocclusion. The effectiveness of 202 reoperations is analyzed. Authors give definition of repeated operations and restitution of secondary patency in femoro-popliteal segment. Repeated operation is a special entity differing from initial one and including graft exchange, occasionally of the same construction. Secondary patency is a restitution of blood flow without graft or operation type exchange. Effectiveness of reoperations appeared to depend on initial intervention type, timing and grade of lower limb ischemia. The analysis of this correlation served the basis for development of reoperation indications, decision algorithm for reoperation type, timing and graft material. The validity and effectiveness of second or further reoperations are reviewed. The relation of limb salvage rate in femoro-popliteal reocclusions and both surgical and conservative management strategies is driven.