[Prophylaxis and treatment of purulent-septic complications of reconstructive operations on abdominal aorta and...

The results of examination and complex treatment of 230 patients, suffering purulent-septic complications of reconstructive operations on abdominal aorta and peripheral arteries, were analyzed. The terms of diagnosis of the infected soft tissues and transplants had constituted 4.7 years at average. There was performed complex prophylaxis and diagnosis of complications, using invasive and noninvasive methods of investigation. An important role of early diagnosis of the vascular transplant infectioning (VTI), using radionuclide scanning and leukocytes, traced with 99mTc, determination of proinflammatory interleukin-6 and anti-inflammatory interleukin-4 content while radical treatment of purulent-septic complications before arrosive hemorrhage and fistula occurrence was substantiated. The advantages of extraanatomic shunting in total VTI and sepsis, using autovenous transplants and the autologous tissue defense of the anastomoses area were shown. In 90.5% patients, in whom reoperations were performed, the results were good, the transplants passability without their reinfectioning was secured in 12 months after the operation in 71% patients.