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Optimization of the surgical treatment in replantation of extremity segments
Akmal Yuldashev, Abduhakim Hadgibaev
Language English Country Czech Republic
Document type Case Reports
- MeSH
- Anastomosis, Surgical MeSH
- Brachial Artery surgery MeSH
- Time Factors * MeSH
- Child MeSH
- Upper Extremity surgery MeSH
- Hypoxia complications MeSH
- Extremities surgery MeSH
- Blood Circulation MeSH
- Middle Aged MeSH
- Humans MeSH
- Adolescent MeSH
- Young Adult MeSH
- Necrosis complications MeSH
- Postoperative Complications MeSH
- Child, Preschool MeSH
- Replantation * methods statistics & numerical data MeSH
- Retrospective Studies MeSH
- Amputation, Traumatic * surgery MeSH
- Fracture Fixation, Internal MeSH
- Check Tag
- Child MeSH
- Middle Aged MeSH
- Humans MeSH
- Adolescent MeSH
- Young Adult MeSH
- Male MeSH
- Child, Preschool MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
The article is devoted to a problem of replantation of extremity segments in different trauma mechanisms. While studying the outcomes of the replantation operations for full or partial amputation of limbs or their segments in the 495 patients (363 - men, 132 - women) the dependency on conditions and duration of their transportation, adequacy anti shock actions, anaesthetic provision, and correctional treatment after the operation is determined. Replantation and reconstructive operations were performed in 191 cases, of them in 7 - replantation of big segments. Simultaneous traumatic amputations of two and more segments were noted in 54 cases. Extended skin and soft tissue defects were found in 9 patients. Good outcomes were noted in 77.2% of cases. As Bogomolov and Sedov (2003) showed, a direct relationship was revealed between the anoxia period and the rate of arterial thrombosis.
Literatura
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