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Optimization of the surgical treatment in replantation of extremity segments
Akmal Yuldashev, Abduhakim Hadgibaev
Jazyk angličtina Země Česko
Typ dokumentu kazuistiky
- MeSH
- anastomóza chirurgická MeSH
- arteria brachialis chirurgie MeSH
- časové faktory * MeSH
- dítě MeSH
- horní končetina chirurgie MeSH
- hypoxie komplikace MeSH
- končetiny chirurgie MeSH
- krevní oběh MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- nekróza komplikace MeSH
- pooperační komplikace MeSH
- předškolní dítě MeSH
- replantace * metody statistika a číselné údaje MeSH
- retrospektivní studie MeSH
- traumatická amputace * chirurgie MeSH
- vnitřní fixace fraktury MeSH
- Check Tag
- dítě MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- předškolní dítě MeSH
- ženské pohlaví MeSH
- Publikační typ
- kazuistiky 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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- $a 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.
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