[The therapeutic procedure in acute arterial obstruction].
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Biomedical subjects
Publications and source records attributed to I K Zavarina.
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A 10-year experience in the analysis of stationary examination and treatment of 163 patients with post-thrombotic disease of lower extremities is given in this article. Surgical treatment was conducted in 102 cases, medical treatment was applied for 61 patients. There is a classification of diseases which defines medical tactics. On the basis of the data obtained during these studies the authors make a conclusion that in cases of varicose, indurative of indurative-ulcerated forms of this disease surgical treatment is indicated in the accordance with the character of vein affection. Otherwise, it is more preferable to apply medical treatment in cases of eodemata.
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The authors describe the results of radiopaque investigations of the venous and lymphatic systems of lower extremities in 85 patients with postthrombotic venous insufficiency. Considerable morphological and functional lesions of lymphatic vessels are developing in this disease. Changes in the deep lymphatic collector are considered to be the leading ones. The character of these changes corresponds to the clinical stage of the disease. Operation for the creation of lympho-venous anastomoses is one of the methods of surgical correction of the lymph outflow.
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The authors report that the operation of end-to-side lympho-venous anastomosis was developed in experiment by submersion. In clinical conditions the operation was performed on 22 patients with chronic postthrombic venous insufficiency of lower extremities. The best results were obtained in patients with secondary lymphostasis and in edematic form of postthrombic venous insufficiency. In diseases of the veins operations were performed as a preliminary step of the surgical correction of the venous outflow. Remote results were observed during one year.
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