Results of treatment of 500 patients with blood vessel trauma are analyzed depending on trauma nature, shock severity, regional ischemia, technique of restorative surgery. Biochemical and ultrastructural changes in muscles are described in experimental conditions in ischemia of different degrees of severity to prognosis the reversibility of disorders. Restoration of blood circulation has been achieved in 82% of patients (5.1% mortality). Beside open and closed vessel trauma, it is expedient to distinguish between penetrating and non-penetrating injuries. Results of treatment of blood vessel trauma should be differentiated depending on the degree of regional ischemia, severity of traumatic shock and blood loss, combination of trauma and injury localization. Mechanical suture improves anastomosis quality, simplifies technique and reduces time of intervention. Introduction of microsurgery principles widens possibilities of vessel restorative surgery. The authors suggest classification of iatrogenic injuries of vessels, which promotes accurate diagnosis and choice of optimal surgical technique.

Adult↗

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[The treatment of posttraumatic and true arterial aneurysms of the extremities].

The work presents an analysis of the nearest results of treatment of 82 patients with pulsating hematomas, false and true aneurysms of the upper and lower extremity vessels depending on the kond of the pulsating formation, variants of complications in the course of disease, the level and size of defects of the vessel as well as of the state of the distal bed. Most optimum operations are those with using autovenous transplants, patients with false aneurysms excluded. In all the operated patients the adequate blood circulation was restored and the extremity was saved.

Adolescent↗