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Biomedical subjects

T Kavrŭkov

Publications and source records attributed to T Kavrŭkov.

7 recordsLinked to original sources

[Antibiotic prophylaxis against serious wound infection in prosthetic arterial replacement].

Wound infection in arterial prosthetic replacement is the most hazardous complication in vascular surgery, associated with a high incidence rate of invalidity and lethality. The choice of antibiotic and administration scheme play a major role in its prevention. Clinical experience with implantation of synthetic vascular prostheses in a series of 103 patients where Cefuroxim prophylaxis according to a standard scheme is used (described in detail) is comprehensively analyzed. Wound infection grading is done in compliance with Salzman's classification. Against the background of antibiotic prophylaxis deep wound infection with vascular prosthesis involvement is registered in 1.94 per cent of operated patients only which is consistent with literature data on the issue. The obtained results are estimated as very good, and justify Cefuroxim prophylaxis recommendation to the wide practice for maximal reduction of deep wound infection in prosthetic replacement of arteries.

Adult↗

[The microsurgical treatment of idiopathic varicocele (preliminary report)].

A new therapeutic approach to idiopathic varicocele, promoting restoration of the venous return in a physiological manner is described. The procedure consist in the creation of anastomosis between the veins of plexus pampiniformis and vena circumflexa ilium profunda or vena epigastrica inferior profunda using microvascular surgical technique. A brief literature survey of the existing microsurgical methods of varicocele treatment is done. The new method is applied to thirty-seven patients. The microsurgical technique, used in 1991 for the first time, is described in details. The early postoperative results are analyzed. Venous return through the newly constructed anastomosis is verified by Doppler sonography.

Adolescent↗

[In situ femorodistal autovenous bypass].

Bypass in-situ surgical technique was applied in 49 cases of femorodistal arterial reconstructions. The operative technical details, as well as intra- and postoperative complications are discussed. A patency of the bypass in 87.5% after 18-month following are documented as well as limb salvation in 97.6%. The technical advantage of the bypass in-situ method are discussed and a recommendation for its appliance in suitable cases is given.

Aged↗

[In situ bypass].

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Arteriovenous Shunt, Surgical↗

[Antithrombin III deficiency as a cause of unexplained thrombosis recurrences in vascular surgery].

Antithrombin deficit may be a cause of spontaneous vascular thrombosis or rethrombosis, following vascular operations, which remain inexplicable to clinicians. Three cases are reported of A III deficit, in two of whom vascular rethrombosis resulted from considerable fall in A III activity, measured by kinetic method and in the third patient this severe postoperative complication was averted. The importance of measuring A III in patients with arterial insufficiency in whom vascular reconstruction is forthcoming is discussed. The substituting therapy in patients with this pathology and arterial reconstruction is given due consideration. Substituting therapy is recommended as means for avoiding rethrombosis in patients with proven A III deficit, as well as a method of treatment, together with heparin therapy, after successful reoperation of such patients.

Aged↗