[Transplantation of the big toe from the foot to the hand in monkeys using a microsurgical technic].
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Biomedical subjects
Publications and source records attributed to V S Krylov.
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Applications of optic systems and microsurgical technic enables one to perform reconstructive operations on arteries of small calibre - 1.5--1,8 mm (crural arteries). Clinically, 42 reconstructive operations (autovenous bypass shunting) were performed on crural arteries in 42 patients. After the surgical intervention the immediate positive effect with patency of the shunt and shunted artery was noted in 24 patients. In 18 patients thrombosis of the shunt developed in early postoperative terms.
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While performing 152 reconstructive operations for obliterating lesions of large arteries of the lower extremities, the authors observed early acute thromboses of the graft in 12 patients (following operations on the femoropopliteal region and crural arteries). Of 12 patients 7 subjects were reoperated upon. In 6 cases indirect thrombectomy from the autovenous shunt or endarterectomized arterial segment by a baloon catheter proved to be quite feasible. The patients were discharged with adequate compensation of the extremity circulation. In one case there was obliteration of the shunt. In 5 patients treated conservatively for acute thrombosis of the graft a gangrene of the limb developed, and it had to be amputated.
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