UDK: 616.18-089-005.6
A.A Polyantsev, P.V. Mozgovoy, A.M. Linchenko, D.V. Kruglova, V.V. Repina
Волгоградский государственный медицинский университет. Кафедра общей хирургии с курсом урологии
The research presents the experience of lung arterial thromboeboly surgical prophylaxis in patients with vein’s thrombosis treated during the period since 2004 till 2007 in the clinic of General Surgery with course of Urology named after Polyantsev A.A. During this period 23 operations were proceeded. Among them: 16 (69,5%) plications of the cava vein, 6 (8,7 %) ligations of the iliac vessels, 1 (4,3%) thromboectomies from the iliac-femoral segment. Results were estimated in the earliest and prolonged periods. We had no lethal outcomes during the postoperative period. During the earliest postoperative period we observed complications in 6 patients. Among them: lymphorrea from the postoperative wound in 3 (13,0%) cases; purulent inflammation of the postoperative wound in 1 (4,3 %) patient; one (4,3 %) female patient had the thrombosis of the collateral iliac-femoral segment combined with the lung arterial thromboemboly recurrence after the ligation of the external iliac vein. In 16 (69,5 %) patients results were estimated in the prolonged postoperative period. In 13 (81,5 %) patients we found out the recanalisation of the thrombosis zone and restoration of the inferior cava vein space. Chronic vein’s insufficiency of the 1st degree was diagnosed in 10 (62,5 %) patients after the operation; in 6 (37,5 %) patients - insufficiency of the 2nd degree. Vein’s insufficiency in the collateral extremity wasn’t diagnosed after the inferior cava vein plication. Thus, we came to a conclusion, that surgical methods of lung arterial thromboemboly prophylaxis during emboli-dangerous vein’s thrombosis are relatively safety and hi-effective. In case of no opportunity to liquidate the thrombophylic condition during the emboli – dangerous ileo-caval phlebothrombosis the choice for lung-arterial thrombosis prophylaxis is the placation of the inferior cava vein.
vein’s thrombosis, iliac-cava vein’s segment, placation of the inferior cava vein
Полянцев Александр Александрович, ВолГМУ, заведующий кафедрой общей хирургии с урологией, д.м.н, профессор, адрес: ул. Ангарская 13 , тел. 32-51-37