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Medical news
of the North Caucasus
Scientific journal
Mass media registration certificate dated December 7, 2006.
Series ПИ #ФС 77-26521.
Federal service for surveillance over non-violation of the legislation in the sphere of mass communications and protection of cultural heritage.
ISSN 2073-8137
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Treatment of the limited contamination of vascular prosthesis complicated with the arrosive

[Notes from practice]
Alexander Gennadievich Makeev; Sergey Alexandrovich Kyshtymov; Eduard Vladimirovich Shinkevich; Victor Gennadievich Kutorkin; Maxim Pavlovich Gruzin; Pavel Ivanovich Muravyov; Evgeny Georgievich Grigoriev;

The case report concerns severe complications of reconstructive surgery (bifurcation aorto-femoral bypass grafting) for chronic lower limb ischemia of atherosclerotic origin – limited contamination of the vascular prosthesis branch and arrosive bleeding. The infected lymphorrhea of the femoral wound in the early postoperative period is supposed to become a predictor for bacterial contamination of the vascular graft, which induced cutting of anastomosis ligatures and arrosive bleeding in 3 months. Timely diagnosis and reconstructive surgery with the use of vascular xenoprosthesis out of the bounds of contamination determined reestablishing the main blood flow in the limb and good result of treatment.

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References:
1. Andersson S., Monsen C., Acosta S. Outcome and complications using negative pressure wound therapy in the groin for perivascular surgical site infections after vascular surgery. J. Ann. Vasc. Surg. 2018;48:104-110. https://doi.org/10.1016/j.avsg.2017.10.018
2. Elens M., Dusoruth M., Astarci P., Mastrobuoni S., Bosiers M. [et al.]. Management and outcome of prosthetic vascular graft infections: a single center experience. J. Vasc. Endovascular Surg. 2018;52(3):181-187. https://doi.org/10.1177/1538574418754453
3. Farinas M. C., Campo A., Duran R., Sarralde J. A., Nistal J. F. [et al.]. Risk factors and outcomes for nosocomial infection after prosthetic vascular grafts. J. Vasc. Surg. 2017;66(5):1417-1426. https://doi.org/10.1016/j.jvs.2017.06.078
4. Gharamti A., Kanafani Z. A. Vascular graft infections: an update. J. Infect. Dis. Clin. North. Am. 2018;32(4):789-809. https://doi.org/10.1016/j.idc.2018.06.003
5. Schurink G. W., Peppelenbosch N., Mees B., Jacobs M. J. Diagnostic algorithms and treatment strategies in primary aortic and aortic graft infections. J. Cardiovasc. Surg. (Torino). 2016;57(2):224-232.

Keywords: chronic lower limb ischemia, vascular reconstructive surgery, vascular graft infection, arrosive hemorrhage


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