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Khirurgiia (Mosk). 2019;(2):13-18. doi: 10.17116/hirurgia201902113.

[Efferent methods and hyperbaric oxygen therapy for great vessels injuries of extremities].

[Article in Russian; Abstract available in Russian from the publisher]

Author information

1
Topchubashov Research Center for Surgery, Azerbaijan Republic, Baku, Azebaijan.
2
Sechenov First Moscow State Medical University, Moscow, Russia.

Abstract

in English, Russian

AIM:

To evaluate an efficacy of efferent therapy of great vessels injuries of extremities and acute limb ischemia.

MATERIAL AND METHODS:

There were 197 patients (main group -107, control group - 90 patients) with great vessels injuries of extremities and acute limb ischemia. The patients of the main group underwent plasmapheresis, ultraviolet irradiation of blood (UVIB) and hyperbaric oxygen (HBO) therapy. Efferent methods were used depending on the severity of acute ischemia, intoxication and infection (intoxication - plasmapheresis, ischemia - plasmapheresis + HBO, infections - UVIB, their combination - plasmapheresis + UVIB + HBO).

RESULTS:

Limb amputation and necrectomy were required only in 2 (1.96%) and 3 (2.8%) patients of the main group, mortality - 0.94% (n=1). In the control group these values were 16 (17.8%), 10 (11.1%) and 7 (7.8%), respectively.

CONCLUSION:

Efferent methods are effective in patients with traumatic vascular injuries and acute limb ischemia regarding improvement of clinical outcomes and 2-fold reduction of hospital-stay, less number of amputations and decreased mortality rate.

KEYWORDS:

acute limb ischemia; great vessels injuries; hyperbaric oxygen therapy; plasmapheresis; ultraviolet irradiation of blood

PMID:
30855585
DOI:
10.17116/hirurgia201902113
[Indexed for MEDLINE]

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