Complications of reconstructive operations on the major arteries and their surgical treatment

This work deals with the main causes of the early and remote complications after reconstructive operations on the major arteries, indicates the methods of surgical treatment of the post-operative complications and the results of repeat reconstructive operations. 220 repeat operations were carried out in 172 patients. The most widely spread reasons for the occurence of complications are: the main illness growing progressively worse, wrong choice of surgical treatment methods, technical mistakes during the operation Different kinds of shunting operations were performed most frequently - in 144 patients (65,5 %), among them there were 78 repeat operations with revascularization of the extremity by including the deep femoral artery into the blood stream. Thrombectomy with reconstruction of the distal anastomosis was carried out in 41 patients. Extraanatomical reconstruction was performed in 5 patients. Amputation of the extremety without repeat reconstructive operation was performed in 11 patients because of the late contact with a doctor and tissue irreversible necrosis development. Amputation after the repeat reconstructive operation was carried out in 19 patients because of ischemia development. A positive result after the repeat reconstructive operations was reached in 73,8 % of patients. The lethality after the repeat reconstructive operations was 5,2 %.