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Storosios žarnos išemijos rizika ir prevencija pilvo aortos rekonstrukcijos operacijų metu / Risk and prevention of colon ischemia during abdominal aortic reconstructive surgeryAbromaitis, Darius 11 November 2005 (has links)
1. INTRODUCTION
Most complications after elective or urgent reconstructive operations on abdominal aorta are predictable and it is possible to prevent them. The development of the operating techniques, a good preoperative preparation of patients and post-operative nursing of patients enables to achieve good results of treatment when the post-operative death-rate is from 0 to 12 percent [Hallin A., 2001]. The better results depend on the prevention of especially dangerous complications, such as colon ischemia, apropos diagnostics and adequate treatment. The selection of patients of high risk becomes extra important. The proper evaluation of preoperative aortography while being aware of the fact that the reconstruction of IMA is needed, and following the specific requirements for the operating techniques strictly, enables to avoid ischemia of the gut completely or to reduce its frequency to a minimum [Belov I.V., 2002].
Post-operative GIC can be especially serious. Due to them the hospitalization period can prolong and the post-operative mortality generally increases [Chan K.H., 1989; Huddy S.P., 1991; Christenson J.T., 1994; Mercado P.D., 1994; Lubetkin E.I., 1996]. Less seldom but very difficult GIC occur to those patients for whom have been made none abdominal high coverage operations. The given frequency of the spread of GIC is about 2 percent after open heart operations [Huddy S.P., 1991; Christenson J.T., 1994; Mercado P.D., 1994], 7 percent after neurosurgical operations... [to full text]
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