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[腹主动脉及其分支手术中预防主动脉(人工血管)肠侵蚀和瘘的手术方法]

[Surgical methods of preventing aorto(prosthesis)intestinal erosions and fistulae in surgery of the abdominal aorta and its branches].

作者信息

Ignashov A M, Bol'shakov O P, Vladimirov B B, Kurkov A A, Bedrov A Ia

出版信息

Vestn Khir Im I I Grek. 1989 Oct;143(10):88-91.

PMID:2631371
Abstract

An analysis of 72 reconstructive operations on the abdominal aorta (in 5 cases shunts of the celiac trunk and superior mesenteric arteries were performed) fulfilled by the authors has shown that in order to prevent the development of the aorto(prosthetic)-intestinal erosions and fistulas and possible extension of the inflammatory process to the synthetic prostheses from the adjacent organs it is necessary to use the corresponding technical means and the following methods of protection of anastomoses and vascular transplants: protection of the prosthesis by local tissues or greater omentum flaps, selection of the corresponding diameter and length of the prosthesis.

摘要

作者对72例腹主动脉重建手术(其中5例进行了腹腔干和肠系膜上动脉分流术)的分析表明,为防止主动脉(人工血管)-肠侵蚀和瘘的发生以及炎症过程可能从相邻器官蔓延至合成人工血管,有必要采用相应的技术手段以及以下保护吻合口和血管移植物的方法:用局部组织或大网膜瓣保护人工血管,选择合适直径和长度的人工血管。

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