Zatevakhin I I, Govorunov G V, Dobronravov D S
Vestn Khir Im I I Grek. 1988 Jun;140(6):35-8.
An experience with using obturatory shunts in 10 patients with suppurations of vascular prostheses after reconstructive operations on the aorto-iliac segment for its occlusive lesion is presented. The authors have come to a conclusion that extra-anatomical shunting through the closing inlet of the pelvis when combined with resection or removal of the infected vascular prosthesis, local and general antibacterial therapy is an effective method of treatment of the pathology in question. The modified method of shunting facilitates performing the operation in most critical patients. Good results were obtained in 7 of 10 patients operated upon. Two patients died. The amputation of the extremity was fulfilled in 1 patient.
本文介绍了在10例因主-髂段闭塞性病变行重建手术后血管假体发生化脓的患者中使用闭塞性分流术的经验。作者得出的结论是，经骨盆闭合入口进行解剖外分流，同时切除或移除感染的血管假体，并进行局部和全身抗菌治疗，是治疗该疾病的有效方法。改良的分流方法便于在大多数病情危急的患者中进行手术。10例接受手术的患者中有7例取得了良好效果。2例患者死亡。1例患者进行了截肢。
