Horsch S
Akademisches Lehrkrankenhaus, Chirurgische Abteilung, Krankenhaus Porz am Rhein, Köln.
Langenbecks Arch Chir. 1988;Suppl 2:153-6.
It is necessary to distinguish between complications that cannot be avoided and those that can through knowledge of the special risks of the surgical procedure. Special complications that cannot be avoided include bleeding in the saphenous channel, loss of sensitivity, damage of lymphatic vessels, pigmentation of the leg, and the very rare postoperative pulmonary embolization. A preoperative diagnosis based on a careful physical examination, phlebography and Doppler ultrasound will help avert unnecessary mistakes.
有必要区分那些无法避免的并发症和那些通过了解手术特殊风险可以避免的并发症。无法避免的特殊并发症包括大隐静脉通道出血、感觉丧失、淋巴管损伤、腿部色素沉着以及极为罕见的术后肺栓塞。基于仔细的体格检查、静脉造影和多普勒超声的术前诊断将有助于避免不必要的错误。