Late results of Linton flap operation.
Linton flap operation was performed in 202 patients with postphlebitic syndrome complicated by evident ulceration 64% of patients were followed up for 1-14 years. Complete cure was obtained in 87.7%.
Biomedical subjects
Publications and source records attributed to J Nielubowicz.
Linton flap operation was performed in 202 patients with postphlebitic syndrome complicated by evident ulceration 64% of patients were followed up for 1-14 years. Complete cure was obtained in 87.7%.
Out of 112 patients who had a Linton flap operation recurrences developed in 13.3%. The most common causes of it were the incomplete first operation and deep venous thrombosis developing in the follow up period.
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The results of ultrasonographic investigations of 25 patients after operations for restoring the patency of extracranial brain-supplying arteries are presented. In 9 patients this investigation was done before and after the operation. The reason of these surgical interventions were stenoses or occlusions of the carotid or subclavian arteries or brachiocephalic trunk. In 84% of these cases Doppler ultrasonography confirmed a good result of the operation.
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On the basis of a survey of the pertinent literature and own experiences the authors discuss briefly the indications and contraindications to surgical treatment of stenosis or occlusion of the extracranial arteries supplying the brain. They stress that reconstructive operations on the extracranial cerebral arteries are primarily of prophylactic importance preventing stroke development, they should be carried out in transient brain ischaemia and imminent stroke, severe completed strokes are not treated in this way. Stenosis of the internal carotid artery lends itself in the first place to this reconstructive operation which should be done possibly early when the artery is not yet completely occluded. The best time for the operation is 3-4 weeks after development of brain symptoms after abating of the acute stage of the disease.