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Biomedical subjects

V L Lemenev

Publications and source records attributed to V L Lemenev.

At least 19 recordsLinked to original sources
PubMed2002

[Surgical treatment of older patients with critical ischemia of the lower limps in occlussive disease of aorta and iliac arteries].

17-year experience in surgical treatment of 302 elderly and old patients with occlusive disease of aorta and iliac arteries and critical limb ishaemia is analyzed. Different surgical policy depending on the type and length of atherosclerotic lesion and somatic state is offered. For persons in especially grave somatic state extraanatomical bypass operations (90 patients) were recommended, their technique was discussed in detail. Causes of postoperative complications were analyzed and prophylactic measures suggested. Prevention and treatment of infectious complications were considered.

Aged↗
PubMed2002

[Injuries of cervical great vessels].

Results of surgical treatment of 156 patients with cervical vessels injuries over 10-year period were analyzed. The majority of the wounds (82.7%) located in zone II of the neck. There were 143 (91.7%) stab-knife and 12 (7.7%) shotgun wounds. Combination of vascular traumas with injuries of deep cervical structures was in 16 (10%) patients. Detailed physical examination permits to avoid special device examinations before surgery in the majority of cases. When injuries of the esophagus or respiratory tract were suspected, the patients underwent diagnostic esophago- and bronchoscopy before and during surgery. Diagnostic and therapeutic policies in these kinds of injuries are systematized.

Adolescent↗
PubMed2001

[Treatment of patients with post-traumatic decompensated ischemia of the limbs].

The article analyses results of treatment of 48 patients with severe posttraumatic decompensated ischemia of extremities. Operations were performed on 484 patients with injuries of 573 major vessels, 374 of them having traumas of the extremity vessels. All the patients were admitted to the hospital with severe hemorrhagic and traumatic shock of the III-IV degrees, 58% of them had combined traumas. The time from admission to operation was 0.5-24 hours. The "end-to-end" anastomoses were applied for the restoration of the vessels and prostheses with autovein and homoarterial prosthesis "Homograft" were used. Lethality was 16.7%. Reconstruction of the injured artery must be always made after performing "stable" osteosynthesis, predominantly with the apparatus of external fixation. Early start of active detoxication is of importance. Positive results with saved extremities were obtained in 68.8% of the patients. Multiprofile medical institutions with a 24-hours regimen of work of different diagnostic and medical units can give effective help to patients of this category.

Adolescent↗
PubMed1998

[Reconstructive surgery in injuries of major arteries and veins].

Retrospective analysis of surgical treatment for injuries of 408 major arteries and veins in 352 patients in the department of vascular surgery of N.V. Sklifossovsky Research Institute of Emergency Care from 1989 to 1996 is presented. Of 126 cases of prosthetic reconstructions in 72.2% autoveins were used, in 18.3%--synthetic prosthesis, and in 9.5% homologous arterial biologic prosthesis. Good results were obtained in 13.1% of patients, amputations were made in 4.8%. Lethality was 4.0%. Principles of treatment of combined injuries, prophylaxis of syndrome of inclusion and other complications are autlined.

Arteries↗
PubMed1998

[Treatment of pyogenic complications after reconstructive surgery on blood vessels with use of synthetic prosthesis].

Factors influencing result of surgical treatment of patients with festered postoperative wounds have been studied. Algorythm of determination of tactics for examination and treatment of this category of patients was established. The results obtained are based on the analysis of personal surgical treatment autcomes in 1526 patients with decompensated ischemia of extremities and 57 patients with clinical symptoms of deep suppuration. Division of purulent complications into primary and secondary is suggested. Effectiveness of various modes of prophylaxis was studied--systemic and indirect endolymphatic route for introduction antibiotics, intraoperative application of pellicle ESBA, usage of antimicrobial vascular prosthesis "SISAN". The best results were obtained in the two latter methods. Various methods of surgical treatment in infected vascular prosthesis are reviewed.

Anti-Bacterial Agents↗
PubMed1997

[Surgical tactics in prosthesis related vascular graft infections].

The outcomes of treatment of patients with purulent wound complications and infection of vascular grafts after plastic surgery on terminal part of the aorta and major arteries of the lower extremities are analyzed depending on the tactics and timing of the surgery. Minimal lethality was registered in re-do surgery in the infected grafts performed in 2 or 3 stages, with the use of antibacterial prosthesis SISAN. This provides an opportunity to eliminate recurrence of infective complications.

Aorta↗
PubMed1989

[Ways of lowering the level of amputation in decompensated ischemia of the lower extremities].

From analysis of the results of surgical treatment of 127 patients with decompensation of circulation and gangrene of the lower limbs the authors substantiate the prospective character of revascularizing operations which lower the level of the amputation. Revascularization by means of reconstructive operations on the main arteries of the limbs makes it possible to not only lower the level of the amputation, but reduce considerably the lethality, the incidence of postoperative complications, and the degree of invalidation.

Age Factors↗
PubMed1988

[Reconstructive operations in suppurative and septic complications of vascular surgery].

Results of the preventive surgical treatment in infection of vascular prostheses were much better than those obtained after operations performed against the background of arrosive hemorrhage. The division of the operation into two steps--the extrafocal shunt at the first step and removal of the purulent prosthesis at the second step--results not only in better immediate results of the treatment of these complications, but also in reduced lethality in this group of patients. The traction mode of removal of the prosthesis is recommended to patients with a pronounced scarry process around the prosthesis.

Arterial Occlusive Diseases↗