Bilateral aorto-profunda femoris bypass with Dacron bifurcation graft was performed by a patient with aortoiliac occlusive disease (AIOD) and horseshoe kidney (HSK) who had undergone stenting of the right common iliac artery and of the left superficial femoral artery with subsequent stent thrombosis as well as significant subrenal aortic stenosis. As endovascular treatment was not feasible and surgical treatment by means of transperitoneal incision would be associated with high risk of damage to the HSK, the operation was successfully accomplished through left pararectal retroperitoneal approach.
The number of patients with chronic wounds of vascular origin is constantly rising due to the increased life expectancy of the population. 0.6-3% of the population aged 60 years and over, suffers from chronic wounds of the extremities. Untreated chronic wounds account for most amputations of the lower extremities. Aim: This study aims at presenting the advantages of a comprehensive approach to treatment of chronic wounds of vascular origin based on our experience. Materials and methods: This study comprises of 500 patients, which were treated for chronic wounds of vascular origin at the Clinic for Vascular and Endovascular Surgery at the University Hospital "St. Ekaterina" in Sofia and the "German Clinic" Medical Center in Gotze Delchev over a period of 5 years. Prior to their treatment, all patients underwent a complete vascular status assessment in order to determine the origin of their wounds: arterial, venous or mixed. 250 patients received only conservative treatment and 250 patients were assigned to the comprehensive treatment group. Results: We assessed wound healing at 1, 3 and 6 months. Patients in the comprehensive treatment group showed a significant increase in wound healing as early as 1 month after beginning of treatment. Conclusions: The comprehensive approach for treatment of chronic vascular wounds is of great importance. In order to select the appropriate method of treatment, the patients have to be examined by a skilled vascular surgeon or angiologist through a detailed assessment of the vascular system via Doppler examination and angiography.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.