Background. The relevance of the literature review is explained by the frequent development of purulent-septic complications after reconstructive operations on the abdominal aorta and arteries of the lower extremities. Objective. To analyze the literature covering the problem of purulent-septic complications after reconstructive surgery on the aorto-femoral-popliteal arterial segment. Material and methods. A total of 50 literature sources were analyzed. Results. Purulent-septic complications after reconstructive operations on the abdominal aorta and arteries of the lower extremities are caused by many factors. There are various types of purulent and septic complications arising after arterial surgery, and several algorithms of their treatment have been proposed. However, the results of their practical use do not allow us to claim a positive solution to this problem in angiosurgery. Conclusions. With the development of purulent-septic complications after reconstructive operations on the abdominal aorta and arteries of the lower extremities, individual surgical solutions are required.