Az érsebészeti szövódmények kezelési lehetóségei.

Translated title of the contribution: Treatment options for complications in vascular surgery

G. Acsády, A. Laczkó, A. Szabó, G. Szabó, Z. Szeberin, I. Gálfy, E. Turbók, A. Nemes

Research output: Contribution to journalArticle

Abstract

The authors processed the patients' data of the last 10 years and present their experience in treating septic complications in the field of vascular surgery. They analyzed the therapeutic possibilities and reviewed the literature. They suggest the following treatment alternatives for the infection related complications, that they consider the best options these days: 1. Identification of the causative agent by microbiologic methods and determination of the antibiotic susceptibility. 2. In the cases of occluded grafts it is recommended to remove the whole graft and to apply a suction-irrigation drainage. 3. In the cases of patent grafts: (a) If the infections starts in the immediate postoperative period it is suggested to spare the graft, open the wound, perform debridement and apply a suction-irrigation drainage. (b) Late suppurations, confined to the trunk of the graft without affecting the anastomoses, requires extensive debridement and lavage, and the graft could be left in place. (c) Anastomosis infection calls for graft removal, in situ reconstruction and suction-irrigation drainage in one setting. (d) Extraanatomic bypass is indicated when culture proves bacteria producing extraprotease enzymes because in these cases the incidence of repetitive septic bleedings are significantly higher, so in situ reconstructions are not recommended.

Original languageHungarian
Pages (from-to)75-80
Number of pages6
JournalMagyar sebészet
Volume54 Suppl
Publication statusPublished - 2001

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Blood Vessels
Transplants
Suction
Debridement
Therapeutics
Infection
Suppuration
Therapeutic Irrigation
Postoperative Period
Hemorrhage
Anti-Bacterial Agents
Bacteria
Incidence
Wounds and Injuries
Enzymes

Cite this

Acsády, G., Laczkó, A., Szabó, A., Szabó, G., Szeberin, Z., Gálfy, I., ... Nemes, A. (2001). Az érsebészeti szövódmények kezelési lehetóségei. Magyar sebészet, 54 Suppl, 75-80.

Az érsebészeti szövódmények kezelési lehetóségei. / Acsády, G.; Laczkó, A.; Szabó, A.; Szabó, G.; Szeberin, Z.; Gálfy, I.; Turbók, E.; Nemes, A.

In: Magyar sebészet, Vol. 54 Suppl, 2001, p. 75-80.

Research output: Contribution to journalArticle

Acsády, G, Laczkó, A, Szabó, A, Szabó, G, Szeberin, Z, Gálfy, I, Turbók, E & Nemes, A 2001, 'Az érsebészeti szövódmények kezelési lehetóségei.', Magyar sebészet, vol. 54 Suppl, pp. 75-80.
Acsády G, Laczkó A, Szabó A, Szabó G, Szeberin Z, Gálfy I et al. Az érsebészeti szövódmények kezelési lehetóségei. Magyar sebészet. 2001;54 Suppl:75-80.
Acsády, G. ; Laczkó, A. ; Szabó, A. ; Szabó, G. ; Szeberin, Z. ; Gálfy, I. ; Turbók, E. ; Nemes, A. / Az érsebészeti szövódmények kezelési lehetóségei. In: Magyar sebészet. 2001 ; Vol. 54 Suppl. pp. 75-80.
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