Danish medical journal · 2012
Acceptable results after venous reconstructive surgery following iatrogenic injuries to the iliofemoral vein segment.
СтатьяНазвание и аннотация: Перевод в очереди
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Larsen Morten Bo, Bækgaard Niels
Аннотация
INTRODUCTION: Venous reconstructions after iatrogenic injuries are rarely performed and are associated with a relatively high risk of complications. We present our experiences with venous reconstructive surgery to the iliofemoral vein segment.
MATERIAL AND METHODS: We reviewed ten patients with venous injuries evaluating clinical characteristics, operative and postoperative data including location and type of venous injury, operative repair and outcome. Venous injuries either occurred during varicose vein surgery or other kinds of procedures in the region. The injuries were repaired by interposition with a polytetrafluorethylene graft, and after surgery they were treated with an intermittent pneumatic compression device and anticoagulation medicine. Subsequently, patients were evaluated both clinically and by colour duplex scan.
RESULTS: The mean patient age was 42.5 years (range 26-61 years) with no reported co-morbidity. The median follow-up was 16 months (range 12-157 months). The 30-day patency rate was 70% and the morbidity rate 40%. At the latest follow-up, the venous patency rate was 90% after supplementary treatment.
CONCLUSION: The study shows a satisfactory outcome despite severe iatrogenic injuries to the iliofemoral vein segment. Venous reconstructive surgery should be a centralized task.
FUNDING: not relevant.
TRIAL REGISTRATION: not relevant.
MATERIAL AND METHODS: We reviewed ten patients with venous injuries evaluating clinical characteristics, operative and postoperative data including location and type of venous injury, operative repair and outcome. Venous injuries either occurred during varicose vein surgery or other kinds of procedures in the region. The injuries were repaired by interposition with a polytetrafluorethylene graft, and after surgery they were treated with an intermittent pneumatic compression device and anticoagulation medicine. Subsequently, patients were evaluated both clinically and by colour duplex scan.
RESULTS: The mean patient age was 42.5 years (range 26-61 years) with no reported co-morbidity. The median follow-up was 16 months (range 12-157 months). The 30-day patency rate was 70% and the morbidity rate 40%. At the latest follow-up, the venous patency rate was 90% after supplementary treatment.
CONCLUSION: The study shows a satisfactory outcome despite severe iatrogenic injuries to the iliofemoral vein segment. Venous reconstructive surgery should be a centralized task.
FUNDING: not relevant.
TRIAL REGISTRATION: not relevant.