Chani U. Repeated operation method in patients with late complication of aortal-femoral reconstruction in obliterating diseases

There were analysed the complication after the primary reconstructive surgery requiring repeated surgical interventions on the arteries of aorto-iliac-femoral-popliteal and early and remoted results after these operations. The algorithm of the clinical examination and treatment of such patients was developed, indications and contraindications for repeated surgery were determined, technical moments of surgical interventions in occlusive arterial diseases of low extremities were improved. Developed algorithm of clinical examination and treatment of the pationes is based on the data of comples clinical monitoring with the use of clinical-biochemical tests, the assessment of regional systolic pressure, doppleroscopy, color duplex scanning, angiography and CT. There was developed c lassification of postoperative complications which allows to optimise the scheme of ptainet treatment, prevent serious complications and preserve the function of extremity. Keywords: thrombosis of prosthetic appliances, ischemiaof the extremity, late complications, reconstructive surgery.