Treatment of reperfusion syndrome and lymphorrhea in patients after arterial reconstructions on the lower extremities
https://doi.org/10.17238/2072-3180-2025-3-94-101
Abstract
Introduction. Obliterating atherosclerosis of the lower extremity arteries is a major cardiovascular disease, significantly impacting patients' quality of life. Arterial reconstructions, while restoring blood flow to ischemic tissues, often trigger reperfusion syndrome, characterized by limb edema and lymphorrhea from postoperative wounds. These complications prolong recovery and increase hospitalization time.
Purpose. To evaluate the clinical efficacy of a modified approach for managing reperfusion syndrome and lymphorrhea in patients with chronic lower extremity ischemia following arterial reconstructive surgery.
Materials and methods. The study included 316 patients with lower extremity atherosclerosis treated at the Ulyanovsk Regional Clinical Hospital (2023–2024). Of these, 23 (7,3 %) developed postoperative lymphorrhea and were divided into two groups: Group I 12 (3,8 %) patients received standard postoperative care. Group II 11 (3,5 %) patients underwent a modified treatment protocol for reperfusion syndrome and lymphorrhea.
Results and Discussion. Ultrasound analysis of soft tissues revealed: Group I: Increased interfascial edema by day 7. Group II: Reduced interfascial edema. The average duration of lymphorrhea was: Group I: 15,1 ± 7,5 days. Group II: 8,1 ± 1,9 days.
Conclusion. The modified treatment method effectively reduced postoperative complications, shortening hospital stays for patients undergoing lower extremity arterial reconstructions. This highlights its potential for improving postoperative outcomes.
About the Authors
E. P. Krivoshchekov
Federal State Budgetary Educational Institution of Higher Education “Samara State Medical University” of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Krivoshchekov Evgeny Petrovich – Doctor of Medical Sciences, Professor of the Department of Surgery with a course in cardiovascular surgery of the Institute of Professional Education
443099, Samara
M. V. Yashkov
Ulyanovsk Regional Clinical Hospital
Russian Federation
Russian Federation
Yashkov Maxim Vyacheslavovich – cardiovascular surgeon of the surgical thoracic department
432017, Ulyanovsk
V. P. Kompaniets
Samara Regional Clinical Hospital named after V.D. Seredavin
Russian Federation
Russian Federation
Kompaniets Vladislav Pavlovich – cardiovascular surgeon of the cardiovascular surgery department
443095, Samara
A. P. Chekashov
State Budgetary Healthcare Institution "Hospital for War Veterans"
Russian Federation
Russian Federation
Chekashov Andrey Petrovich – cardiovascular surgeon of the cardiac surgery department with intensive care and resuscitation wards
193079, St. Petersburg
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Review
For citations:
Krivoshchekov E.P., Yashkov M.V., Kompaniets V.P., Chekashov A.P. Treatment of reperfusion syndrome and lymphorrhea in patients after arterial reconstructions on the lower extremities. Moscow Surgical Journal. 2025;(3):94-101. (In Russ.) https://doi.org/10.17238/2072-3180-2025-3-94-101
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