Timing of minor amputations in patients with critical ischemia and isolated finger gangrene
A. D. Aslanov,
O. E. Logvina,
L. Yu. Kardanova,
S. A. Dunaev,
M. A. Gotyzhev,
A. G. Kugotov,
A. H. Kugotov,
A. T. Edigov,
L. I. Taukenova,
A. V. Zhirikov,
A. L. Betuganova,
A. Ch. Khashev https://doi.org/10.17238/2072-3180-2022-4-70-75
Abstract
Introduction. The lesion of peripheral arteries is one of the formidable conditions in the group of diseases of the circulatory system diseases.
Materials and methods. In our study, we formed an isolated group for the treatment of patients without severe infection, but with distal necrosis, which should be removed after the restoration of blood flow. The question of the timing of amputation remains open. Such an operation is possible both simultaneously and in stages. The purpose of this study was to assess the impact of the timing of small amputations on the results of treatment. In the group with simultaneous amputation, we included 26 patients who underwent surgery either simultaneously with bypass surgery or within a day after endovascular revascularization. Delayed amputation of fingers was performed within 5 to 14 days from the moment of revascularization, there were 36 such patients.
Discussion. We did not find statistically significant differences between the long-term results for the presented parameter.
Results. The survival rate during the year was 92 % in the group with simultaneous amputation of fingers and 88 % – with a staged one.
About the Authors
A. D. Aslanov
Kabardino-Balkar State University named after Kh. Berbekova, Department of Hospital Surgery
Russian Federation
Russian Federation
Aslanov Ahmed Dzonovich – Doctor of Medical Sciences,
General surgeon, cardiovascular surgeon, Professor, Head of the Department of Hospital Surgery of the Faculty of Medicine
360004, Kabardino-Balkarian Republic. Nalchik, Chernyshevsky str., 173
O. E. Logvina
Kabardino-Balkar State University named after Kh. Berbekova, Department of Hospital Surgery
Russian Federation
Russian Federation
Logvina Oksana Evgenievna – Candidate of Medical Sciences,
surgeon. Associate Professor of the Department of Hospital Surgery
of the Department of Hospital Surgery of the Faculty of Medicine
360004, Kabardino-Balkarian Republic. Nalchik, Chernyshevsky str., 173
L. Yu. Kardanova
Kabardino-Balkar State University named after Kh. Berbekova, Department of Hospital Surgery
Russian Federation
Russian Federation
Kardanova Liana Yurievna – surgeon. Assistant of the Department
of Hospital Surgery of the Faculty of Medicine
360004, Kabardino-Balkarian Republic. Nalchik, Chernyshevsky str., 173
S. A. Dunaev
Kabardino-Balkar State University named after Kh. Berbekova, Department of Hospital Surgery
Russian Federation
Russian Federation
Dunaev Saykhan Abdurakhmanovich – surgeon. Postgraduate
student of the Department of Hospital Surgery of the Faculty of
Medicine
360004, Kabardino-Balkarian Republic. Nalchik, Chernyshevsky str., 173
M. A. Gotyzhev
Kabardino-Balkar State University named after Kh. Berbekova, Department of Hospital Surgery
Russian Federation
Russian Federation
Gotyzhev Murat Arsenovich – surgeon, cardiovascular surgeon.
Assistant of the Department of Hospital Surgery of the Faculty of
Medicine
360004, Kabardino-Balkarian Republic. Nalchik, Chernyshevsky str., 173
A. G. Kugotov
Kabardino-Balkar State University named after Kh. Berbekova, Department of Hospital Surgery
Russian Federation
Russian Federation
Kugotov Amirbi Gazizovich – Candidate of Medical Sciences.
Associate Professor of the Department of Hospital Surgery of the Faculty of Medicine
360004, Kabardino-Balkarian Republic. Nalchik, Chernyshevsky str., 173
A. H. Kugotov
Kabardino-Balkar State University named after Kh. Berbekova, Department of Hospital Surgery
Russian Federation
Russian Federation
Kugotov Ahmed Kharabievich – surgeon, cardiovascular
surgeon. Assistant of the Department of Hospital Surgery of the Faculty of Medicine
360004, Kabardino-Balkarian Republic. Nalchik, Chernyshevsky str., 173
A. T. Edigov
Kabardino-Balkar State University named after Kh. Berbekova, Department of Hospital Surgery
Russian Federation
Russian Federation
Edigov Aslanbek Talievich – surgeon, cardiovascular surgeon.
Assistant of the Department of Hospital Surgery of the Faculty of
Medicine
360004, Kabardino-Balkarian Republic. Nalchik, Chernyshevsky str., 173
L. I. Taukenova
Kabardino-Balkar State University named after Kh. Berbekova, Department of Hospital Surgery
Russian Federation
Russian Federation
Taukenova Lisa Ibragimovna – Candidate of Medical Sciences.
Oncologist. Associate Professor of the Department of Hospital Surgery of the Faculty of Medicine
360004, Kabardino-Balkarian Republic. Nalchik, Chernyshevsky str., 173
A. V. Zhirikov
Kabardino-Balkar State University named after Kh. Berbekova, Department of Hospital Surgery
Russian Federation
Russian Federation
Zhirikov Artur Vladimirovich – surgeon, endoscopist. Candidate
of Medical Sciences. Associate Professor of the Department of Hospital Surgery of the Faculty of Medicine
360004, Kabardino-Balkarian Republic. Nalchik, Chernyshevsky str., 173
A. L. Betuganova
Kabardino-Balkar State University named after Kh. Berbekova, Department of Hospital Surgery
Russian Federation
Russian Federation
Betuganova Alina Latifovna – Assistant of the Department of
Normal and Pathological Anatomy of the Faculty of Medicine
360004, Kabardino-Balkarian Republic. Nalchik, Chernyshevsky str., 173
A. Ch. Khashev
Kabardino-Balkar State University named after Kh. Berbekova, Department of Hospital Surgery
Russian Federation
Russian Federation
Khashev Akhed Chamalovich – surgeon. Assistant of the
Department of Hospital Surgery of the Faculty of Medicine
360004, Kabardino-Balkarian Republic. Nalchik, Chernyshevsky str., 173
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Review
For citations:
Aslanov A.D., Logvina O.E., Kardanova L.Yu., Dunaev S.A., Gotyzhev M.A., Kugotov A.G., Kugotov A.H., Edigov A.T., Taukenova L.I., Zhirikov A.V., Betuganova A.L., Khashev A.Ch. Timing of minor amputations in patients with critical ischemia and isolated finger gangrene. Moscow Surgical Journal. 2022;(4):70-75. (In Russ.) https://doi.org/10.17238/2072-3180-2022-4-70-75
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