Abstract
Direct results of 747 lower limb amputations for chronic critical lower limb ischemia were analyzed. Early postoperative complications were observed in 45,1% of cases. Among them 45,4% were caused by tissue ischemia. Basing on detection of lactate dehydrogenase activity in muscular tissue method of intra-operative evaluation of tissue ischemia at the level of amputation is proposed. Relationship between this index and frequency of early postoperative complications is proved.
MeSH terms
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Aged
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Amputation, Surgical* / adverse effects
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Amputation, Surgical* / classification
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Amputation, Surgical* / methods
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Arterial Occlusive Diseases / complications*
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Arterial Occlusive Diseases / physiopathology
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Arteries / physiopathology
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Female
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Histocytochemistry
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Humans
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Ischemia / etiology
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Ischemia / metabolism*
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Ischemia / physiopathology
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Lactate Dehydrogenases / metabolism
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Lower Extremity / blood supply
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Lower Extremity / surgery
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Male
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Monitoring, Intraoperative / methods*
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Muscle, Skeletal / metabolism*
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Outcome Assessment, Health Care
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Postoperative Complications / prevention & control*
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Regional Blood Flow
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Retrospective Studies
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Severity of Illness Index