Is it possible to anticipate complications after reconstructive surgery in patients with trophic disorders on the background of peripheral atherosclerosis in combination with diabetes mellitus?

Abstract

   Background. Complications after revascularization in individuals with peripheral atherosclerosis and diabetes mellitus can lead to negative results of surgical interventions against the background of critical ischemia.   Objective. The aim of the study was to identify predisposing circumstances for the development of certain complications after reconstruction in patients with critical ischemia and diabetes mellitus.   Materials and methods. A prospective study of the results of reconstructive interventions was carried out in 78 patients with trophic disorders on the background of peripheral atherosclerosis and diabetes mellitus. Complications were detected in 25 cases (the main group), 53 patients had uncomplicated course of the postoperative period. The influence of concomitant diseases, peculiarities of surgical treatment on the occurrence of adverse outcomes was analyzed.   Results. Manifestations of heart failure increase the likelihood of arterial thrombosis (p < 0.05). Signs of hepatic dysfunction increase the frequency of PE in the perioperative period (p < 0.05). Adequate correction of hypergly-cemia reduces the risk of stroke.   Conclusion. The data on the circumstances predisposing for the development of complications make it possible to prepare more carefully for reconstruction against the background of critical ischemia in people with peripheral atherosclerosis and diabetes mellitus and minimize the number of adverse outcomes of intervention.