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Doctors who performed the complicated operation agreed that the operation saved the man’s life and the timely assistance gave the Panevėžys resident the opportunity to continue enjoying life.
The first in Lithuania
A. Skorupskas, the director of the Panevėžys Hospital, told JP news portal that such a complex operation was probably the first in Lithuania.
Photo by Rimvydas Ančerevičius / “Your Panevėžys” / Arvydas Skorupskas
“In the measure and complexity of the operation performed by the Head of the Interventional Radiology Department of the hospital, dr. Andrius Pranculis and Arūnas Čepkauskas, Head of the Department of Vascular Surgery, are probably the first in the country. We are very happy that it went well. Today, the patient has already been transferred to the Department of Vascular Surgery, he feels fine, but he still has a very important period of rehabilitation ”, the director of the Republican Panevėžys Hospital was happy with the successful completion of the operation.
The disease is dangerous
Arūnas Čepkauskas, Head of the Department of Vascular Surgery, explained that aortic dissection is one of the most dangerous diseases.
“The aorta is the largest blood vessel in the human body. It consists of three layers, and the detachment of the main blood vessel is a dangerous disease in which there is a partial rupture of the wall (detachment). Blood flows into the space between the inner and middle layers of the vascular layers, which causes a greater separation of the layers. Due to this pathology, the outer layer of the blood vessel can break, then active bleeding begins and death often occurs “, presented a surgeon vascular disease of dangerous diseases A. Čepkauskas.
Photo by Rimvydas Ančerevičius / “Your Panevėžys” / Arūnas Čepkauskas
Everything happens fast
When asked how the disease manifests itself, the head of the Department of Vascular Surgery A.Čepkauskas stated that any dissection is deadly dangerous.
“Dissections are manifested by pain that is difficult to control, uncontrolled hypertension, rapid dilation of the aorta, damage to various internal organs due to broken blood vessels. Possible bleeding in the chest, bleeding in the aorta or peritoneum, bleeding in the abdomen, pelvis. All symptoms depend on the location, nature and intensity of the injury ”, the doctor presented the symptoms of the disease.
The situation is threatening
A patient diagnosed with severe aortic dissection was admitted to the Republican Hospital of Panevėžys.
“For our doctor, the situation is very threatening due to the violations. The patient had a ruptured aorta from the middle of the thorax to the distal part and both iliac arteries ruptured to the groin. The blood from the aorta had already spilled into the In addition, the left kidney and the ligament artery were almost completely ruptured: it feeds the entire intestine, the abdominal artery, which feeds the liver, spleen, pancreas, and the artery of the right leg is completely closed, “he said. cardiac surgeon A. Čepkauskas and said about the patient’s condition It is dangerous to transport a patient with such a condition to the capital, so it was decided to perform the operation at the Panevėžys Hospital.
The operation was successful
Head of the Department of Interventional Radiology at Panevėžys Hospital, dr. A.Pranculis explained that the patient’s condition was complicated.
Photo by Rimvydas Ančerevičius / Your Panevėžys / Andrius Pranculis
“In the treated patient, the arteries of the left kidney, intestine, liver and right leg were ruptured, for which the urgent restoration of the broken arteries with the help of stents was necessary, since the failure of the mentioned organs developed. After an extensive investigation, the decision was made to operate the patient urgently. During this operation I worked together with the vascular surgeon A. Čepkauskas and was assisted by the head of the Department of Resuscitation and Intensive Care, Dr. Arūnas Valikonis “, said the doctor and continued:
“During the operation, a special dissecting stent was inserted through the patient’s left groin, which stopped the further rupture of the aorta and the rupture was compressed with the help of a balloon. It was also necessary to restore blood flow to the left kidney, intestine, liver, and right leg. Blood flow through the groin was restored, finding a ruptured artery with a catheter. The artery was dilated with a balloon and secured with a stent. This restored blood flow to vital organs. We saved the right leg with an open bypass from the left. The operation was very successful, as evidenced by the fully restored function of the organs. “
Thanked the doctors
After a difficult and successful operation, Bronislovas Š. he rejoiced at the good result and joked that he was still alive.
Photo by Rimvydas Ančerevičius / „Your Panevėžys“ / Bronislovas Š.
“It was hard, I felt bad, my legs and chest ached. It is much better now. Thanks to the Panevėžys doctors, they helped me a lot,” said the patient sincerely.
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