Extraordinary operation in Vilnius: extreme medical attention was required



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“This is a particularly important clinical practice for vascular surgeons at Santara clinics for patients in our country,” says Dr. Birutė Vaišnytė. – After such an operation, the patient leaves the house on his own feet. In the past, the prognosis for these patients was very sad, both physically and emotionally, severe disability and high mortality due to complications.

Limb amputation is threatened by blocked or critically narrow blood vessels when blood no longer enters the limbs. Innovative treatment technologies have made it possible to save the lives of patients and improve their quality of life: they perform extremely complex surgeries that dilate the blood vessels in the legs (insert stents that strengthen the walls of the blood vessels) and remove atherosclerotic plaques or form derivations. These operations are called hybrids (that is, combined) because several operations are performed simultaneously.

This type of operation has already been carried out in the Vascular Surgery Department of VUL Santara Clinics since September of this year.

“This method of treatment has been used in European clinics for some time; the limb-sparing standard of treatment has been adopted in international guidelines. The European Society for Vascular Surgery recommends that patients with injury to the iliac arteries and femoral artery of both legs undergo a hybrid surgery, with a single stage iliac artery angioplasty and femoral artery endarterectomy or bypass surgery. Ingrida Ašakienė –

It is very important that our patients can already perform these hybrid surgeries, which preserve the extremities, reduce the volume of the operation, accelerate the recovery of the patient after the intervention, shorten the time spent in hospital “.

The first patient to undergo such surgery was a 78-year-old man who was admitted to the Admissions and Emergencies Department of the VUL Santara Clinics for shortness of breath and severe pain in the legs. He was hospitalized in the Department of Intensive Cardiology, Resuscitation and Intensive Care, where he was diagnosed with cardiac decompensation after a recent myocardial infarction, arrhythmias. After stabilizing the condition, he is transferred to the Department of Vascular Surgery for persistent pain in the legs.

According to vascular surgeon Tomas Baltrūnas, this patient’s state of health was particularly difficult due to the large vascular lesions, so it was decided to perform a hybrid operation, during which the femoral arteries and iliac artery were reconstructed with a stent in two small incisions in the groin.

“The application of these hybrid surgeries can help preserve the limbs of those patients in extremely difficult conditions, who until now have only been offered amputations,” said vascular surgeon T. Baltrūnas.

In the Vascular Surgery Department of the VUL Santara Clinics, two hybrid surgeries have already been performed in 2 weeks, with both patients successfully conserving their limbs. Both patients have already been discharged from the hospital.



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