From the first vascular suture to reconstructive and restorative surgery of vascular kidneys pathology
https://doi.org/10.20538/1682-0363-2017-3-166-175
Abstract
The purpose of this article is to acquaint readers with the methods of plastic kidney vessel replacement.
Renal artery stenosis in patients with hypertension (3-10%) as well as traumatic injuries (35%) are the most common among the diseases of the renal arteries, as surgery is required. The main methods of plastic kidney vessel replacement are the use of synthetic grafts (polytetrafluoroethylene or polyester filaments with different coatings), autoveins (great saphenous Vienna), autografts from the pericardium, peritoneum, fascia, as well as different methods of renal artery resection followed by anastomosis. Despite the diversity of the methods of main vessel plastics, the search for new methods and materials, which would satisfy the necessary requirements, is needed. These requirements include: sufficient size for the plasticity of defects; resistance to infection; guaranteed absence of immunological reaction; mobility, and sufficient elasticity and durability during prolonged functioning as prosthesis of the vessel.
About the Authors
Ashab M. Idigov
Siberian State Medical University (SSMU)
Russian Federation
Postgraduate Student, Department of Urology, SSMU, Tomsk, Russian Federation.
Russian Federation
Postgraduate Student, Department of Urology, SSMU, Tomsk, Russian Federation.
Aleksandr V. Gudkov
Siberian State Medical University (SSMU)
Russian Federation
DM, Рrofessor, Head of the Department of Urology, SSMU, Tomsk, Russian Federation.
Russian Federation
DM, Рrofessor, Head of the Department of Urology, SSMU, Tomsk, Russian Federation.
Evgenij V. Semichev
Siberian State Medical University (SSMU)
Russian Federation
Russian Federation
PhD, Researcher, Central Scientific Research Laboratory, SSMU, Tomsk, Russian Federation.
Pavel S. Bushlanov
Siberian State Medical University (SSMU)
Russian Federation
Postgraduate Student, Department of Surgical Disease with the Course of Traumatology and Orthopedics, SSMU, Tomsk, Russian Federation.
Russian Federation
Postgraduate Student, Department of Surgical Disease with the Course of Traumatology and Orthopedics, SSMU, Tomsk, Russian Federation.
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Review
For citations:
Idigov A.M., Gudkov A.V., Semichev E.V., Bushlanov P.S. From the first vascular suture to reconstructive and restorative surgery of vascular kidneys pathology. Bulletin of Siberian Medicine. 2017;16(3):166-175. (In Russ.) https://doi.org/10.20538/1682-0363-2017-3-166-175
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