The use of the drug Wessel Duet F in the complex treatment of lesions of the lower extremities in patients with type II diabetes

Abstract Background: Injury to the external iliac artery (EIA) can have serious consequences and can be extremely challenging for surgeons. Here, we report a patient with bizarre disconnection of the external iliac artery during a laparoscopic operation.Case presentation: On May 27, 2020, during a laparoscopic pelvic lymphadenectomy operation to treat endometrial stromal sarcoma, we encountered an unusual anatomy: abnormal disconnection of the left external iliac artery in a 26-year-old female patient. The proximal and distal ends of the left external iliac artery demonstrated old narrowing without active bleeding, and the distance between the two disconnected ends was more than 3 cm. The scenario was surprising to the entire staff in the operating theater. After a comprehensive assessment of skin temperature, arterial pulsation and arterial blood flow, a multidisciplinary team (MDT) determined that collateral circulation of the left lower limb had been established and could meet the blood supply of the lower limbs, which was also confirmed three times by computed tomography angiography (CTA) and Doppler ultrasound of the blood vessels in the abdomen and lower limbs. Eleven months after the operation, the patient had no obvious abnormality, and the daily activities of the left lower limb were not affected. Follow-up after treatment for the patient is still in progress.Conclusions: We describe the details of the whole case of disconnection of the external iliac artery. We hope to summarize the experience and lessons learned through this case and a relevant literature review to improve the safety and orderliness of our future clinical work.

Download Full-text

Effectiveness of a New Exercise Program after Lower Limb Arterial Blood Flow Surgery in Patients with Peripheral Arterial Disease: A Randomized Clinical Trial

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph110807961 ◽

2014 ◽

Vol 11 (8) ◽

pp. 7961-7976 ◽

Cited By ~ 18

Author(s):

Edita Jakubsevičienė ◽

Donatas Vasiliauskas ◽

Linas Velička ◽

Raimondas Kubilius ◽

Eglė Milinavičienė ◽

...

Keyword(s):

Clinical Trial ◽

Blood Flow ◽

Peripheral Arterial Disease ◽

Randomized Clinical Trial ◽

Lower Limb ◽

Exercise Program ◽

Arterial Disease ◽

Arterial Blood Flow ◽

Arterial Blood ◽

Peripheral Arterial

Download Full-text

On pathogenesis of arterial hypertension in type 2 diabetes mellitus

Diabetes Mellitus ◽

10.14341/2072-0351-5635 ◽

2011 ◽

Vol 14 (2) ◽

pp. 53-55

Author(s):

Violen Stepanovich Volkov ◽

Evgenia Vladimirovna Rudenko ◽

Svetlana Anatol'evna Rokkina ◽

Olga Borisovna Poselyugina

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Arterial Hypertension ◽

Arterial Blood Flow ◽

Circulation Rate ◽

Arterial Blood ◽

Mechanisms Of Development

Aim. To study the functional state of arterioles in patients with type 2 diabetes mellitus and concomitant arterial hypertension (AH) and evaluatethe role of sodium in mechanisms of elevation of arterial pressure (AP) in this pathology. Materials and methods. 163 patients of whom 83 had DM2 with AH and 80 essential hypertension. They were examined by dopplerography of themicrocirclatory bed, measurement of arterial blood flow and daily sodium urinary excretion. Results. Patients with essential AH showed increased arteriolar circulation rate and enhanced reactivity of microvessels. These parameters werereduced in patients with DM2 and AH who consumed large amount of table salt. Conclusion. Mechanisms of development of essential AH and AH in DM2 are significantly different.

Download Full-text

A Case of an Extremely Rare Disconnection of the External Iliac Artery and Novel Collateral Remodeling

10.21203/rs.3.rs-499502/v1 ◽

2021 ◽

Author(s):

Shixuan Wang ◽

Ting Zhou ◽

Nan Yu ◽

Ronghua Liu

Keyword(s):

Iliac Artery ◽

Lower Limb ◽

Relevant Literature ◽

External Iliac Artery ◽

Pelvic Lymphadenectomy ◽

Lessons Learned ◽

Lower Limbs ◽

Arterial Blood Flow ◽

Arterial Blood ◽

Left Lower Limb

Abstract Background: Injury to the external iliac artery (EIA) can have serious consequences and can be extremely challenging for surgeons. Here, we report a patient with bizarre disconnection of the external iliac artery during a laparoscopic operation.Case presentation: On May 27, 2020, during a laparoscopic pelvic lymphadenectomy operation to treat endometrial stromal sarcoma, we encountered an unusual anatomy: abnormal disconnection of the left external iliac artery in a 26-year-old female patient. The proximal and distal ends of the left external iliac artery demonstrated old narrowing without active bleeding, and the distance between the two disconnected ends was more than 3 cm. The scenario was surprising to the entire staff in the operating theater. After a comprehensive assessment of skin temperature, arterial pulsation and arterial blood flow, a multidisciplinary team (MDT) determined that collateral circulation of the left lower limb had been established and could meet the blood supply of the lower limbs, which was also confirmed three times by computed tomography angiography (CTA) and Doppler ultrasound of the blood vessels in the abdomen and lower limbs. Eleven months after the operation, the patient had no obvious abnormality, and the daily activities of the left lower limb were not affected. Follow-up after treatment for the patient is still in progress.Conclusions: We describe the details of the whole case of disconnection of the external iliac artery. We hope to summarize the experience and lessons learned through this case and a relevant literature review to improve the safety and orderliness of our future clinical work.

Download Full-text