[Hyperbaric oxygenation for treatment of extremities major arteries]

Abstract

The results of hyperbaric oxygenation therapy in surgical treatment of 44 patients with traumatic injuries of major arteries of the extremities were analysed. Associated injuries of the veins were observed in 27 (61.4%) patients, damages to the nerves--in 32 (72.7%), to the bones and joints--in 5 (11.4%), and to the soft tissues--in all of the patients. The indications for the hyperbaric therapy were: severe acute ischemia, major soft tissue damages and bone fractures, wound infection (purulent, anaerobic) complications and emergency ligation procedures on arteries. The use of hyperbaric oxygenation procedure together with extracorporeal methods for detoxication and reconstructive operations on vessels gives us possibility to broaden the indications for reconstructive operations and to prevent and control ischemic and infectious complications, endotoxicosis, increase the effectiveness of surgical treatment in victims with the injuries of major arteries of the extremities.