SU1482672A1 - Method of treating vascular impotence - Google Patents

Abstract

The invention is applied in occlusion of the abdominal aorta and the iliac arteries. The aim of the invention is to increase the arterial inflow to the penis, which, when the aortic bifurcation of the aorta and the external iliac 3 arteries is prosthetic, adds additional acute brush to the aorta prosthesis 1 at an additional angle 2 and anastomosis with the corresponding internal iliac 4 end to end. Bilateral aorto-iliac prosthetics are performed by substitution with a tetrafurcation synthetic prosthesis. At the same time, each of the four branches of the prosthesis is anastomized end-to-end with the corresponding both internal and both external iliac 3 or femoral arteries, and then separate direct blood flows from the aortic stem of the prosthesis are restored in these arteries. A tetrafurcation prosthesis is pre-formed before the operation based on the data of serial aorto-arteriograms of the patient by sewing in the lateral surfaces of the main trunk of the bifurcation aortic prosthesis of two additional linear prostheses, each at an acute angle (35-55) to the main trunk of the prosthesis. 1 ill.

Description

Editor T. Parfenova

Compiled by Y. Esilevsky

Tehred M. Khodanich Proofreader M. Maksimishinets

Order 2731/7

Circulation 643

VNIIPI State Committee for Inventions and Discoveries at the State Committee on Science and Technology of the USSR 113035, Moscow, Zh-35, Raushsk nab. 4/5

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Claims (1)

Claim A method for the treatment of vascular impotence by prosthetics bifurcagrapine is good. There are no signs of iliac-femoral robbery during loading of the lower extremities according to Doppler ultrasound. Using the proposed method for the treatment of vascular male impotence provides the following advantages compared to existing methods. Significantly expands indications for surgical treatment of vascular impotence in patients with bilateral lesions of the internal iliac arteries during their long-term occlusion. In such cases, 15 resection after occlusion in the distal. section of the internal iliac arteries ’the use of additional branches of the prosthesis allows you to arbitrarily choose the level of their anastomosis with crossed internal iliac arteries. It makes it possible to achieve complete and long-term restoration of sexual function in operated men, which is the most important factor medical and social rehabilitation of patients in this category, among which impotence is the aorta and the external iliac arteries and the anastomosis of the prosthesis with the internal iliac artery, which requires that, in order to increase arterial inflow to the penis, to the lateral surfaces the bifurcation prosthesis is sutured with two additional branches at an acute · .25. angle, then each of these branches with the corresponding internal iliac arteries anastomose end to end.