Correction of consumption coagulopathy in patients during open operations on the abdominal aorta

Vachev A.N., Trukhanova I.G., Gureev A.D.

Chair of Faculty Surgery, Chair of Anaesthesiology, Resuscitation and Emergency Medical Care of Postgraduate Education Institute, Samara State Medical University of the RF Public Health Ministry, Samara, Russia

The article deals with the results of studying the peculiarities of plasma-thrombocytic haemostasis in patients undergoing operations on the abdominal portion of the aorta. A total of 96 patients were included into the study. All patients underwent open aorto-iliac reconstructions. Of these, 32 patients were operated on for an aneurysm of the infrarenal portion of the aorta, and 64 patients for Leriche syndrome after having developed chronic critical ischaemia of the limbs. It was confirmed that consumption coagulopathy, better known as disseminated intravascular coagulation (DIC), had already been present in all those patients as early as at the preoperative stage. The authors worked out an algorithm of infusion-transfusion therapy in surgery of the infrarenal portion of the aorta.

KEY WORDS: surgery of the abdominal portion of the aorta, consumption coagulopathy, haemorrhage, fresh-frozen plasma, thromboelastography.

P. 122

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