Timing of minor amputations in patients with critical ischemia and isolated finger gangrene

Introduction. The lesion of peripheral arteries is one of the formidable conditions in the group of diseases of the circulatory system diseases.Materials and methods. In our study, we formed an isolated group for the treatment of patients without severe infection, but with distal necrosis, which should be removed after the restoration of blood flow. The question of the timing of amputation remains open. Such an operation is possible both simultaneously and in stages. The purpose of this study was to assess the impact of the timing of small amputations on the results of treatment. In the group with simultaneous amputation, we included 26 patients who underwent surgery either simultaneously with bypass surgery or within a day after endovascular revascularization. Delayed amputation of fingers was performed within 5 to 14 days from the moment of revascularization, there were 36 such patients.Discussion. We did not find statistically significant differences between the long-term results for the presented parameter.Results. The survival rate during the year was 92 % in the group with simultaneous amputation of fingers and 88 % - with a staged one.