Abstract
A rare unpredictable serious complication is analyzed : paragraft reaction with formation of perigraft cysts and liquid round the synthetic vessel after reconstructive operations. The etiology and pathogenesis of this uncommon reaction remain unclear and disputable. Perigraft reaction often leads to complications: Infection of the perigraft liquid or cyst with formation of false aneurysms of anastomoses, graft infection with anglogenic sepsis, graft and reconstructed arteries thrombosis because ofextravasal compression, etc. Publications on this problem are scanty. We observed perigraft . reaction in 15 (0 , 4 %) patients after reconstructive operations implanted various grafts. The etio logy, pathogenesis, clinical characteristics, prevention, and treatment philosophy in such cases are discussed , based on published reports and our data.
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