Olympic champion in ice dancing Roman Kostomarov has been in the intensive care unit of a hospital in Kommunarka for more than two months. The media has repeatedly turned to doctors to assess the condition of the skater after major operations. What forecasts do the experts give?
In early February, a source said that part of Kostomarov's leg had been amputated due to progressive gangrene. Then the professor of the First Moscow State Medical University. Sechenov, surgeon Andrey Shestakov explained that the decision to operate was made because of the threat of release of toxins into the body.
“After sepsis, purulent foci begin to“ fly ”through the body, inseminating everything. The same process went through the circulatory system, a weaker place reacted — it turned out to be the leg. Amputation is done because there is severe necrosis on the leg, and this catastrophically increases the release of toxins into the body. It is vital that they do not spread completely,» Shestakov told Izvestia.
In addition, Lev Averbakh, head physician of the private ambulance service of St. Petersburg «Koris», said that it was the decision to amputate that saved the figure skater's life. He noted that this was a necessary measure, since other methods of treatment no longer helped.
““If you don’t amputate today, then tomorrow you will have to amputate higher. Previously, in the hope of saving the foot, the fingers were amputated, then the feet still had to be amputated, and then on the thigh. Decisiveness and speed of action are important here. But amputation can save a life, and for the patient this is the most important thing,» he told Sport24.
Later it became known that several fingers were amputated to Kostomarov. Then the therapist and immunologist Irina Yartseva said that doctors «pull the skater out of the other world.» According to her, the athlete had a «shutdown» of the immune system. Because of this, he has very little chance of recovery.
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«The condition indicates that the body is already ready to leave completely. And he is the highest computer, which simultaneously controls the operation of all human systems. For him to survive, a miracle must happen,» Yartseva told Evening Moscow.
Kostomarov's condition after the amputations was also commented on by Denis Protsenko, head physician of the hospital in Kommunarka. He said that the athlete has multiple organ failure (the failure of two or more systems that play an important role in the life support of the body — approx.).
In mid-February, surgeon Andrei Litvinenko expressed thoughts about Kostomarov's condition. He explained that the restoration of the figure skater's body is complicated by the spread of dead tissue particles throughout the body.
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“With the flow of blood, microorganisms are carried throughout the body. The infection there, as they say, settles and begins to multiply intensively … The decay products of tissues enter the bloodstream. With the blood flow, they can enter the kidneys, lungs, heart, brain, that is, intoxication syndrome develops, «— said the expert for Channel Five.
At the end of the month, it became known that the athlete suffered two cerebral hemorrhages. A hematoma formed, which led to blockage of cerebral vessels. Cardiologist Lyudmila Permyakova said that the cause of complications could be high blood pressure, stress or inflammation. According to her, blood clots block part of the vessel, because of this, the area that he fed ceases to receive blood and oxygen.
“Treatment depends on the location and age of the thrombus – either it is dissolved or removed by surgical methods. Then the causes of blood clots are found out and eliminated,” the doctor told Sport Express.
The consequences of strokes suffered by Kostomarov were tried to be assessed by neurologist Vladimir Belash. In his opinion, the cause of thrombosis could be sepsis, one of the symptoms of which is increased blood clotting. The location of the focus of ischemia is of key importance. He noted that sometimes a stroke affects a large area of the brain, but the person recovers quickly, and sometimes a small one, but this leads to irreversible consequences.
Then news began to appear about the gradual improvement in Kostomarov's condition. However, the therapist and immunologist Yartseva did not share the optimism. She noted that the figure skater's case is unique, but added that he is still in serious condition and has little chance of survival.
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“A healthy young athlete had a failed immune system. For this, serious reasons are needed: HIV, oncology, chemotherapy. In such cases, we understand what is happening. And then the body of an athlete, they are very hardy, he says — that's it, I can't do it anymore. This does not fit into the usual framework. It all went wrong, unfortunately. Everything that doctors try to do is something incredible. In such cases, there is very little chance of survival,” she told News.ru.
Averbakh, the head physician of the St. Petersburg private ambulance, shared a similar opinion. According to him, Kostomarov will be very lucky if he survives.
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"The body is crumbling and in constant stress, the immune system can not stand it. Even his coming to his senses, opening his eyes and resuming his reaction to the outside world does not give any guarantee of recovery. In any case, this is a disability — and, possibly, repeated treatment, which will be no less dangerous, «Sport24 quotes Averbakh.
He sees no reason for a positive development of the situation and doctor of medical sciences, surgeon Andrey Shestakov . According to him, the positive dynamics reported by the media may be the result of the action of drugs, so it is premature to talk about his recovery. — Multiple organ failure is a serious and complex thing. Kostomarov may have good tests, but it's too early to rejoice with multiple organ failure. In fact, this is a lesion of the cavity of all organs, but you need to know what degree of multiple organ failure Roman has.