Management of a recalcitrant periprosthetic fluid collection.
Axillofemoral bypass grafts have been in common use for more than 20 years in the treatment of severe aortoiliac occlusive disease in poor-risk patients. A persistent periprosthetic fluid collection is an unusual complication of this procedure. We describe a technique by which a tense periprosthetic collection was kept successfully decompressed by the construction of a "window" from the cavity to the peritoneum. In our hands it proved to be safely and easily performed with the patient given local anesthetics; no morbidity occurred.
D000009:Abdominal Muscles / Q000601:surgery; D001366:Axillary Artery / Q000601:surgery; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D008196:Lymph; D008875:Middle Aged; D009852:Omentum / Q000601:surgery; D010537:Peritoneum / Q000601:surgery; D012008:Recurrence; D012086:Reoperation; D013396:Suction