title: [Forefoot gangrene and infra-crural bypass: sequential amputation].
abstract: When revascularizing for gangrene, deciding on amputation depends on the risk of infection due to trophic injury both for the foot and for the bypass and on the requirement to attempt amputation at the correct level at the first operation. In our experience, the importance of infection has led us to propose the following sequence: if the lesions are infected--immediate amputation, differed revascularization after the infection has been controlled; if the lesions are dry early vascularization followed by amputation either during the same operation with strict separation of the two operative fields or a few days later, particularly if the level of the amputation has been determined.
authors.affiliation: Service de Chirurgie Vasculaire, Hôpital Rothschild, Paris.
authors.forename: C
authors.initials: C
authors.lastname: Cheynel-Hocquet
authors.forename: P
authors.initials: P
authors.lastname: Gouny
authors.forename: O
authors.initials: O
authors.lastname: Nussaume
mesh_terms: D000368:Aged; D000671:Amputation, Surgical / Q000379:methods*; D001807:Blood Vessel Prosthesis; D005263:Femoral Artery / Q000601:surgery*; D005545:Forefoot, Human / Q000098:blood supply* / Q000601:surgery; D005734:Gangrene / Q000601:surgery*; D006801:Humans; D016459:Prosthesis-Related Infections / Q000453:epidemiology / Q000601:surgery; D012307:Risk Factors; D013997:Time Factors
vernacular_title: Gangrène de l'avant-pied et pontage sous-crural: amputation séquentielle.