Vascularised muscular flaps and arterial graft infection in the groin.
The groin is the commonest site for graft infections in vascular surgery. This is a potentially catastrophic situation as limb loss or even death occurs in a large percentage of cases. Standard teaching for treatment of infected vascular grafts is removal and extra anatomical bypass grafting whilst commencing appropriate antibiotics. This review article suggests careful scrutiny of the wound, debridement and coverage of the graft with a vascularised muscular flap is appropriate in certain situations.
Williams
I M
IM
Department of Surgery, Royal Gwent Hospital, Cardiff Road, Newport, Gwent NP20 2UB, Wales, UK.
Milling
M A P
MA
Shandall
A A
AA
D001424:Bacterial Infections / Q000628:therapy; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D006119:Groin; D006801:Humans; D009132:Muscles / Q000637:transplantation*; D011183:Postoperative Complications / Q000145:classification / Q000628:therapy*; D016459:Prosthesis-Related Infections / Q000145:classification / Q000628:therapy*; D013524:Surgical Flaps / Q000098:blood supply*; D013530:Surgical Wound Infection / Q000145:classification / Q000628:therapy*; D014656:Vascular Surgical Procedures / Q000009:adverse effects*