[Repair and reconstruction of femoral pseudoaneurysm caused by drug injection].
OBJECTIVE
To evaluate repair and reconstruction of the femoral pseudoaneurysm caused by drug injection.


METHODS
From May 2000 to May 2005, 15 cases of femoral pseudoaneurysm caused by drug injection underwent operation treatment. All patients were male, aging 20-36 years. The disease course was 18-52 days (mean 35 days) and the course of drug injection was 3-17 months. The locations were the left side in 5 cases and the right side in 10 cases. After having been bandaged with pressure and supported with nutrition, they had been all operated. One case received fistula repair, and 14 cases received vascular grafting with ePTFE man-made blood vessel.


RESULTS
The wounds healed by the first intention in 14 cases. All limbs survived. The complexion, temperature and response of involved leg were in gear. The postoperative color ultrasound Doppler detection showed that all the vascular grafts were of patency. The function of the involved limbs restored to normal.


CONCLUSIONS
Complete debridement, vascular reconstruction and better microsurgery skill were the key factors of treating successfully the femoral pseudoaneurysm caused by drug injection.
Zhao
Chengli
C
Department of Plastic Surgery, Guangdong Provincial People's Hospital, Guangzhou Guangdong, 510080, PR China. zcl70@163.com
Deng
Guosan
G
Huang
Guangxiang
G
D000328:Adult; D017541:Aneurysm, False / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D005263:Femoral Artery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D015819:Substance Abuse, Intravenous / Q000150:complications*; D016896:Treatment Outcome; D014945:Wound Healing; D055815:Young Adult