title: Vacuum-assisted closure therapy with omental transposition for salvage of infected prosthetic femoral-distal bypass involving the femoral anastomosis.
abstract: Vascular graft infections are associated with the potential for devastating sequelae, including hemorrhage, septicemia, amputation, and death. Graft excision and debridement of the infected bed with revascularization via an extra-anatomic site or orthotopic vein bypass has been the traditional treatment of choice. Because the morbidity of these operations is substantial, less radical graft preservation techniques are desirable, such as myoplasty, omental flap transposition, and vacuum-assisted closure therapy. We report a patient with infection involving a prosthetic graft that was treated with vacuum-assisted closure and transposition of an omental tongue to enable coverage of the exposed graft.
authors: Department of Vascular Surgery, Englewood Hospital and Medical Center, Mount, Sinai School of Medicine, New York, NY, USA.
authors: Paul
authors: P
authors: Impellizzeri
authors: Herbert
authors: H
authors: Dardik
authors: Hemal J
authors: HJ
authors: Shah
authors: Alissa
authors: A
authors: Brotman-O'Neil
authors: Ibrahim M
authors: IM
authors: Ibrahim
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D003251:Constriction, Pathologic; D003646:Debridement; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D054843:Negative-Pressure Wound Therapy; D009852:Omentum / Q000601:surgery*; D016459:Prosthesis-Related Infections / Q000382:microbiology / Q000601:surgery*; D012086:Reoperation; D013211:Staphylococcus aureus / Q000302:isolation & purification; D013524:Surgical Flaps; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents