Rectus femoris muscle flap based on proximal insertion mobilization to cover a groin infected vascular graft.
The rectus femoris (RF) muscle flap, which is widely used to cover groin infected vascular grafts, is usually harvested through distal tendon division and an extensive muscle elevation and transposition into the groin wound defect. A case of a vascular prosthetic graft infection in the groin was successfully controlled after coverage with an RF flap that was harvested based on proximal portion mobilization instead of the conventional distal one. This case suggests that the RF muscle flap based on proximal insertion mobilization is a feasible, effective, technically simpler, and less invasive alternative to cover infected vascular grafts in the groin.
Academic Department of Vascular Surgery, Hospital de Santa Maria, Faculty of Medicine, University of Lisbon, Lisbon, Portugal. Electronic address: luis.m.silvestre@gmail.com.
Luís
L
Silvestre
Academic Department of Vascular Surgery, Hospital de Santa Maria, Faculty of Medicine, University of Lisbon, Lisbon, Portugal.
Luís Mendes
LM
Pedro
Academic Department of Vascular Surgery, Hospital de Santa Maria, Faculty of Medicine, University of Lisbon, Lisbon, Portugal.
Ruy
R
Fernandes e Fernandes
Academic Department of Vascular Surgery, Hospital de Santa Maria, Faculty of Medicine, University of Lisbon, Lisbon, Portugal.
Emanuel
E
Silva
Academic Department of Vascular Surgery, Hospital de Santa Maria, Faculty of Medicine, University of Lisbon, Lisbon, Portugal.
José
J
Fernandes e Fernandes
D000368:Aged; D001157:Arterial Occlusive Diseases / Q000601:surgery; D001807:Blood Vessel Prosthesis; D006119:Groin / Q000098:blood supply*; D006801:Humans; D008297:Male; D052097:Quadriceps Muscle; D013524:Surgical Flaps; D013530:Surgical Wound Infection / Q000601:surgery*