title: Spiral saphenous vein graft for major pelvic vessel reconstruction during exenteration surgery.
abstract: This article describes a great saphenous vein spiral graft technique for reconstruction of iliac vessels after en bloc resection during pelvic exenteration. Use of different size syringes as a scaffold allows the surgeon to construct autologous vascular interposition conduits of variable diameter to match the luminal size of the vessel requiring reconstruction. Autologous vascular grafts are preferred in exenteration surgery in which the operative field is commonly contaminated by concomitant bowel resection, which carries an increased risk of graft infection.
authors.affiliation: Surgical Outcomes Research Centre (SOuRCe), Sydney Local Health District and Sydney School of Public Health, University of Sydney, Sydney, Australia.
authors.forename: Kilian G M
authors.initials: KG
authors.lastname: Brown
authors.affiliation: Surgical Outcomes Research Centre (SOuRCe), Sydney Local Health District and Sydney School of Public Health, University of Sydney, Sydney, Australia; Department of Colorectal Surgery, Royal Prince Alfred Hospital, Sydney, Australia; The Institute of Academic Surgery at RPA, Sydney Local Health District, Sydney, Australia.
authors.forename: Cherry E
authors.initials: CE
authors.lastname: Koh
authors.affiliation: Surgical Outcomes Research Centre (SOuRCe), Sydney Local Health District and Sydney School of Public Health, University of Sydney, Sydney, Australia; Department of Colorectal Surgery, Royal Prince Alfred Hospital, Sydney, Australia; The Institute of Academic Surgery at RPA, Sydney Local Health District, Sydney, Australia; University of Sydney, Sydney, Australia. Electronic address: professor.solomon@sydney.edu.au.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Solomon
authors.affiliation: Surgical Outcomes Research Centre (SOuRCe), Sydney Local Health District and Sydney School of Public Health, University of Sydney, Sydney, Australia; Department of Colorectal Surgery, Royal Prince Alfred Hospital, Sydney, Australia.
authors.forename: Ian C
authors.initials: IC
authors.lastname: Choy
authors.affiliation: Department of Vascular Surgery, Royal Prince Alfred Hospital, Sydney, Australia.
authors.forename: Steven
authors.initials: S
authors.lastname: Dubenec
mesh_terms: D000328:Adult; D064592:Autografts; D006801:Humans; D007083:Iliac Artery / Q000473:pathology / Q000601:surgery*; D007084:Iliac Vein / Q000473:pathology / Q000601:surgery*; D007890:Leiomyosarcoma / Q000473:pathology / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D010385:Pelvic Exenteration; D010388:Pelvis / Q000098:blood supply*; D019651:Plastic Surgery Procedures / Q000009:adverse effects; D012186:Retroperitoneal Neoplasms / Q000473:pathology / Q000601:surgery*; D012501:Saphenous Vein / Q000637:transplantation*; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects