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[The use of muscle flaps in the surgical treatment of infected vascular prosthesis].

Authors
Type
Published Article
Journal
Magyar sebészet
Publication Date
Volume
53
Issue
4
Pages
172–174
Identifiers
PMID: 11300066
Source
Medline

Abstract

The solutions for graft infection and its complications in vascular surgery are well known. However, publications dealing with this topic do not, or just occasionally mention muscular flap plast, which is already quite widely used in other fields of surgery. The authors first used pedicled muscular flap plasty in 1996, to cover grafts that had been exposed as a result of infection. Later, this method was also applied in covering subinguinal suturelines and anastomoses respectively, to ward off impending haemorrhage. Between 1996 and 1999, 32 patients presenting with septic complications after vascular surgery were treated. Muscular flap plasty was performed in 12 of these cases. In 7 patients the exposed graftsere covered, while in 5 patients the subinguinal suture-lines and anastomoses were covered respectively with muscle flaps, 5 of the graft covering procedures were successful. In two cases of superinfection and septic progression respectively the graft had to be removed without amputation of the extremity. 3 successful operations were recorded in the cases where the covering of the subinguinal suturelines and anastomoses were the aim. 2 patients presented with erosive haemorrhage, which led to ligation of the femoral artery and consequent amputation, in view of the absence of further possibilities for reconstruction.

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