Vascularised muscular flaps and arterial graft infection in the groin.

Williams, I M; Milling, M A P; Shandall, A A · Eur J Vasc Endovasc Surg · 2003

review · Level V

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Abstract

The groin is the commonest site for graft infections in vascular surgery. This is a potentially catastrophic situation as limb loss or even death occurs in a large percentage of cases. Standard teaching for treatment of infected vascular grafts is removal and extra anatomical bypass grafting whilst commencing appropriate antibiotics. This review article suggests careful scrutiny of the wound, debridement and coverage of the graft with a vascularised muscular flap is appropriate in certain situations.

Medical subject headings