Groin infections following vascular surgery: Obturator bypass (BYP) versus “Biologic Coverage” (TRP)—A comparative analysis

Kretschmer, G.; Niederle, Bruno; Huk, I.; Karner, J.; Piza‐Katzer, Hildegunde; Polterauer, P; Walzer, Lauren

doi:10.1016/s0950-821x(89)80104-5

Cited by 22 publications

(1 citation statement)

References 11 publications

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“…P rosthetic graft infection is a serious complication of reconstructive arterial surgery that can cause lifethreatening hemorrhage or limb loss. 1,2 Treatment often requires graft removal, with in situ or extra-anatomic bypass to maintain distal perfusion.…”

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Autologous Basilic Vein for In Situ Replacement of Infected Prosthetic Vascular Grafts: Initial Experience

2009

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Successful treatment of prosthetic vascular infection usually requires graft removal with or without replacement. A variety of materials have been used for in situ replacement, with femoral vein being the preferred autologous conduit in the literature for the aortoiliac segment. We present three cases of prosthetic infection treated successfully by in situ replacement with autologous basilic vein harvested from the upper arm. This vessel, which closely matches the iliofemoral arteries in diameter, may be a suitable alternative to femoral vein for in situ replacement of infected iliac and femoral grafts.

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confidence: 99%

Autologous Basilic Vein for In Situ Replacement of Infected Prosthetic Vascular Grafts: Initial Experience

2009

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The Value of Obturator Canal Bypass

Sautner

Niederle²,

Herbst³

et al. 1994

Arch Surg

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Groin wound infection after arterial surgery

Newington

Houghton

Baird

et al. 1991

Journal of British Surgery

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Fifty-six patients, 30 with superficial and 19 with deep groin wound infections, and seven with lymph fistulae with positive cultures within 30 days of arterial surgery, were identified after 661 operations (873 groins at risk) between September 1984 and August 1988. The commonest infecting organisms were Staphylococcus aureus, Pseudomonas aeruginosa and Proteus spp. In 33 patients the infection settled completely after treatment with culture specific antibiotics. These were given intravenously then orally for up to 6 weeks. Sixteen patients required debridement and excision of necrotic wound edges, including one who had an antibiotic infusion into the wound. Graft excision was performed in seven patients of whom five received an extra anatomic bypass. The need for graft excision was much greater (six versus one) for Dacron and/or polytetrafluoroethylene than for vein. In two lymph fistulae sartorius transposition and wound resuture were used. All groins healed, though three extremities were ischaemic following occlusion of the bypass. There were two deaths, one from myocardial infarction and one from pulmonary embolism and no major amputations. These results suggest that most infective groin problems may be successfully managed conservatively and that radical graft excision is only necessary for a few intractable cases.

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Groin infections following vascular surgery: Obturator bypass (BYP) versus “Biologic Coverage” (TRP)—A comparative analysis

Cited by 22 publications

References 11 publications

Autologous Basilic Vein for In Situ Replacement of Infected Prosthetic Vascular Grafts: Initial Experience

Autologous Basilic Vein for In Situ Replacement of Infected Prosthetic Vascular Grafts: Initial Experience

The Value of Obturator Canal Bypass

Groin wound infection after arterial surgery

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