The effectiveness of muscle flaps for the treatment of prosthetic graft sepsis

被引:46
作者
Graham, RG [1 ]
Omotoso, PO
Hudson, DA
机构
[1] Univ Cape Town, Sch Med, Groote Schuur Hosp, Dept Plast & Reconstruct Surg, ZA-7700 Cape Town, South Africa
[2] Univ Cape Town, Groote Schuur Hosp, Dept Gen Surg, ZA-7925 Cape Town, South Africa
关键词
D O I
10.1097/00006534-200201000-00018
中图分类号
R61 [外科手术学];
学科分类号
摘要
The objective of this study was to assess the efficacy and reliability of muscle flaps in the treatment of prosthetic graft sepsis. A retrospective analysis was performed to assess the outcome of all patients with prosthetic graft sepsis who were treated with a muscle flap at Groote Schuur Hospital between January of 1991 and July of 2000. The specific end points studied were flap survival, limb salvage rate, and mortality. A total of 27 muscle flaps were raised to cover 24 sites of graft sepsis in 21 patients. Twenty-five flaps were performed primarily and two secondarily. The mortality rate was zero. Limb salvage was achieved in 15 of 21 patients (71 percent), with no recurrent sepsis after an average follow-up period of 36 months. The groin was the most common site of infection, with an 86 percent incidence. Eighteen sartorius flaps were raised in the groin. Seventeen of the 18 sartorius flaps survived (94 percent), and a 71 percent limb salvage was achieved with no recurrent sepsis after 36 months of follow-up. This series supports the use of muscle flaps for the treatment of prosthetic graft sepsis. The sartorius flap has been shown to be reliable as a flap in the groin, with successful limb salvage in the majority of patients.
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页码:108 / 113
页数:6
相关论文
共 28 条
[1]   INTRATHORACIC MUSCLE FLAPS - A 10-YEAR EXPERIENCE IN THE MANAGEMENT OF LIFE-THREATENING INFECTIONS [J].
ARNOLD, PG ;
PAIROLERO, PC .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1989, 84 (01) :92-98
[2]   Muscle transposition flap for salvage of exposed peripheral prosthetic vascular grafts [J].
Atiyeh, BS ;
Hussein, MM ;
Kayle, DI ;
Nasser, AA ;
Hashim, HA .
ANNALS OF PLASTIC SURGERY, 1998, 41 (06) :640-645
[3]  
BANDYK DF, 1984, ARCH SURG-CHICAGO, V119, P102
[4]  
BUNT TJ, 1983, SURGERY, V93, P733
[5]  
CALDERON W, 1986, PLAST RECONSTR SURG, V77, P785, DOI 10.1097/00006534-198605000-00016
[6]  
Calligaro K D, 1994, Ann Vasc Surg, V8, P31, DOI 10.1007/BF02133403
[7]   SELECTIVE PRESERVATION OF INFECTED PROSTHETIC ARTERIAL GRAFTS - ANALYSIS OF A 20-YEAR EXPERIENCE WITH 120 EXTRACAVITARY-INFECTED GRAFTS [J].
CALLIGARO, KD ;
VEITH, FJ ;
SCHWARTZ, ML ;
GOLDSMITH, J ;
SAVARESE, RP ;
DOUGHERTY, MJ ;
DELAURENTIS, DA .
ANNALS OF SURGERY, 1994, 220 (04) :461-471
[8]   CLINICAL EXPERIENCE WITH MANAGEMENT OF INFECTED DACRON GRAFT [J].
CARTER, SC ;
COHEN, A ;
WHELAN, TJ .
ANNALS OF SURGERY, 1963, 158 (02) :249-&
[9]  
EARNSHAW JJ, 1991, SURG INFECT, V3, P4
[10]   VASCULAR PROSTHETIC COMPLICATIONS - SUCCESS OF SALVAGE WITH MUSCLE-FLAP RECONSTRUCTION [J].
EVANS, GRD ;
FRANCEL, TJ ;
MANSON, PN .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1993, 91 (07) :1294-1302