Flap repair for vascular prosthesis exposure after artificial blood vessel bypass surgery for critical limb ischemia / 中华外科杂志
Chinese Journal of Surgery
;
(12): 715-718, 2013.
Article
in Chinese
| WPRIM
| ID: wpr-301237
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the effectiveness of flap repair for vascular prosthesis exposure after the artificial blood vessel bypass surgery for critical limb ischemia.</p><p><b>METHODS</b>From August 2007 to December 2011, bypass surgery with vascular prosthetic grafts were performed in 192 patients with critical limb ischemia.Five patients among them (2.6%) suffered from vascular prosthesis exposure 6 to 13 days after the previous surgery, including 4 males and 1 female, with a median age of 68 years(arranged from 52 to 81 years). The surgical managements included surgical debridement and local flap or transferred muscle-cutaneous flap repair to preserve the prosthetic vascular grafts. Three patients underwent Z-plasty with local flap repair, while 2 patients underwent transferred rectus abdominis or rectus femoris muscle flap repair of the wounds.</p><p><b>RESULTS</b>After the surgery, prosthetic vascular graft was successfully preserved in 4 of the 5 cases with first intention healing. At a median follow-up of 38 months (arranged from 5 to 57 months), all the 4 limbs were salvaged with patent of the prosthetic grafts.One flap failed to heal and the prosthetic graft had to be removed due to infection and hemorrhage. An above-knee-amputation was performed due to severe limb ischemia.</p><p><b>CONCLUSIONS</b>The vascular prosthesis exposure is often a disaster after artificial blood vessel bypass surgery for critical limb ischemia.Local flap or transferred muscle-cutaneous flap repair is an effective surgical management to salvage the exposed graft and the affected limb.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
General Surgery
/
Surgical Flaps
/
Vascular Surgical Procedures
/
Prosthesis Failure
/
Blood Vessel Prosthesis
/
Retrospective Studies
/
Extremities
/
Ischemia
Type of study:
Observational study
Limits:
Aged
/
Aged80
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Surgery
Year:
2013
Type:
Article
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