TY - JOUR
T1 - Omental protection of autogenous arterial reconstruction following femoral prosthetic graft infection
AU - Mendes, Donna
AU - Kahn, Mark
AU - Ibrahim, Ibrahim M.
AU - Sussman, Barry
AU - Fox, Robert
AU - Dardik, Herbert
PY - 1985/7
Y1 - 1985/7
N2 - Vascular graft infections in the femoral region that require synchronous revascularization are generally reconstructed with prosthetic grafts via extra-anatomic routes. If in situ revascularization is required, then autologous tissue provides optimal results. A particular challenge in this circumstance is achieving soft tissue coverage of the reconstruction where wide and radical débridement has removed the tissues ordinarily used for this purpose. If muscle flaps are not available or possible, the use of omentum is advocated. The omentum can be easily reached from behind the inguinal ligament and transposed on its bipedicled vascular base for coverage of vital structures in the femoral triangle, thereby obliterating dead space and providing a surface for both temporary and permanent skin coverage. The procedure is quite simple, can be performed rapidly, and should be considered for use in the dire situation that requires soft tissue coverage of exposed vessels in extraperitoneal locations.
AB - Vascular graft infections in the femoral region that require synchronous revascularization are generally reconstructed with prosthetic grafts via extra-anatomic routes. If in situ revascularization is required, then autologous tissue provides optimal results. A particular challenge in this circumstance is achieving soft tissue coverage of the reconstruction where wide and radical débridement has removed the tissues ordinarily used for this purpose. If muscle flaps are not available or possible, the use of omentum is advocated. The omentum can be easily reached from behind the inguinal ligament and transposed on its bipedicled vascular base for coverage of vital structures in the femoral triangle, thereby obliterating dead space and providing a surface for both temporary and permanent skin coverage. The procedure is quite simple, can be performed rapidly, and should be considered for use in the dire situation that requires soft tissue coverage of exposed vessels in extraperitoneal locations.
UR - http://www.scopus.com/inward/record.url?scp=0022390718&partnerID=8YFLogxK
U2 - 10.1016/0741-5214(85)90019-9
DO - 10.1016/0741-5214(85)90019-9
M3 - Article
C2 - 4009844
AN - SCOPUS:0022390718
SN - 0741-5214
VL - 2
SP - 603
EP - 606
JO - Journal of Vascular Surgery
JF - Journal of Vascular Surgery
IS - 4
ER -