Infection-Related Exposure of the Lower Anastomosis of Femorodistal Bypass: Salvage through Use of Pedicle Muscle Flaps

Protecting the Distal Anastomosis in Diabetics Undergoing Dorsalis Pedis Bypass

“…Various techniques have been described: some require expensive disposable instruments, 3 whilst others need intraperitoneal threading of the needle, which can be time consuming and risk injury to intraperitoneal structures. A simple, safe and cost-effective technique for closure of difficult laparoscopic port sites…”

“…2 Wound dehiscence with exposure of the DPA anastomosis is a serious postoperative complication which could lead to limb loss. 3 This report describes specific measures that reduce the above risk.…”

A clinical application of the Omniflow II collagen-polymer vascular prosthesis in a polytetrafluoroethylene graft infection case

“…One of the most feared complications of the vascular bypass procedures using traditional prosthetic grafts such as polytetrafluoroethylen (PTFE) and polyethylene tetraphthlate (Dacron) is the appearance of infection after implant. Wound dehiscence with exposure of the lower anastomosis is a limb-and life-threatening complication of femorodistal bypass [ 1 ]. Virulent graft infections presenting with sepsis or anastomotic dehiscence should continue to be treated with total graft excision [ 2 ].…”

Ausgedehnte Gewebedefekte bei vaskulären Wunden - Möglichkeiten der plastischen Chirurgie

“…Diagnostik Gestielte Lappenplastiken können mitunter auch zur Defektrekonstruktion bei exponierten Anastomosen im Bereich distaler Bypässe zum Einsatz kommen[24]. Dabei muss jedoch mittels entsprechender Revaskularisationsmaßnah-men zwingend die Durchblutung im Bereich der Entnahmestelle der lokalen Lappenplastik sichergestellt werden.…”