Outcomes of Gracilis Muscle Flaps in the Management of Groin Complications after Arterial Bypass with Prosthetic Graft

Dua, Anahita; Rothenberg, Kara A.; Lavingia, Kedar S.; Ho, Vy T.; Rao, Christina; Desai, Sapan S.

doi:10.1016/j.avsg.2018.02.009

Cited by 12 publications

(14 citation statements)

References 13 publications

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“…At one month, 54% of wounds were healed and 100% at three months with adjunctive NPWT and lifelong antibiotics. 246 4. Rectus abdominis flap (RAF).…”

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confidence: 99%

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Editor's Choice – European Society for Vascular Surgery (ESVS) 2020 Clinical Practice Guidelines on the Management of Vascular Graft and Endograft Infections

Chakfé

Diener

Lejay

et al. 2020

European Journal of Vascular and Endovascular Surgery

335

322

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DEDICATIONAfter studying medicine at Hanover Medical School and philosophy and social psychology at the Leibniz University Hanover, Omke E. Teebken joined the Christian Albrechts University in Kiel at the end of the 1990s as a research fellow at the Clinic for Cardiovascular Surgery headed by Professor Dr Axel Haverich, whom Omke E. Teebken later followed back to Hanover.In Hanover, besides working as a clinician, Omke E.Teebken was particularly active scientifically, contributing to the establishment of the then newly founded Leibniz Laboratories for Biotechnology and Artificial Organs (LEBAO). His work focused on regenerative medicine and tissue engineering, and subsequently he wrote his habilitation thesis in in this field. After basic training in cardiac surgery, he specialised clinically in vascular surgery and played a pioneering role in the development of this field. Before being appointed director of the Clinic for Vascular Surgery e Endovascular Surgery at the Peine Clinic in 2016, Omke E. Teebken headed the Vascular Surgery e Endovascular Surgery Division of the Department of Cardiothoracic, Thoracic, Transplantation and Vascular Surgery at Hanover Medical School. Professor Teebken was a highly appreciated, committed, and competent colleague and teacher.On 8 April 2019, Professor Teebken passed away after a short and severe illness. He was member and author of the ESVS guideline writing committee, an esteemed colleague, and friend.We will always honor his memory.

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“…At one month, 54% of wounds were healed and 100% at three months with adjunctive NPWT and lifelong antibiotics. 246 4. Rectus abdominis flap (RAF).…”

mentioning

confidence: 99%

“…B McMillan et al (2012), 237 Brewer et al (2015), 238 Mirzabeigi et al (2017), 244 Dua et al (2018)246 …”

mentioning

confidence: 99%

Editor's Choice – European Society for Vascular Surgery (ESVS) 2020 Clinical Practice Guidelines on the Management of Vascular Graft and Endograft Infections

Chakfé

Diener

Lejay

et al. 2020

European Journal of Vascular and Endovascular Surgery

335

322

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“…However, it is possible that the comparatively smaller size of the sartorius muscle contributed to the increased complication rate. A study by Dua et al (2018) noted that only 23% of cases were suitable for a SMF at the time of their arterial surgery due to an F I G U R E 4 Factors to consider when selecting the type of vascularised muscle flap for treating complex groin wounds. SFA, superficial femoral artery.…”

Section: Discussionmentioning

confidence: 99%

The use of vascularised muscle flaps for treatment or prevention of wound complications following arterial surgery in the groin

Price

Contractor

White

et al. 2020

International Wound Journal

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Wound complications following arterial surgery in the groin are relatively common and can result in significant morbidity and mortality. Vascularised muscle flaps (VMF) may be used as an adjunct to aid healing, either to manage complications or prophylactically. This series describes 46 patients who received sartorius or gracilis muscle flaps, of which 70% were performed as a salvage procedure to treat complications ranging from wound breakdown to vascular graft infection. The remaining 30% were performed at the time of the arterial surgery in patients with risk factors such as re‐do surgery or immunosuppression. The peri‐operative mortality rate was 9% and the major amputation rate was 26%, reflecting the complexity of patients that require intervention. Overall, 85% achieved successful healing in the groin without the need for further treatment following VMF. Only one case of flap necrosis occurred. Wound healing complications occurred more commonly after sartorius muscle flaps. The gracilis muscle offers a bulkier mass and greater mobility and so may be preferable, particularly for larger groin defects. This series has shown that VMF offer a safe and reliable option for selected cases to achieve wound healing in the groin in patients with often significant co‐morbidities.

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“…Alternative Verfahren zur plastisch-chirurgischenDefektdeckunginderLeiste, wie der Gracilis-Muskellappen, der Tensor-fasciae-latae(TFL)-Lappen oder der kontralaterale Rectus-abdominis-Lappen, können auch nach gefäßchirurgischen Eingriffen angewandt werden [27][28][29][30]. Validierte klinische Daten zu jeglichen Formen der Defektdeckung in der Leiste sind jedoch sehr begrenzt, meist basierend auf Fallberichten und Studien mit kleinen Patientengruppen.…”

Section: Ergebnisse Der Muskellappenplastikenunclassified

“…Validierte klinische Daten zu jeglichen Formen der Defektdeckung in der Leiste sind jedoch sehr begrenzt, meist basierend auf Fallberichten und Studien mit kleinen Patientengruppen. Durch Dua et al wurde vor kurzem eine Gracilis-Muskellappen-Technik evalu-iert mit 100 % Wundheilung als Ergebnis, sodass geschlussfolgert wurde, dass dieses Verfahren als primäres Verfahren der Defektdeckung in der Leistengegend in Erwägung gezogen werden sollte [27]. Die Rectus-femoris-und Sartorius-Muskellappenplastik bieten außerdem vor allem im Vergleich zum TFL-und kontralateralen Rectus-abdominis-Lappen den Vorteil einer geringeren Invasivität, dass sie üblicherweise durch die Gefäßchirurgen selbst angewendet werden können und für die meisten in der Gefäßchirurgie vorkommenden Leistendefekte von ausreichender Größe sind.…”

Section: Ergebnisse Der Muskellappenplastikenunclassified

Oberschenkelmuskellappen bei inguinalen postoperativen Komplikationen in der Gefäßchirurgie

Wübbeke¹,

Keschenau

Kotelis

et al. 2019

Chirurg

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Outcomes of Gracilis Muscle Flaps in the Management of Groin Complications after Arterial Bypass with Prosthetic Graft

Cited by 12 publications

References 13 publications

Editor's Choice – European Society for Vascular Surgery (ESVS) 2020 Clinical Practice Guidelines on the Management of Vascular Graft and Endograft Infections

Editor's Choice – European Society for Vascular Surgery (ESVS) 2020 Clinical Practice Guidelines on the Management of Vascular Graft and Endograft Infections

The use of vascularised muscle flaps for treatment or prevention of wound complications following arterial surgery in the groin

Oberschenkelmuskellappen bei inguinalen postoperativen Komplikationen in der Gefäßchirurgie

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