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| Research article summary (published 22 Mar 2009): |
The sartorius muscle flap: an important adjunct for complicated femoral wounds involving vascular grafts.
Full Abstract
INTRODUCTION: Femoral wound complications can threaten vascular grafts. Muscle flaps can be used to facilitate soft-tissue coverage and graft salvage. We report a series of sartorius flaps performed by vascular surgeons in the treatment of complicated femoral wounds. METHODS: Rotational sartorius flaps were performed to attempt salvage of underlying vascular grafts. We reviewed a prospective database to determine the outcomes of sartorius flaps on facilitating wound healing and graft salvage and patency. RESULTS: From 2005 to 2008, 21 sartorius flaps were performed in infected or threatened femoral wounds. Original operations included femoral endarterectomy with patch repair in 8, aortofemoral graft in 6, axillofemoral graft in 4, and femoral-distal bypass in 3 patients. Complete wound healing occurred in 18 patients (86%). Primary wound closure was achieved in 7 patients. Secondary wound closure was achieved in 11 patients with mean healing time of 2.3 months. All vascular reconstructions remained patent at the 9.5-month follow-up. CONCLUSIONS: Sartorius muscle flaps are effective at facilitating complicated femoral wound healing while maintaining graft salvage and patency.
Author information
Author/s: Landry, Gregory J (GJ); Carlson, Jessica R (JR); Liem, Timothy K (TK); Mitchell, Erica L (EL); Edwards, James M (JM); Moneta, Gregory L (GL);
Affiliation: Department of Surgery, Division of Vascular Surgery, Oregon Health and Science University, Portland, OR 97239-3098, USA. landryg(-atsign-)ohsu.edu
Journal and publication information
Publication Type: Journal Article
Journal: American journal of surgery (Am J Surg), published in United States. (Language: eng)
Reference: 2009-May; vol 197 (issue 5) : pp 655-9; discussion 659
Dates: Created 2009/04/27; Completed 2009/05/15; Revised 2009/05/20;
PMID: 19321154, status: MEDLINE (last retrieval date: 5/20/2009, IMS Date: )
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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