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

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...

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Detalles Bibliográficos
Autores principales: Price, Annie, Contractor, Ummul, White, Richard, Williams, Ian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Blackwell Publishing Ltd 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7949366/
https://www.ncbi.nlm.nih.gov/pubmed/32744430
http://dx.doi.org/10.1111/iwj.13449
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author Price, Annie
Contractor, Ummul
White, Richard
Williams, Ian
author_facet Price, Annie
Contractor, Ummul
White, Richard
Williams, Ian
author_sort Price, Annie
collection PubMed
description 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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spelling pubmed-79493662021-07-02 The use of vascularised muscle flaps for treatment or prevention of wound complications following arterial surgery in the groin Price, Annie Contractor, Ummul White, Richard Williams, Ian Int Wound J Original Articles 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. Blackwell Publishing Ltd 2020-08-03 /pmc/articles/PMC7949366/ /pubmed/32744430 http://dx.doi.org/10.1111/iwj.13449 Text en © 2020 The Authors. International Wound Journal published by Medicalhelplines.com Inc and John Wiley & Sons Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Original Articles
Price, Annie
Contractor, Ummul
White, Richard
Williams, Ian
The use of vascularised muscle flaps for treatment or prevention of wound complications following arterial surgery in the groin
title The use of vascularised muscle flaps for treatment or prevention of wound complications following arterial surgery in the groin
title_full The use of vascularised muscle flaps for treatment or prevention of wound complications following arterial surgery in the groin
title_fullStr The use of vascularised muscle flaps for treatment or prevention of wound complications following arterial surgery in the groin
title_full_unstemmed The use of vascularised muscle flaps for treatment or prevention of wound complications following arterial surgery in the groin
title_short The use of vascularised muscle flaps for treatment or prevention of wound complications following arterial surgery in the groin
title_sort use of vascularised muscle flaps for treatment or prevention of wound complications following arterial surgery in the groin
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7949366/
https://www.ncbi.nlm.nih.gov/pubmed/32744430
http://dx.doi.org/10.1111/iwj.13449
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