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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Blackwell Publishing Ltd
2020
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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. |
format | Online Article Text |
id | pubmed-7949366 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Blackwell Publishing Ltd |
record_format | MEDLINE/PubMed |
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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