Document Detail


Treatment of lymphorrhea with exposed or infected vascular prosthetic grafts in the groin using sartorius myoplasty.
MedLine Citation:
PMID:  3339077     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thirteen myoplasties using the sartorius muscle were performed on 12 patients from 1980 to 1985 for "healing problems" in the groin with subjacent synthetic grafts. Persistant aseptic lymphorrhea was the indication for 4 patients. In 3 other cases, bacterial cultures from the wound were positive. In 2 other patients there was clinical evidence of sepsis with purulent discharge from the wound and an exposed graft. In 3 cases myoplasty was used as a preventive measure after reoperation on patients in poor general condition. Follow-up extends from 3 to 54 months. There was only one recurrence observed at 19 months which was successfully treated by segmental resection of the infected graft and insertion of a new prosthesis through the obturator canal. No recurrence was observed among the other patients as judged by clinical observation and biological tests for inflammation, echotomography, CT scan and indium scintigraphy. The treatment of choice for an infected prosthesis should be removal of the graft and extra-anatomic bypass in the majority of cases. However in some situations, excision of the wound and myoplasty using the sartorius muscle may be of some value and needs further evaluation.
Authors:
G Soots; A Mikati; H Warembourg; A Watel; D Noblet
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Publication Detail:
Type:  Case Reports; Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  29     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:    1988 Jan-Feb
Date Detail:
Created Date:  1988-03-10     Completed Date:  1988-03-10     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  42-5     Citation Subset:  IM    
Affiliation:
Service de Chirurgie Cardio-Vasculaire A, Hôpital Cardiologique de Lille, France.
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MeSH Terms
Descriptor/Qualifier:
Blood Vessel Prosthesis*
Follow-Up Studies
Groin
Humans
Lymph*
Lymphatic Diseases / surgery
Male
Middle Aged
Reoperation
Surgical Flaps*
Surgical Wound Dehiscence / surgery*
Surgical Wound Infection / microbiology,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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