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Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular

2009, Number 3

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Rev Mex Angiol 2009; 37 (3)

Experiencia en el manejo de injertos protésicos expuestos en el Servicio de Angiología y Cirugía Vascular del Hospital Regional Lic. Adolfo López Mateos, ISSSTE

Carrasco GH, Gutiérrez FJL, Serrano LJA, Sánchez NN, Carpio CÓG, Rojas GP, Vallejo BE

Language: Spanish
References: 12
Page: 88-92
PDF size: 223.61 Kb.


ABSTRACT

We present three clinical cases of patients that presented arterial insufficiency with a complica ted evolution due to exposition of graft in the inguinal wound. In every case a fever protocol was applied to find out the cause of fever, and to reject the possibility of infection in the graft. On the first clinical case, the preservation of the graft was achieved by means of medication (antibiotics, wound toilet, silver dressing). On the second case besides the medical treatment described previously, a par tial flap was rotated over the groin with positive results to encourage the wound healing and keeping the graft’s functionality. The third case presented an infection on the branch of a forked graft in the groin, the treatment was chirurgical with resection of the exposed and infected branch, in addition to an extra anatomic graft from the to the armpit to the femoral artery, the result achieved, was favora ble.


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