Related Experiment Videos
Obturator bypass: technical considerations
Insights
The obturator bypass effectively revascularizes lower extremities, especially for infected vascular prostheses. This surgical technique offers viable arterial continuity with reported 1- and 5-year patency rates of 72.7% and 56.9%.
Area of Science:
- Vascular Surgery
- Reconstructive Surgery
Background:
- Groin dissections can compromise lower extremity arterial supply.
- Infected vascular prostheses pose a significant challenge in arterial reconstruction.
Purpose of the Study:
- To review the indications for obturator bypass.
- To discuss the technical aspects of performing an obturator bypass.
Main Methods:
- Literature review of obturator bypass procedures.
- Analysis of surgical techniques for revascularization.
Main Results:
- Obturation bypass is indicated for managing hazardous groin dissections and infected prostheses.
- Reported 1-year patency rate is 72.7%, and 5-year patency rate is 56.9%.
Conclusions:
- Obturator bypass is a valuable technique for lower extremity revascularization.
- The procedure is particularly useful for circumventing infected grafts.
Abstract:
The obturator bypass is a useful method for revascularizing the lower extremity in the presence of a hazardous groin dissection. The most common indication for employing this method of reestablishing arterial continuity is in circumventing infected vascular prostheses. One- and 5-year patency rates of 72.7% and 56.9% have been described. This article reviews the indications for obturator bypass and discusses technical considerations regarding the procedure.