Constructing muscle flap coverage for vascular grafts in the groin

Groin wound infections can jeopardize patency and function of vascular bypass grafts anastomosed to the femoral artery. Attempts to salvage vascular reconstructions threatened by perigraft infection often fail because of inadequate debridement of surrounding infected soft tissue or because of an inability to cover an exposed graft with sufficient healthy tissue. In selected circumstances, use of rotational myocutaneous flaps makes it possible to salvage vascular grafts threatened by localized wound infection.