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[Infected groin following vascular surgery]
Fortschritte Der Medizin
|January 23, 1975
Summary
This study analyzed 174 vascular reconstructions, finding a 2% rate of severe groin infections (Szilagyi class III). Successful management involved resecting infected arteries and reconstructing with autologous veins, preserving leg artery patency.
Area of Science:
- Vascular Surgery
- Infectious Disease in Surgery
Context:
- 174 iliac and femoro-popliteal vascular reconstructions were performed between August 1972 and July 1973.
- Groin incision infections were classified using the Szilagyi system.
Purpose:
- To report the incidence of groin infections following vascular reconstructions.
- To describe a management strategy for severe (Szilagyi class III) infections.
- To discuss reasons for the observed infection rates.
Summary:
- 22% of patients experienced Szilagyi class I and II infections.
- 2% (3 patients) had Szilagyi class III infections.
- Two class III patients were successfully treated with arterial resection, autologous vein reconstruction, and buried anastomoses, maintaining leg artery patency. One patient undergoing an extraanatomical bypass was lost.
Impact:
- Highlights a specific surgical technique for managing infected vascular reconstructions.
- Identifies potential risk factors contributing to high groin infection rates in vascular surgery.
- Provides insights into patient outcomes based on different management approaches.