Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Video

Updated: May 26, 2026

Engineered Vascularized Muscle Flap
08:18

Engineered Vascularized Muscle Flap

Published on: January 11, 2016

Prophylactic muscle flaps in vascular surgery.

John P Fischer1, Jonas A Nelson, Michael N Mirzabeigi

  • 1Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA. john.fischer2@uphs.upenn.edu

Journal of Vascular Surgery
|January 3, 2012
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Elective interval thoracic endovascular aortic repair versus medical management for uncomplicated type B aortic dissection among Medicare patients.

JTCVS structural and endovascular·2026
Same author

Low Plaque Calcification Attenuation on CTA Marks Vulnerable Cervical Carotid Plaque Independent of Stenosis Severity.

AJNR. American journal of neuroradiology·2026
Same author

Long Term Outcomes of Zone 2 Thoracic Endovascular Aortic Repair with Branched Endoprosthesis or Carotid-Subclavian Bypass: A Propensity Matched Study.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery·2026
Same author

Multidisciplinary Management of Heritable Aortopathy in Pregnancy Complicated by Postpartum Acute Type A Dissection.

JACC. Case reports·2025
Same author

Large Aneurysm Size is Associated with Increased Short and Long Term Mortality after Branched and Fenestrated Repair for Thoraco-Abdominal and Complex Abdominal Aortic Aneurysms.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery·2025
Same author

Anatomic predictors of distal landing zone failure after endovascular repair of thoracic aortic aneurysm†.

European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery·2025

Prophylactic muscle flaps significantly reduce groin complications in high-risk vascular surgery patients. These flaps are safe and effective, lowering infection and overall complication rates in complex cases.

Area of Science:

  • Vascular Surgery
  • Surgical Complications
  • Reconstructive Surgery

Background:

  • Groin complications after vascular surgery lead to severe outcomes and high healthcare costs.
  • Prophylactic muscle flaps are employed during initial surgery to mitigate these risks.
  • This study evaluates the efficacy of prophylactic flaps in high-risk patient populations.

Purpose of the Study:

  • To assess the effectiveness and benefits of prophylactic muscle flaps in high-risk patients undergoing open vascular surgery.
  • To compare complication rates between patients receiving prophylactic flaps and those in a control group.

Main Methods:

  • A retrospective cohort study analyzed patients undergoing open vascular surgery with groin incisions from 2005 to 2010.
  • Patients who received prophylactic muscle flaps were compared to a control group without flaps.

More Related Videos

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps
07:57

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

Published on: December 5, 2025

Related Experiment Videos

Last Updated: May 26, 2026

Engineered Vascularized Muscle Flap
08:18

Engineered Vascularized Muscle Flap

Published on: January 11, 2016

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps
07:57

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

Published on: December 5, 2025

  • Statistical analysis identified risk factors for complications and compared outcomes between groups.

    • Main Results:

    • Patients receiving prophylactic flaps had significantly lower overall complication rates (16.2% vs. 50.3%), infections (1.5% vs. 38.5%), seroma (0% vs. 7.2%), and lymphocele (1.5% vs. 15.4%).
    • High-risk factors for complications included obesity, smoking, reoperation, and prosthetic graft reconstruction.
    • Prophylactic flaps were associated with a significant reduction in groin wound complications (OR, 0.17).

    Conclusions:

    • Open groin surgery complications are frequent, costly, and increase morbidity.
    • Prophylactic muscle flaps effectively reduce complications in select high-risk patients by covering femoral vessels and minimizing dead space.
    • Consideration of prophylactic flaps is recommended for patients with multiple comorbidities undergoing high-risk groin procedures, such as reoperative prosthetic bypass surgery.