Lower extremity revascularization in patient with infection at level of the scarpa's triangle by extra-anatomical bypass: experiences of Vietduc University Hospital

Abstract

Background: Infected prosthetic arterial grafts at the Scarpa triangle is a serious complication in vascular surgery with high failure results. Extra-anatomic bypass is one of solution in literature, but there is no research in Vietnam yet. This report will share some experiences of Viet Duc hospital.[1] Subjects and methods: 03 patients with infected prosthetic arterial grafts at the Scarpa triangle after lower extremity vascular surgery were treated by femoral artery ligation, perineal femorofemoral bypass or obturator foramen bypass for lower extremity revascularization, on-site wound care. Result: Primary patency rate is 100% after surgery, inguinal incision can be well healed. Re-examination after 6 months without any signs of infection or limb ischemia, the inguinal incision was completely healed. Conclusion: Extra-anatomical bypass is an effective method for revascularization of the lower extremities in the case of infected prosthetic arterial grafts.