Ruangsetakit Chanean, Chinsakchai Khamin, Hahtapornsawan Suteekhanit, Wongwanit Chumpol, Sermsathanasawadi Nuttawut, Mutirangura Pramook
Vascular Surgery Unit, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 2012 Mar;95(3):470-5.
The authors report a successful management of obturator bypass surgery in three patients with infected femoral pseudoaneurysm. This bypass reconstruction is an uncommon operation due to the difficult surgical technique and infrequent indications. In the present report, the authors reviewed the literature published between 1988 and 2008 consisting of 78 cases with the claim of obturator bypass surgery for this condition. It is important to note that this type of extra-anatomical bypass together with debridement and excision of infected femoral pseudoaneurysm might be another option to decrease the risk of vascular conduit infection and increase successful limb salvageability.
作者报告了3例感染性股动脉假性动脉瘤患者成功接受闭孔旁路手术的病例。由于手术技术难度大且适应证不常见，这种旁路重建手术并不常见。在本报告中，作者回顾了1988年至2008年间发表的文献，其中包括78例声称接受闭孔旁路手术治疗这种疾病的病例。需要注意的是，这种类型的解剖外旁路手术，结合感染性股动脉假性动脉瘤的清创和切除，可能是降低血管移植物感染风险和提高肢体挽救成功率的另一种选择。
