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血管移植感染的挽救治疗:真空封闭引流联合股直肌肌瓣转位术:一例报告

Salvage of vascular graft infections vacuum sealing drainage and rectus femoris muscle flap transposition: A case report.

作者信息

Zhang Peng, Tao Fu-Lin, Li Qing-Hu, Zhou Dong-Sheng, Liu Fan-Xiao

机构信息

Department of Orthopaedics, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, Shandong Province, China.

出版信息

World J Clin Cases. 2021 Apr 6;9(10):2296-2301. doi: 10.12998/wjcc.v9.i10.2296.

Abstract

BACKGROUND

The management of vascular graft infections continues to be a significant challenge in a clinical situation. The aim of this report is to illustrate the novel vacuum sealing drainage (VSD) technique and rectus femoris muscle flap transposition for vascular graft infections, and to evaluate the prospective of future testing of this surgical procedure.

CASE SUMMARY

We report the case of a 32-year-old male patient, who presented a severe infected groin wound with biological vascular graft infection resulting in extensive graft exposure. Using the VSD and muscle flap trans-position, the groin wound and vascular graft infection were finally treated successfully.

CONCLUSION

Our case report highlights that VSD technique and rectus femoris muscle flap transposition could be considered in patients presenting with a severe infected groin wound with biological vascular graft infection resulting in extensive graft exposure, especially in consideration of treatable conditions.

摘要

背景

在临床情况下,血管移植感染的处理仍然是一项重大挑战。本报告的目的是阐述用于血管移植感染的新型负压封闭引流(VSD)技术和股直肌肌瓣转移术,并评估该手术方法未来试验的前景。

病例摘要

我们报告了一名32岁男性患者的病例,该患者出现严重感染的腹股沟伤口,伴有生物血管移植感染,导致移植血管广泛暴露。通过使用VSD和肌瓣转移术,腹股沟伤口和血管移植感染最终得到成功治疗。

结论

我们的病例报告强调,对于出现严重感染的腹股沟伤口且伴有生物血管移植感染导致移植血管广泛暴露的患者,尤其是在考虑可治疗情况时,可考虑采用VSD技术和股直肌肌瓣转移术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6498/8026842/70710140763b/WJCC-9-2296-g001.jpg

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