Mukasa Kotaro, Yakita Yasunori, Marushima Ryosuke, Tsuda Musashi, Abe Shinichiro, Asano Soichi
Department of Cardiovascular Surgery, Chiba Cardiovascular Center, Ichihara, Chiba, Japan.
J Vasc Surg Cases Innov Tech. 2025 Mar 4;11(3):101771. doi: 10.1016/j.jvscit.2025.101771. eCollection 2025 Jun.
Infections of the groin present significant challenges for both infection control and limb salvage. This case report describes a patient with a history of penile cancer treated with radiation therapy, who developed a femoral artery infection following thromboendarterectomy. A lateral femoral bypass was performed, combined with thorough debridement and reconstruction using a rectus abdominis myocutaneous flap. This approach was effective for wound management, infection control, and revascularization. Although this procedure is rarely performed, it can serve as a valuable option for limb salvage in complex cases involving infection and previous radiation exposure.
腹股沟感染给感染控制和肢体挽救带来了重大挑战。本病例报告描述了一名有阴茎癌放疗史的患者,在进行血栓内膜剥脱术后发生了股动脉感染。进行了股外侧旁路移植术,并结合使用腹直肌肌皮瓣进行彻底清创和重建。这种方法对伤口处理、感染控制和血管再通有效。尽管这种手术很少进行,但对于涉及感染和既往放疗史的复杂病例,它可作为肢体挽救的一种有价值的选择。