Currier C B, Montalbert C, Dholakia S V, Diaz M H, Helfrich G B, Sulkin M D
Surgery. 1981 Mar;89(3):375-7.
Infected Thomas shunts pose a problem for the surgeon treating end-stage renal failure patients. Complete removal of the prosthesis with ligation of the femoral vessels may jeopardize the limb. Removal of the shunt without the Dacron patch usually will not eradicate the infection. The present article describes a two-stage approach in six patients with arterial bypass of the infected area and complete removal of the prosthesis. There were no postoperative complications. Arterial circulation was maintained, and all operative sites healed completely.
感染的托马斯分流管给治疗终末期肾衰竭患者的外科医生带来了难题。完全移除假体并结扎股血管可能会危及肢体。不连带涤纶补片移除分流管通常无法根除感染。本文描述了对六例患者采用的两阶段方法，即对感染区域进行动脉搭桥并完全移除假体。术后无并发症。动脉循环得以维持，所有手术部位均完全愈合。
