Horch R, Stark G B
Department of Plastic and Reconstructive Surgery, Handsurgery, Burn Center, City of Cologne Medical Center Merheim.
Vasa. 1994;23(1):52-6.
Prosthetic vascular graft infection is associated with high rates of morbidity and mortality. When infections lead to an open exposure of vascular prosthesis special techniques may be necessary to cover tissue defects in regions with often very poor circulation/perfusion conditions. Even when there are large tissue defects associated with vascular prosthetic graft infections and exposure of prosthesis local cure can be achieved after radical debridement and defect coverage through transposition of myocutaneous flaps. The cases of two patients with open exposure of prosthesis in the groin who had been successfully treated by delayed vertical rectus abdominis muscular flap (VRAM) or rectus femoris rotation are presented. The contralateral VRAM myocutaneous flap is an excellent alternative if local measures fail to close large groin defects with exposed prosthesis. In addition the delayed flap rotation offers a greater safety in conditioning the vascularity of the flap.
人工血管移植物感染与高发病率和死亡率相关。当感染导致血管假体开放暴露时，可能需要特殊技术来覆盖循环/灌注条件通常很差的区域的组织缺损。即使存在与血管假体移植物感染和假体暴露相关的大组织缺损，通过肌皮瓣转移进行根治性清创和缺损覆盖后，仍可实现局部治愈。本文介绍了两例腹股沟区假体开放暴露患者，分别通过延迟腹直肌肌皮瓣（VRAM）或股直肌旋转成功治疗的病例。如果局部措施无法闭合伴有假体暴露的大腹股沟缺损，对侧VRAM肌皮瓣是一个很好的选择。此外，延迟皮瓣旋转在调节皮瓣血供方面提供了更高的安全性。
