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Groin wound infections following vascular reconstructive surgery prolong hospital
admission and convalescence and may lead to more serious morbidity with prosthetic
graft infection, false aneurysm formation, or hemorrhage. Therefore, it is imperative
to achieve wound closure as expeditiously as possible. Herein, we deseribe 11 patients
with complicated groin wounds and report our management using sartorius myoplasty.
Five of these patients had underlying prosthetic grafts at risk. All patients underwent
wound closure with sartorius myoplasty after adequate debridement of necrotic and
infected soft tissue. Success of wound closure with complete primary healing was observed
in nine patients, while in two, adequate early coverage of femoral vessels was achieved,
but extended wound care for superficial skin separation was necessary with eventual
complete healing. There was no morbidity or mortality related to the added surgical
procedure. One patient underwent late repair of a femoral false aneurysm. There were
no other complications seen after an average follow-up of 20 months (range: 6 to 49
months). In summary, we recommend that sartorius myoplasty be considered for wound
infections to hasten groin closure, decrease hospital stay, and reduce the chance
of infectious complications.
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Article info
Footnotes
‡Presented at the 18th Annual Meeting of the Society for Clinical Vascular Surgery, Palm Desert, California, March 7–11, 1990.
Identification
Copyright
© 1990 Reed Publishing USA. Published by Elsevier Inc.
