دورية أكاديمية
Outcome of rectus femoris muscle flaps for groin coverage after vascular surgery.
| العنوان: | Outcome of rectus femoris muscle flaps for groin coverage after vascular surgery. |
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| المؤلفون: | Wübbeke LF; Department of Vascular Surgery, Maastricht University Medical Center, Maastricht, The Netherlands., Conings JZM; Department of Vascular Surgery, Maastricht University Medical Center, Maastricht, The Netherlands., Elshof JW; Department of Surgery, VieCuri Hospital, Venlo, The Netherlands., Scheltinga MR; Department of Surgery, Maxima Medical Center, Veldhoven, The Netherlands., Daemen JHC; Department of Vascular Surgery, Maastricht University Medical Center, Maastricht, The Netherlands., Jacobs MJ; Department of Vascular Surgery, Maastricht University Medical Center, Maastricht, The Netherlands; European Vascular Center Aachen-Maastricht, Aachen, Germany., Mees BM; Department of Vascular Surgery, Maastricht University Medical Center, Maastricht, The Netherlands; European Vascular Center Aachen-Maastricht, Aachen, Germany. Electronic address: barend.mees@mumc.nl. |
| المصدر: | Journal of vascular surgery [J Vasc Surg] 2020 Sep; Vol. 72 (3), pp. 1050-1057.e2. Date of Electronic Publication: 2020 Feb 28. |
| نوع المنشور: | Comparative Study; Journal Article; Multicenter Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: United States NLM ID: 8407742 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-6809 (Electronic) Linking ISSN: 07415214 NLM ISO Abbreviation: J Vasc Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2008-> : New York, NY : Elsevier Original Publication: St. Louis, Mo. : Mosby, [c1984- |
| مواضيع طبية MeSH: | Surgical Flaps*/adverse effects, Blood Vessel Prosthesis/*adverse effects , Blood Vessel Prosthesis Implantation/*adverse effects , Prosthesis-Related Infections/*surgery , Quadriceps Muscle/*surgery , Surgical Wound Infection/*surgery, Adult ; Aged ; Aged, 80 and over ; Amputation, Surgical ; Blood Vessel Prosthesis Implantation/instrumentation ; Blood Vessel Prosthesis Implantation/mortality ; Female ; Humans ; Limb Salvage ; Male ; Middle Aged ; Netherlands ; Prosthesis-Related Infections/diagnostic imaging ; Prosthesis-Related Infections/microbiology ; Prosthesis-Related Infections/mortality ; Retrospective Studies ; Surgical Wound Infection/diagnostic imaging ; Surgical Wound Infection/microbiology ; Surgical Wound Infection/mortality ; Time Factors ; Treatment Outcome |
| مستخلص: | Objective: The aim of this retrospective cohort study was to investigate the outcome of rectus femoris muscle flaps (RFFs) for deep groin wound complications in vascular surgery patients and to compare the outcome with a cohort of sartorius muscle flaps (SMFs) because the RFF is a promising alternative technique for groin coverage. Methods: All RFFs and SMFs performed by vascular surgeons in a regional collaboration in The Southern Netherlands were retrospectively reviewed. Primary outcomes were muscle flap survival, overall and secondary graft salvage, and limb salvage. Secondary outcomes were 30-day groin wound complications and mortality, donor site and vascular complications, 1-year amputation-free survival, overall patient survival, impaired knee extensor function, and length of hospital stay. Results: A total of 96 RFFs were performed in 88 patients (mean age, 68 years; 67% male) and compared with a cohort of 30 SMFs in 28 patients (mean age, 64 years; 77% male). At a mean follow-up of 29 months and 23 months, respectively, comparable flap survival (94% vs 90%), secondary graft salvage (80% vs 92%), and limb salvage (89% vs 90%) rates were found. The 30-day mortality rates were 12% and 17%, respectively, and the 1-year amputation-free survival was comparable between treatment groups (71% vs 68%). Conclusions: This study presents a large series of RFFs for deep groin wound complications after vascular surgery. We demonstrate that muscle flap coverage using the rectus femoris muscle by vascular surgeons is an effective way to manage complex groin wound infections in a challenging group of patients, achieving similarly good results as the SMF. (Copyright © 2019 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.) |
| التعليقات: | Comment in: J Vasc Surg. 2020 Sep;72(3):1058. (PMID: 32829762) |
| فهرسة مساهمة: | Keywords: Groin wound reconstruction; Rectus femoris muscle flap; Sartorius muscle flap; Surgical wound infection; Vascular prosthesis infection |
| تواريخ الأحداث: | Date Created: 20200304 Date Completed: 20210118 Latest Revision: 20221207 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1016/j.jvs.2019.11.031 |
| PMID: | 32122734 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1097-6809 |
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| DOI: | 10.1016/j.jvs.2019.11.031 |