Rectus femoris muscle flap based on proximal insertion mobilization to cover a groin infected vascular graft Luís Silvestre, MD, Luís Mendes Pedro, MD,

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Presentation transcript:

Rectus femoris muscle flap based on proximal insertion mobilization to cover a groin infected vascular graft Luís Silvestre, MD, Luís Mendes Pedro, MD, PhD, Ruy Fernandes e Fernandes, MD, Emanuel Silva, MD, José Fernandes e Fernandes, MD, PhD Journal of Vascular Surgery Volume 62, Issue 4, Pages 1064-1067 (October 2015) DOI: 10.1016/j.jvs.2014.02.056 Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 1 A, Graft infection in the right groin with purulent drainage. The upper scar corresponds to the femoral artery bifurcation exposure incision; the lower one results from ipsilateral great saphenous vein harvesting. B, After skin incision, the prosthetic graft was found to be unincorporated, without anastomosis exposure. Journal of Vascular Surgery 2015 62, 1064-1067DOI: (10.1016/j.jvs.2014.02.056) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 2 A, After rectus femoris (RF) proximal insertion division (white arrow), the upper portion of the muscle was medially rotated and secured over the vascular prosthetic graft (black arrows). B, Healed groin wound 2 months after the operation. Journal of Vascular Surgery 2015 62, 1064-1067DOI: (10.1016/j.jvs.2014.02.056) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 3 A, Anatomy of the rectus femoris (RF) muscle: Proximal and distal insertions and relation with the descending branch of the lateral femoral circumflex artery, from which the main vascular pedicle of the muscle derives. B, Standard RF flap. C, RF flap based on proximal insertion mobilization. Journal of Vascular Surgery 2015 62, 1064-1067DOI: (10.1016/j.jvs.2014.02.056) Copyright © 2015 Society for Vascular Surgery Terms and Conditions