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Roger C. Mixter, MD, William D. Turnipseed, MD, David J

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Presentation on theme: "Roger C. Mixter, MD, William D. Turnipseed, MD, David J"— Presentation transcript:

1 Rotational muscle flaps: A new technique for covering infected vascular grafts 
Roger C. Mixter, MD, William D. Turnipseed, MD, David J. Smith, MD, Charles W. Acher, MD, Venkat K. Rao, MD, David G. Dibbell, MD  Journal of Vascular Surgery  Volume 9, Issue 3, Pages (March 1989) DOI: /S (89) Copyright © 1989 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 Fig. 1 A 62-year-old man 1 month after placement of Dacron aortofemoral and Gore-Tex femoropopliteal bypass grafts for infected groin wound. Journal of Vascular Surgery 1989 9, DOI: ( /S (89) ) Copyright © 1989 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3 Fig. 2 Surgical debridement shows exposed grafts (arrow) and elevation of the rectus femoris muscle (between clamps). Journal of Vascular Surgery 1989 9, DOI: ( /S (89) ) Copyright © 1989 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4 Fig. 3 Superior rotation of the rectus femoris muscle with vascular grafts covered. Journal of Vascular Surgery 1989 9, DOI: ( /S (89) ) Copyright © 1989 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

5 Fig. 4 One-month postoperative view of groin after rotational muscle flap and split-thickness skin graft. Journal of Vascular Surgery 1989 9, DOI: ( /S (89) ) Copyright © 1989 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

6 Fig. 5 Diagram shows regional muscle coverage of groin prostheses. Note blood supply to rectus femoris muscle (white arrow) and rectus abdominus muscle (dark arrow). Journal of Vascular Surgery 1989 9, DOI: ( /S (89) ) Copyright © 1989 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

7 Fig. 6 Muscle flap (M) wrapped around prosthesis (P).
Journal of Vascular Surgery 1989 9, DOI: ( /S (89) ) Copyright © 1989 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

8 Fig. 7 Segmental blood supply of sartorius muscle versus the single dominant pedicle of the rectus femoris muscle. Journal of Vascular Surgery 1989 9, DOI: ( /S (89) ) Copyright © 1989 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions


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