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Robert R.M. Gifford, M.D.  Journal of Vascular Surgery 

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Presentation on theme: "Robert R.M. Gifford, M.D.  Journal of Vascular Surgery "— Presentation transcript:

1 Management of tunnel infections of dialysis polytetrafluoroethylene grafts 
Robert R.M. Gifford, M.D.  Journal of Vascular Surgery  Volume 2, Issue 6, Pages (November 1985) DOI: / (85)90134-X Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

2 Fig. 1 Two incisions are shown as dotted lines over antecubital anastomotic area and over entire length of forearm polytetrafluoroethylene dialysis graft. Shaded area depicts extent of infection along tunnel tract. Journal of Vascular Surgery 1985 2, DOI: ( / (85)90134-X) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

3 Fig. 2 Oversewn 2 to 3 mm cuff of polytetrafluoroethylene on the brachial artery. Journal of Vascular Surgery 1985 2, DOI: ( / (85)90134-X) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

4 Fig. 3 After polytetrafluoroethylene (PTFE) graft has been removed and both wounds are copiously irrigated with antibiotic solution, antecubital incision is closed. Drains are laid along entire length of both limbs of PTFE tunnel tract. Journal of Vascular Surgery 1985 2, DOI: ( / (85)90134-X) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

5 Fig. 4 Tunnel tract is closed in single layer with polypropylene sutures, which allows drains to exit distally in double-barrel fashion. Journal of Vascular Surgery 1985 2, DOI: ( / (85)90134-X) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions


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