Sartorius Muscle Flap Coverage in Patients with Groin Wound Complications Subsequent to Vascular Surgical Procedure
- VernacularTitle:血管外科処置後の鼠径部創治癒不全に対する縫工筋弁充填の経験
- Author:
Satoko Funata
;
Tetsuro Uchida
;
Azumi Hamasaki
;
Atsushi Yamashita
;
Jun Hayashi
;
Ai Takahashi
;
Mitsuaki Sadahiro
- Keywords: Sartorius muscle flap; wound healing failure
- From:Japanese Journal of Cardiovascular Surgery 2017;46(6):330-333
- CountryJapan
- Language:Japanese
-
Abstract:
After vascular surgical procedures, complications of the wounds in the groin region may sometimes lead to prosthetic graft infections or prolonged hospital stays. While some wounds heal completely during re-suture and VAC therapy, healing of other wounds that involve refractory graft infection, lymphorrhea, or a dead space, is extremely difficult. We performed tissue coverage using a Sartorius muscle flap for such difficult cases. The muscle is twisted onto itself to fill the dead space with some blood supply. Tissue coverage using a Sartorius muscle flap with adequate blood flow was effective in improving lymphorrhea and infection. We report four such cases where complications in the groin region were managed using a Sartorius muscle flap for wounded coverage.