Journal of vascular surgery cases and innovative techniques · 2025
Outcomes of vascular surgeon-performed rectus femoris flaps for complex postoperative wound infection.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Bari Shiza, Wrana Kristy, Li Ya-Huei, Chadnick Zachary, Shah Parth, Divinagracia Thomas, Windels Mary, Gallagher James, Aitcheson Elizabeth, Jain Akhilesh, Glotzer Owen, Ayach Mouhanad, Gifford Edward
Аннотация
OBJECTIVE: Rectus femoris flaps (RFFs) provide tissue coverage in infected fields and historically have been performed by plastic surgeons.
METHODS: We report the technique and outcomes following vascular surgeon-performed RFFs for postoperative groin complications.
RESULTS: Sixty-three RFFs were performed in 54 patients. The median follow-up was 728 days. RFF complication, defined as a composite of flap-related readmission and infection, was 26.7% at 30 days. Diabetes mellitus was a risk factor of RFF complications (odds ratio [OR], 27.9; 95% confidence interval [CI], 1.3-582.6; P = .032); prolonged duration of intravenous antibiotics (OR, 0.6; 95% CI, 0.5-0.9; P = .004) and use of beta blocker (OR, 0.0; 95% CI, 0.0-0.2; P = .003) were associated with decreased risks of 30-day RFF complication. Amputation-free survival was 100% at 30 days and 90.2% at 1 year.
CONCLUSIONS: Our findings support the role of vascular surgeons in using RFF as a safe and effective option for the management of infected groin wounds.
METHODS: We report the technique and outcomes following vascular surgeon-performed RFFs for postoperative groin complications.
RESULTS: Sixty-three RFFs were performed in 54 patients. The median follow-up was 728 days. RFF complication, defined as a composite of flap-related readmission and infection, was 26.7% at 30 days. Diabetes mellitus was a risk factor of RFF complications (odds ratio [OR], 27.9; 95% confidence interval [CI], 1.3-582.6; P = .032); prolonged duration of intravenous antibiotics (OR, 0.6; 95% CI, 0.5-0.9; P = .004) and use of beta blocker (OR, 0.0; 95% CI, 0.0-0.2; P = .003) were associated with decreased risks of 30-day RFF complication. Amputation-free survival was 100% at 30 days and 90.2% at 1 year.
CONCLUSIONS: Our findings support the role of vascular surgeons in using RFF as a safe and effective option for the management of infected groin wounds.