The treatment for obturator bypass graft infection has been rarely reported and is a surgical challenge because it is difficult to debride infected tissue around the graft located in the deep route and to ensure an alternative revascularization route in patients with a history of inguinal infection. Percutaneous continuous irrigation and drainage is an effective and less invasive definitive therapy for obturator bypass graft infection.
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http://dx.doi.org/10.1016/j.avsg.2019.04.039 | DOI Listing |
Clin Case Rep
January 2025
Student Research Committee, School of Dentistry, Mashhad University of Medical Sciences Mashhad Iran.
Radix entomolaris (RE) characterized by an extra root in mandibular molars is a rare phenotype. When this condition coincides with complex root canal curvatures or S-shaped canals, root canal therapy (RCT) challenges arise. The present study presents three cases of RE along with complex root curvatures.
View Article and Find Full Text PDFVasc Endovascular Surg
February 2025
Division of Vascular Surgery, University of South Florida College of Medicine, Tampa, FL, USA.
Innovations (Phila)
April 2024
Department of Cardiovascular Surgery, University of Chicago, IL, USA.
Objective: Femoral artery cannulation is the most commonly used approach for cardiopulmonary bypass (CPB) in robotic cardiac procedures. However, without adding a distal perfusion cannula, leg ischemia can occur in up to 11.5% of patients.
View Article and Find Full Text PDFMed J Islam Repub Iran
June 2023
Department of Plastic Surgery, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt.
Background: A rather common side effect of using prosthetic grafts is infection of the groin area. Infections in the groin may be avoided by performing arterial bypass tenneling via the obturator foramen during lower extremity revascularization. This study aimed to evaluate the safety and efficacy of extra-anatomical bypass obturator in patients with groin infection.
View Article and Find Full Text PDFVasc Endovascular Surg
November 2023
Department of Surgery, George Washington University Hospital, Washington, DC, USA.
This case report presents the management of a 69-year-old man with an extensive history of peripheral vascular disease including 2 previous failed right femoral to distal bypasses and a left above-the-knee amputation who presented with right lower extremity rest pain and non-healing shin ulcers. A redo bypass was performed for limb salvage via the obturator foramen to avoid his extensively scarred femoral region. The postoperative course was uneventful and the bypass remained patent in the early period.
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