2024-03-29T10:48:16Z
https://nagoya.repo.nii.ac.jp/oai
oai:nagoya.repo.nii.ac.jp:00028251
2023-11-16T02:57:57Z
499:508:509:2418
Use of the autologous spiral vein graft : a two-stage iliac bypass in a potentially fatal case of pelvic trauma and contaminated tissues
Altun, Gokalp
Pulathan, Zerrin
Hemsinli, Dogus
open access
Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
pelvic trauma
contaminated tissue
iliac bypass
spiral venous graft
autologous graft
Serious problems may be encountered in arterial or venous reconstruction in cases of severe trauma and contaminated tissues. We report the use of a spiral venous graft (SVG) in a case of two-stage bypass aimed at saving first life, and then the extremity. Severe open and contaminated injury was present in the lower abdomen and pelvic region of 29-yearold woman brought to the emergency department following a traffic accident. The patient was in shock, and was taken for emergency surgery jointly with the relevant departments. Interposition bypasses with synthetic graft were performed in the first stage. The synthetic grafts were subsequently removed due to problems developing secondary to infection at subsequent follow-up, and revascularization was established with autologous grafts together with SVG. SVGs are alternative grafts in cases with contaminated tissues and requiring major vessel reconstruction. This technique can add to the therapeutic options available.
Nagoya University Graduate School of Medicine, School of Medicine
2019-05
eng
departmental bulletin paper
VoR
https://doi.org/10.18999/nagjms.81.2.331
http://hdl.handle.net/2237/00030447
https://nagoya.repo.nii.ac.jp/records/28251
10.18999/nagjms.81.2.331
http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/812.html
2186-3326
0027-7622
Nagoya Journal of Medical Science
81
2
331
336
https://nagoya.repo.nii.ac.jp/record/28251/files/17_Altun.pdf
application/pdf
20.9 MB
2019-06-13