Treatment peculiarities of paraprosthetic infection after femoral-popliteal bypass with allograft prosthesis

Abstract

The article aims to analyze the successful treatment of paraprosthetic infection of a synthetic bypass in the femoral-popliteal position. Although being rare, the development of allograft infection in the infrainguinal position is one of the most formidable complications and an unsolved problem in peripheral arterial surgeries. The operation of choice is removal of the infected prosthesis. The operation of choice is removal of the infected prosthesis. The method and terms of restoration of the main blood flow depend on the prevalence of infection on the prosthesis, involvement of the anastomosis line, preservation or absence of blood flow on the infected prosthesis, and the presence of bacterioresistant prosthesis. The article presents a case of a patient suffering from paraprosthetic infection with the formation of femoral phlegmon in the area of the proximal anastomosis 3 weeks after allograft prosthetics of the femoral-popliteal segment. The patient underwent femoral-popliteal bypass with reversed autovenous graft of the contralateral limb, drainage of the phlegmon, necrectomy of the infected tissues. In the postoperative period, the wounds were healed by primary tension. The observation period covered three years. The observation period covered 3 years. During examination, the femoral skin had no signs of inflammation. Pain-free walking distance was up to 100 meters, pulsation of the bypass and artery distal to the anastomosis was determined.