Rectus Femoris and Sartorius Muscle Flap for Graft Infection in the Groin

Infections of vascular prosthesis are severe adverse events following vascular reconstruction. The incidence varying between 1 and 6 per cent, depending on the anatomical site, with the highest rate occurring in vascular access grafts placed in inguinal and lower extremity incisions in patients undergoing bypass procedures [1,2]. The management of infected prosthetic vascular grafts continues to be controversial. Mostly graft infections were treated by removal with extra-anatomic bypass. In appropriate cases, a graft salvage can be tried. According to the classification by Zühlke and Harnoss explantation of the graft in cases of prosthesis infection without involving the anastomosis is not absolutely necessary [3].