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Conservative treatment of polytetrafluoroethylene graft infection

Conservative treatment of polytetrafluoroethylene graft infection

Vascular Surgery 23(6): 464-469

The treatment of infected synthetic grafts presents a serious problem and there is no single approach to dealing with it. The authors report on 9 patients who developed infections following bypass operation with a synthetic graft. The infections appeared in various places but mainly in the groin. In 2 of the patients who suffered infections after implant of dacron grafts, the authors had to remove the graft and then perform an extraanatomic bypass, after conservative treatment had failed. Seven patients, in whom a prosthesis of polytetrafluoroethylene (PTFE) had been implanted, were given conservative treatment that was very succesful in dealing with the infection that developed in the wounds. The treatment included antibiotics appropriate to the sensitivity of the bacteria, debridement of the wounds, local treatment with wound-cleansing powder and continual irrigation with povidone-iodine. The wounds in these patients healed spontaneously or with the help of secondary closure, and the implants remained patent.

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Accession: 007153642

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