FOREFOOT GANGRENE AND DISTAL BYPASS - 2-S TAGED AMPUTATION

Citation
C. Cheynelhocquet et al., FOREFOOT GANGRENE AND DISTAL BYPASS - 2-S TAGED AMPUTATION, Journal des maladies vasculaires, 21, 1996, pp. 174-177
Citations number
9
Categorie Soggetti
Cardiac & Cardiovascular System","Peripheal Vascular Diseas
ISSN journal
03980499
Volume
21
Year of publication
1996
Supplement
A
Pages
174 - 177
Database
ISI
SICI code
0398-0499(1996)21:<174:FGADB->2.0.ZU;2-5
Abstract
When revascularizing for gangrene, deciding on amputation depends on t he risk of infection due to trophic injury both for the foot and for t he bypass and on the requirement to attempt amputation at the correct level at the first operation. In our experience, the importance of inf ection has led us to propose the following sequence: if the lesions ar e infected - immediate amputation, differed revascularization after th e infection has been controlled : if the lesions are dry early vascula rization followed by amputation either during the same operation with strict separation of the two operative fields or a few days later, par ticularly if the level of the amputation has been determined.