Autologous procedure for the treatment of vascular infections

摘要

The development of a deep infection following vascular reconstructive surgery is the most demanding situation encountered in vascular surgery and requires diagnostic investigations that will vary with the hospital concerned and a targeted, early and aggressive attack on the infection both systemically and locally; in addition, local reconstruction carried out with autologous materials in association with sutures that are absorbed over the medium term - also referred to as autologous reconstruction - is helpful in many cases. A range of autologous reconstruction procedures is available for application at all sites of infection, allowing adequate and effective treatment. In most cases these can ensure a secure blood flow situation, win time, and keep the patient alive and conserve his or her extremity. The main priority is to combat the infection and make it possible to keep the patient alive and the extremity affected intact. When the stage of deep infection has been reached even recovery of the initial status once the infection is cured can be regarded as a success. After an appropriate time it is always possible to reoperate on the basis of the principles of vascular surgery.