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Tue Aug 1 18:03:01 BST 2006

In a message dated 8/1/2006 11:54:54 A.M. Central Standard Time,  
mmcbridemd at yahoo.com writes:

I don't  believe a contaminated penetrating femoral injury would ever be 
handled with  nonautogenous anatomic bypass if presenting to a vascular surgeon 
here in the  states.

THere is NO non-autogenous material to use as a conduit.  As soon as a  vein 
or artery is removed from its bed to be used elsewhere in the body, it  
becomes a DEAD collagen tube,  a foreign body and is MORE conducive to bad  
complications than synthetic material.   This has been established in  more than 50 
basic science and clinical papers.   The old "right"  answer that in potential 
contaminated wounds, the vascular conduit of choice is  the autogenous 
saphenous vein, is no longer considered  correct.     

Kenneth L. Mattox, M.D.  

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