List Archives

Tue Aug 1 19:49:41 BST 2006

 I must chime in in support of Dr Mattox's statement here, which studies from his institution established back in the 80"s--I frequently get responses like the post below, and it oftne is from vascualr surgeons--this is old and unfounded dogma that will do your patients a disservice in settings like this unless you become familiar with the vascular trauma literature--some of the greatest resistance I have found to modern tenets of vascualr trauma are from vascular surgeons who never do trauam, and make the mistake of thinking that truama to vessels is handled like elective vascular surgical problems--not true.  The biggest flaw in this thinking is that the two patient populations are entirely different.
ERF

-----Original Message-----
From: KMATTOX at aol.com
To: trauma-list at trauma.org
Sent: Tue, 1 Aug 2006 1:03 PM
Subject: Re: SGW to Femoral triangle - Synthetic vs "autogenous"

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.  
--
trauma-list : TRAUMA.ORG
To change your settings or unsubscribe visit:
http://www.trauma.org/traumalist.html
________________________________________________________________________
Check out AOL.com today. Breaking news, video search, pictures, email and IM. All on demand. Always Free.

List Archives

For your convenience, find the Trauma List Archive Below

SGW to Femoral triangle - Synthetic vs "autogenous"