SGW to Femoral triangle - Synthetic vs "autogenous"

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Ken

Once stable: time for extra-anatomic reconstruction or amputation!

Tim
Dr T C Hardcastle
M.B.,Ch.B.(Stell); M.Med(Chir); FCS(SA)
Senior Surgeon / Senior Lecturer: Surgery (Trauma and ICU)
ATLS  instructor and DSTC Cape Town Course Director
Intern program Coordinator: Surgery
Program Manager: Emergency Medicine (SU)
Clinical Head (Director): Diana Princess of Wales Trauma Unit
Department of Surgery Room 4064
Tygerberg Hospital / University of Stellenbosch
PO Box 19063
Tygerberg 7505
Western Cape
South Africa
e-mail: tch at sun.ac.za
Cell: +27824681615
Office: +27219389281 or 4911 pager 0302



-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org]On Behalf Of KMATTOX at aol.com
Sent: Monday, August 07, 2006 5:19 PM
To: trauma-list at trauma.org
Subject: Re: SGW to Femoral triangle - Synthetic vs "autogenous"


On the cases I presented last week, one developed an arterial sentinel  
bleeding episode during dressing change, which became torential the next  day.   
Arteriogram revealed a site at the proximal suture line,  STENTED with 
endovascular stent which stopped the bleeding.  TWO days later  the same thing happened 
to the distal suture line and again a stent stopped the  bleeding.  NO 
further bleeding, but groin is still a mess and not ready for  an extra anatomic 
bypass.  
 
What can we expect???
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