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SGW to Femoral triangle - Synthetic vs "autogenous"

Sohail Muzammil sohailmuzammil at hotmail.com
Tue Aug 8 19:44:19 BST 2006


Reminds me of a similar case way back in my residency days. In a mess such
as you describe the vessels will bleed; mostly catastrophic and always at
odd hours of the night. The time has come to counsel the patient and
amputate (or ablate as Dr. Mattox puts it).

Regards
S Muzammil, FRCS
----- Original Message -----
From: <KMATTOX at aol.com>
To: <trauma-list at trauma.org>
Sent: Monday, 07 August, 2006 8:18 PM
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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