{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T17:13:28Z","timestamp":1760202808804},"reference-count":19,"publisher":"Royal College of Surgeons of England","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p> Infra-inguinal vascular reconstruction with active groin infection is a concerning issue. Using resistant grafts to infection is the most adopted approach. However, in absence of these materials in acute situations, the trans-obturator approach allows for limb revascularisation avoiding the infected site. We evaluated the effectiveness of this approach in patients who needed lower limb revascularisation with an ipsilateral groin infection. <\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p> A retrospective study was conducted over a four-year period. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Over this period, 13 patients underwent trans-obturator reconstructions (13 external iliac\u2013popliteal above-knee and one aortobipopliteal above-knee bypass). Seven patients had been previously revascularised and were admitted for graft infection (six infra-inguinal bypasses, one axillo-bifemoral bypass). Four presented with acute limb ischaemia, three with groin haematoma and one with a groin abscess. The remaining cases consisted of drug-addicted patients with injury of femoral vessels due to self-injection of drugs. The patients underwent reconstructions with autologous grafts which complicated early with groin haematoma. After transobturator revascularisation, the groin underwent debridement with applying vacuum-assisted wound closure device. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p> The transobturator approach could be considered as a chance for lower limb revascularisation in case of ipsilateral groin infection. Moreover, avoiding the infected site allowed us to focus separately and safely on the treatment of the inguinal wound. <\/jats:p><\/jats:sec>","DOI":"10.1308\/rcsann.2019.0070","type":"journal-article","created":{"date-parts":[[2019,6,3]],"date-time":"2019-06-03T10:31:40Z","timestamp":1559557900000},"page":"14-17","source":"Crossref","is-referenced-by-count":8,"title":["Revascularisation through the obturator foramen of lower limbs with a compromised ipsilateral groin due to infection"],"prefix":"10.1308","volume":"102","author":[{"given":"G","family":"Zenunaj","sequence":"first","affiliation":[{"name":"Unit of Vascular and Endovascular Surgery, University Hospital of Ferrara, Ferrara, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Traina","sequence":"additional","affiliation":[{"name":"Unit of Vascular and Endovascular Surgery, University Hospital of Ferrara, Ferrara, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Acciarri","sequence":"additional","affiliation":[{"name":"Unit of Vascular and Endovascular Surgery, University Hospital of Ferrara, Ferrara, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Spataro","sequence":"additional","affiliation":[{"name":"Unit of Vascular and Endovascular Surgery, University Hospital of Ferrara, Ferrara, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V","family":"Gasbarro","sequence":"additional","affiliation":[{"name":"Unit of Vascular and Endovascular Surgery, University Hospital of Ferrara, Ferrara, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"171","reference":[{"key":"bib1","doi-asserted-by":"crossref","first-page":"877","DOI":"10.1177\/000313480907501003","volume":"75","author":"Herrera FA","year":"2009","journal-title":"Am Surg"},{"key":"bib2","first-page":"75","volume":"53","author":"Shaw RS","year":"1962","journal-title":"Surgery"},{"key":"bib3","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198303000-00015"},{"key":"bib4","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2001.114209"},{"issue":"5","key":"bib5","first-page":"693","volume":"55","author":"Wiltberger G","year":"2014","journal-title":"J Cardiovasc Surg (Torino)"},{"issue":"5","key":"bib6","first-page":"546","volume":"139","author":"Fellmer PT","year":"2014","journal-title":"Zentralbl Chir"},{"key":"bib7","doi-asserted-by":"publisher","DOI":"10.1089\/sur.2016.203"},{"key":"bib8","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-7-75"},{"key":"bib9","doi-asserted-by":"publisher","DOI":"10.3400\/avd.oa.15-00085"},{"key":"bib10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2012.09.049"},{"key":"bib11","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2009.05.003"},{"key":"bib12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2007.02.058"},{"key":"bib13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2004.02.011"},{"key":"bib14","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2001.114209"},{"key":"bib15","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2012.06.005"},{"key":"bib16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2012.09.049"},{"key":"bib17","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2008.12.020"},{"key":"bib18","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.11.049"},{"key":"bib19","doi-asserted-by":"publisher","DOI":"10.1308\/003588410X12664192076890"}],"container-title":["The Annals of The Royal College of Surgeons of England"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/pdf\/10.1308\/rcsann.2019.0070","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T10:44:46Z","timestamp":1684147486000},"score":1,"resource":{"primary":{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/10.1308\/rcsann.2019.0070"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,1]]}},"alternative-id":["10.1308\/rcsann.2019.0070"],"URL":"https:\/\/doi.org\/10.1308\/rcsann.2019.0070","relation":{},"ISSN":["0035-8843","1478-7083"],"issn-type":[{"value":"0035-8843","type":"print"},{"value":"1478-7083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1]]}}}