Surgical Management of the Infected Femoral Pseudoaneurysms In Intravenous Drug Addicts
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 72, Issue 5
Abstract
<strong>Background: </strong>Vascular system complications are an ongoing hazard of intravenous drug abuse. <strong>Patients and Method: </strong>This is a prospective study. The study was conducted on twenty patients who were presented at AL Hussein University Hospital in Cairo with infected femoral artery pseudoaneurysm over a period of eight months from Nov 2017 to July 2018. The inpatient medical charts were reviewed. Data were obtained on their demographic, clinical, management and outcome parameters. <strong>Result: </strong>Among the twenty intravenous drug users presenting with infected femoral artery pseudoaneurysms, (16) of the patients (80%) were seropositive for HCV. All were operated, with (5%) mortality. Primary ligation and debridement was the technique used almost exclusively (75%). One patient was managed by primary reconstruction by direct in-situ repair. Four patients were managed by primary revascularization through exta-anatomical bypass. Mean follow up period was three months. <strong>Conclusion: </strong>Ligation and debridement appears to be a simple, safe and effective procedure in infected pseudoaneurysms in IV drug users.
Authors and Affiliations
Eman Helal
Keywords
Related Articles
- EP ID EP584177
- DOI 10.12816/ejhm.2018.9541
- Views 136
- Downloads 0
Flexural Strength of Provisional Crown and Fixed Partial Denture Resins
Purpose: The purpose of this study was `to appraise the fracture strength of provisional crown and fixed partial denture resins with an in vitro test system. Materials and Methods: Bar-type specimens were fabricated acco...
A prospective study of the latero-central glandular pedicle technique as an oncoplastic procedure for medial quadrants breast masses:oncological safety and clinical outcomes
<strong>Background: </strong>breast cancer, according to national cancer institute, is the most common site of cancer in women in Egypt as it accounts for about 38.8% of total malignancies among Egyptian females; it is a...
Manual Placental Removal versus Cord Traction for Placental Delivery at Caesarean Section in Correlation to Blood Loss
<strong>Background: </strong>Delivery by cesarean section is one of the most commonly performed obstetrical operations all over the world, but it exposes women to the inherent risks of major abdominal surgery, e.g., inju...
Comparative Study between Intravenous and Intraperitoneal Magnesium Sulphate as Adjuvant to General Anesthesia for Pain Management in Laparoscopic Cholecystectomy
<strong>Background:</strong> numerous researches have proved the benefits of laparoscopic cholecystectomy compared to the open method, mainly because of less metabolic response to stress, maintenance of diaphragm and pul...
Free Thyroxine in Early Pregnancy and Risk of Developing Gestational Diabetes
Background: Pregnancy has a considerable physiological impact on the thyroid gland and its metabolic unction and to meet the increased demands during pregnancy. Thyroid disease is known to impact pregnancy outcomes, and...