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The primary repair was adequate; the ar- tery seem

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Post# of 36566
(Total Views: 268)
Posted On: 09/24/2020 9:01:16 PM
Posted By: rjs9787
The primary repair was adequate; the ar- tery seemed to be healthy and did not require debridement. A palpable pulse was appreciated and verified with handheld Doppler interrogation of the CFA and its branches. The guide- wire and sheath were removed and SFA arteriotomy was repaired with a 5-0 Prolene suture (Fig 3, C). Pulse lavage of the surgical wound was performed and the exposed artery covered with a single layer of overlying soft tissue. Topical excellagen collagen matrix (Olaregen Therapeutix, New York, NY) was applied to accelerate wound healing followed by application of a wound VAC (Fig 3, D). Operative time from skin incision to closing totaled 45 minutes and the estimated blood loss was 100 mL of evacuated hematoma, with minimal surgical bleeding. An additional session of exploration and washout was performed to ensure wound healing and adequate hemostasis at which time additional cultures were collected and collagen matrix reapplied. All cultures were negative, with one containing a contaminant.
https://jvscit.org/article/S2468-4287(20)30110-6/pdf


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