DOI: 10.36347/sjams.2019.v07i06.033

Pages: 2197-2201

Vascular groin infection is a potentially serious complication after prosthetic bypass grafting in aortoileofemoral arterial occlusive disease. Groin graft infection after bypass grafting in patients with critical limb ischemia, may lead to sepsis, hemorrhage, even amputation of the limb. Therefore, both the affected limb and the patient's life are threatened. Moreover, unsuccessful primary procedure may further the already existed psychological burden. Groin infections are potentially lethal in patients with co-morbid conditions. Revascularization with an obturator bypass has been used as an extra anatomic bypass route as a potential alternative for restoration of circulation to local revision and arterial ligation alone in graft infections. This technique uses alternative route avoiding risk of vascular graft infection. Transobturator extra anatomic bypass technique can be a viable option for primary bypass grafting in aortoileofemoral arterial occlusive disease in high risk cases. This technique can be performed at ease without prolonging intraoperative time appreciably.