ArticleDer Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen2021
[Treatment strategies and outcomes for injection-associated inguinal perivascular abscesses in intravenous drug addicts].
Article in Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundLong-term drug users regularly present with deep inguinal vascular-associated abscesses due to continued drug injections utilizing superficial veins. The treatment of these complications continues to be a major medical challenge. So far no uniform treatment regimens have been described in the literature.
objectiveWhat are the treatment strategies and outcomes of injection-associated inguinal perivascular abscesses in drug addicts? MATERIAL AND
methodsAll drug users treated at the Augsburg University Hospital in the period between 1 January 2004 and 31 May 2019 were retrospectively reviewed and compared with the currently available literature.
resultsIn this study 37 cases (male = 25, female = 12) could be included in the data collection after implementation of the inclusion criteria. The median age in the investigated patient population was 34.3 years. The 30-day mortality was 2.7% (1/37). The amputation rate was 2.8%. In the investigated collective 13 patients had arterial involvement, in 5 cases a ligature of arteries was primarily used and in another 5 cases a reconstruction using an autologous conduit graft was primarily performed. In another 3 cases an obturator bypass (1/3) was placed and a patch plasty (2/3). The patency rate after arterial reconstruction was 87.5% with a mean follow-up of 421 days. The overall complication rate was 51.4%.
conclusionFor vascular involvement an approach appropriate for the situation is meaningful. In addition to the elimination of complicated septic venous thromboses, the correction of arterial hemorrhages using autologous reconstruction measures seems promising.
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