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Use of artificial dermis graft for covering the femoral vessels after groin dissection
Authors:M Hatoko  A Tanaka  M Kuwahara  H Tada  T Muramatsu
Institution:(1) Division of Plastic Surgery, Nara Medical University, 840 Shijocho, Kashihara, Nara 634-0813, Japan Tel.: +81-744-298891 Fax: +81-744-258511, JP;(2) Department of Dermatology, Nara Medical University, Nara, Japan, JP
Abstract:An artificial dermis graft has been used to cover exposed femoral vessels after groin dissection in five patients. After the silicone membrane was dissected off with a scalpel, the artificial dermis was applied. The femoral vessels were successfully covered without either postoperative infection or allergic reaction in all patients. In two patients, full-thickness skin necrosis occurred. However, the femoral vessels were not exposed since they were covered by the artificial dermis, and subsequent skin grafting was performed. There was no postoperative contracture in any of the patients, and the grafted area was soft. It can thus be concluded that artificial dermis is an easy, less invasive, and useful option for covering the femoral vessels after groin dissection, especially in patients with a thin and fragile sartorius muscle. Received: 15 February 1999 / Accepted: 15 June 1999
Keywords:  Artificial dermis  Groin dissection  Subcutaneous placement  Covering material
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