Vaskulárna medicína 2/2023

Sartorioplasty in vascular surgery

Infection of vascular reconstruction is a serious complication in vascular surgery. It is associated with high morbidity and mortality despite advances in management. One of the treatment options is myoplasty with musculus sartorius. It is often used for dealing wih the infection in trigonum femorale. Its advantages include the presence in surgical wound, simple and fast harvesting. Sartorius muscle is suitable for coverage of small and medium-sized defects, dealing with infection Samson III-IV and lymphatic complications. It can be also usefull tool as an adjuvant prophylactic procedure. The results are excellent when dealing with early infections. In late infections myoplasty must be accompanied by a vascular prosthesis explantation and its replacement with autologous vein grafts. Sartorius myoplasty is a safe procedure that has good results if the indications are followed. Due to its simplicity it could expand the spectrum of surgical procedures of a vascular surgeon.

Keywords: myoplasty, musculus sartorius, infection, vascular reconstruction