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Arindam Chaudhuri
@vascularis
Vascular Surgeon. Jazz aficionado. Bassist. Technophile. Cynic. INTJ. @EJVES_ESVS. Editor-in-Chief #EJVESforum. At the crossroads where Science meets Art.
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A nice paper recalling this approach, and more on hostile groins and related anatomical aspects also due from @ManarKhashram et al 🇳🇿...
🇫🇷 🎯QUERY: Is obturator foramen bypass (OFB) still a durable and viable extra-anatomic option for hostile groin infections? 🩺🦵
This original research published in #EJVESForum by Pascucci et al. evaluates 26 consecutive obturator foramen bypass procedures over a 22-year period at Henri Mondor University Hospital, highlighting its long-term patency and role in complex septic groin management.
💡KEY FINDINGS:
· Indications & Patient Profile: Conducted on 26 patients (mean age 64 years; 69% men). The primary indication was extensive groin infection involving native vessels or prosthetic material (81%), with 23% performed under emergency conditions for hemorrhagic shock.
· Graft Selection: Cryopreserved arterial allografts were the primary conduit of choice (62%), followed by great saphenous veins (15%) and superficial femoral veins (11%).
· Patency & Limb Salvage: Primary patency rates were 88% at 12 months and 83% at 24–60 months. Complete wound healing was achieved in all surviving patients (median delay of six months).
· Infection Control & Durability: There were zero cases of bypass re-infection requiring removal during the follow-up period. Limb salvage was achieved in all but one patient.
· Early Mortality & Complications: Thirty-day mortality was 15%, reflecting the critical initial clinical condition and severe septic or hemorrhagic presentation of these patients. Early re-interventions were required in 31% of cases, mostly for local wound debridement.
🚀 TAKEAWAY: Demystifying a Life- and Limb-Saving Technique
Despite historical perceptions of technical complexity, obturator foramen bypass offers excellent long-term patency and infection-free durability. It remains an essential, reliable extra-anatomic revascularization strategy for severely hostile groins when managed in experienced centers.
Read the full Open Access article by Pascucci et al. online 👇
ejvesvascularforum.com/article/S2666-…
#EJVESforum #VascTwitter #VascularSurgery #GroinInfection #ExtraAnatomicBypass #ObturatorBypass #MedEd
@vascularis @bazinger_z @FLareyre @MariaKatsarou14 @NicLeoneMD @ESVSmembership @EVST_ESVSView quoted post on X
Coming to the end of my tenure as Editor-in-Chief of the #EJVESforum @EJVES_ESVS it has been occasionally challenging but always rewarding in many different ways...
Great teamwork with great results!
Great science is built on great teamwork! 🇷🇸🍻
An incredible couple of days in Belgrade at the 40th ESVS Annual Meeting with the #EJVESForum editorial team. From productive, forward-thinking strategy sessions around the board table during the day to well-earned beers and great conversations by night—it’s the shared passion that make this editorial team so special. We are also excited to officially announce the appointment of our new Editor-in-Chief @bazinger_z! 🚀
A new course is set for #EJVESForum following the path set by our current Editor-in-Chief @vascularis
Stay tuned for what’s coming next! 📖✨#ESVS2026 #EJVESForum #VascTwitter #VascularSurgery #AcademicPublishing #MedEd #Belgrade2026 #OpenAccess @FLareyre @NicLeoneMD @MariaKatsarou14 @ESVSmembership @EVST_ESVSView quoted post on X
Very good to meet up with various members of this group! 🇯🇵