Abstract
A 75-year-old woman was referred to our department due to groin prosthetic graft infection. She was a hemodialysis patient and had undergone bilateral external iliac-superficial femoral bypass with Dacron graft in our department 4 years ago. Methicillin-resistant Staphylococcus aureus (MRSA) was isolated from the left groin. Bilateral grafts were patent and we chose graft preservation as management because of poor nutrition, lowered activity with dementia and heart disease. Debridement and direct wound closure was performed with initiation of Vancomycin therapy, but the wound did not heal. After culture from the wounds had become negative, we performed Sartorius myocutaneous flap coverage which was followed by the wound healing. This strategy is a plausible choice for graft preservation in the presence of groin prosthetic infection even in MRSA-positive patients.
