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Intraoperative findings of perigraft seroma. A gelatin-like large mass was detected after the longitudinal incision of the left groin. There were no signs of infection or bleeding. The upper side of the figure is the caudal side.
Source publication
A 76-year-old female developed progressive local groin bulging. She received regular hemodialysis using a left-thigh polytetrafluoroethylene arteriovenous graft in the loop configuration. Lower extremity enhanced computed tomography showed a large low-density area around the graft 18 months after its creation, and perigraft seroma (PS) was suspecte...
Context in source publication
Context 1
... data was within the normal range, 243 mg/dL of fibrinogen concentration. Under general anesthesia, a longitudinal surgical incision was made at the left groin. The PTFE graft just below the proximal anastomosis of the superficial femoral artery was exposed, and the complete resection and removal of a large gelatin-like mass were performed (Fig. 2). There were no signs of infection, bleeding, or obvious serous leakage from the anastomosis. Difficulties were associated with intraoperatively detecting the location of serous leakage at the PTFE graft. After irrigation with warm saline solution, the exposed PTFE graft, with a length of approximately 2 cm, was wrapped using the local ...
