December 1979

Graft Infection or Graft Reaction?

Author Affiliations

From the Departments of Surgery (Drs Kaupp, Kremen, and Celani) and Pathology (Drs Matulewicz and Lattimer), Allentown and Sacred Heart Hospital Center, Allentown, Pa.

Arch Surg. 1979;114(12):1419-1422. doi:10.1001/archsurg.1979.01370360073009

• A perigraft reaction has been described that has been found to be free of infection, with a microscopic picture compatible to an immunologic-like reaction. Varied time intervals between onset of reaction and removal of tissue have allowed for a histopathologic staging. Note is made that four of the five grafts involved were external velour Dacron, with a question remaining as to whether the double velour stimulates an intensified hyperimmune response. Graft replacement by way of new uninvolved plains of tissue has not been necessary. Replacement with polytetrafluoroethylene through the same pathway resulted in prompt healing of wounds with no evidence of recurrent reaction.

(Arch Surg 114:1419-1422, 1979)