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To the Editor.—I read with great interest the letter by David Pecora, MD, on an improved femoral incision for arterial bypass (Archives 1981;115:1242).
I entirely agree that this is an area where special precautions are necessary to prevent wound infections after the performance of arterial surgery. However, I would not feel happy using Dr Pecora's proposed incision, as this would make access to the long saphenous vein impossible without elevating an extensive medial flap. I have, therefore, continued to use a vertical incision directly over the femoral artery through which both the artery and the long saphenous vein can be reached satisfactorily.
SINGER A. Femoral Incision for Arterial Bypass. Arch Surg. 1981;116(5):729. doi:10.1001/archsurg.1981.01380170199035