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January 1969

Revascularization of the Lower Extremity Through the Obturator Canal

Author Affiliations

Burlington, Vt
From the Department of Surgery, University of Vermont College of Medicine, and the Medical Center Hospital of Vermont, Burlington. Dr. Hegarty is presently with the Medical Associates, Chelmsford, Mass.

Arch Surg. 1969;98(1):35-38. doi:10.1001/archsurg.1969.01340070053007

Since the advent of vascular procedures, numerous methods have been devised to revascularize the extremity.1-7 This has been a significant problem in the case of major sepsis, tumors, and particularly following involvement of a previous grafting procedure by sepsis of the graft site.

Occasionally there is such extensive involvement of the groin and femoral bed that the usual routes of revascularization cannot be utilized.

Recently, we have treated a patient with extensive necrosis of the groin and spontaneous rupture of the femoral artery, and have found that the most simple and direct route of revascularization was through the obturator canal.

Report of a Case  A 59-year-old white man first noted enlargement of his left testicle in 1965. He was admitted to his local hospital in April 1966, with a history of enlargement of the left testicle over the past six months. Examination on admission revealed the upper portion of