Management of a severe soft-tissue infection after varicose vein surgery despite peripheral arterial occlusive disease

SummaryWe describe a 65-year-old male with severe soft tissue infection of both lower legs. He had infected ulcer after stripping of small saphenous vein in tumescent anaesthesia and excision of side branches, and was referred from a foreign clinic. Intraarterial angiography of the pelvic and legs vessels showed severe stenosis in the left deep femoral artery and a tandem stenosis of superficial artery. A hybrid procedure with intraoperative percutaneus angioplasty combined with femoral xenogenic patch as well as local wound treatment with negative pressure wound therapy and subsequent mesh graft transplantation were carried out. We observed complete healing of ulcers within four weeks.