Femoral Triangle Sepsis in Dialysis Patients

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Abstract
Prosthetic devices for dialysis access sometimes must be implanted in the groin. Infections are frequent there and when they occur their management is influenced by the patients'' need for continued dialysis and often by the presence of concomitant diseases. Implantation of 161 dialysis access devices of various types, all utilizing the femoral vessels, is reported. Femoral triangle injections (27) eventually occurred. Approaches to their treatment and outcome were influenced by mode of presentation, localized infection being most favorable and fever without localized signs least. The compromise surgical procedures made necessary by the patients'' precarious medical status were successful in most instances but overall mortality was 18% and the amputation rate 22%.