Abstract The obturator bypass, described in the 1960s, offers an extra-anatomic bypass through the obturator foramen, avoiding the infected groin. This study analyzes a series of three obturator bypasses done in our institution between October 2024 and March 2025. Clinical data and operative details, conduit choice, and early outcomes – including adverse limb events – were reviewed. Two patients underwent aortopopliteal bypass; one underwent aortosuperficial femoral artery bypass. Dacron conduits were used. Two patients had limb salvage and graft patency at 1 month with palpable pedal pulses with no graft-related complications. Another patient died in the early postoperative period due to a cardiac event. One patient experienced an adverse limb outcome leading to mortality on postoperative day 57. Obturator bypass provides a useful extra-anatomic route for revascularization in patients with infected groin wounds, offering acceptable early outcomes. However, close postoperative surveillance is essential, as adverse limb outcomes can occur despite technically successful revascularization.
Ilayakumar et al. (Wed,) studied this question.
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