Vascular

Preoperative administration of a cephalosporin decreases the incidence of postoperative surgical site infection after arterial reconstructive surgery on the abdominal aorta, vascular operations on the leg that include a groin incision, and amputation of the lower extremity for ischemia. Many experts also recommend prophylaxis for implantation of any vascular prosthetic material, such as grafts for vascular access in hemodialysis. Prophylaxis is not indicated for carotid endarterectomy or brachial artery repair without prosthetic material.