Prophylactic Muscle Flaps in Vascular Surgery

Inclusion Criteria: * Open lower extremity arterial revascularization * Groin incision * "High-risk" patients based on risk calculation Exclusion Criteria: * Pregnant or breast-feeding * Any person with diagnosis of an active groin infection preoperatively * Incarcerated patients * Unstable patients going directly to the OR for whom the study consent process would delay care, and those who cannot give informed consent to participate in the research study will be excluded * If a surgeon feels that a patient should or should not receive a flap based on intra-operative or pre-operative characteristics, those patients will be excluded from the study * Prior to a scheduled groin intervention case a prior authorization will be sent to the participant's insurance company. If the groin flap is denied, which would be highly unusual, then the participant would be excluded from the study.