Document Detail


Manifestation of cellulitis after saphenous venectomy for coronary bypass surgery.
MedLine Citation:
PMID:  12428833     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A few cases of onset of cellulitis after saphenous venectomy for coronary by-pass surgery were first reported by Baddour and Bisno in 1982. We reviewed the dinical characteristics of 31 subjects followed up in our department following onset of manifestations of cellulitis after saphenous venectomy for coronary by-pass surgery. In all the subjects the cellulitis originated at the scar of the saphenous venectomy, and most presented ill-defined, mildly erythematous, slightly oedematous lesions. Mycologically confirmed tinea pedis was found in 25 subjects. All the patients responded well to penicillins or cephalosporins. In this report we comment on the pathogenesis of this complication of saphenous venectomy based on the clinical features of the cases reviewed. We suggest that saphenous venectomy may destroy the lymphatics in the lower leg, that are located adjacent to the great saphenous vein, and thus microorganisms penetrating into the skin may easily cause cellulitis in areas with impaired lymphatic drainage.
Authors:
M Karakaş; M Baba; V L Aksungur; H R Memişoglu; E H Aksungur; Y G Denli; P Karakaş
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the European Academy of Dermatology and Venereology : JEADV     Volume:  16     ISSN:  0926-9959     ISO Abbreviation:  J Eur Acad Dermatol Venereol     Publication Date:  2002 Sep 
Date Detail:
Created Date:  2002-11-13     Completed Date:  2003-03-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9216037     Medline TA:  J Eur Acad Dermatol Venereol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  438-40     Citation Subset:  IM    
Affiliation:
cudermadana@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Cellulitis / drug therapy,  etiology*,  microbiology
Coronary Artery Bypass*
Female
Humans
Male
Middle Aged
Saphenous Vein / transplantation*
Surgical Wound Infection / drug therapy,  etiology*,  microbiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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