| Prospective comparative study of single-layer versus double-layer closure of leg wounds after long saphenous vein harvest in coronary artery bypass graft operations. | |
| | |
MedLine Citation:
|
PMID: 22263084 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
INTRODUCTION: Wound infection is one of the major complication post CABG that leads to prolonged length of stay and cost post surgery. Coronary artery bypass grafting is one of the most commonly performed operations in the world. The long saphenous vein harvested by traditional techniques is still widely used and caries a risk of wound infection. OBJECTIVE: The purpose of this study is to ascertain if a single-layer closure result in better wound healing and functional outcome as compared with the traditional two-layer closure after harvest of saphenous vein. METHODS: Sixty-seven consecutive patients undergoing CABG were prospectively randomized to have their leg wound closed by either a single-layer technique with a suction drain or double layers without suction drain. All wounds were assessed for the presence of serous discharge, inflammation, edema, purulent exudates, infection of the deep tissues, and pain postoperatively and two weeks after discharge. RESULTS: There were trends towards increased rates of wound related outcomes in patients in double layer group when compared with single layer group. Out of 77 patients in our study, 52 patients underwent single layer closure (males, n = 37; females, n= 15) and 25 patients underwent double layer closure (males, n = 21; females, n = 04). There was significant statistical difference between the treatment groups with single layer group having lower average scores (4.038) compared to double layer group (9.467), P- value 0.001. Patients whose legs were closed with the single layer technique had less post operative edema (23.07% vs 53.30) and pain (44.2 vs 73.33) compared with the double layer group. CONCLUSIONS: Single-layer leg wound closure over a suction drain has shown a better wound outcome compared to traditional double-layer closure. A possible mechanism of better wound healing in the former technique might be through decreased tissue handling and a reduction in leg edema. |
| | |
Authors:
|
Mohammad Salman Siddiqi; Hilal Al Sabti; Mirdavron Mukaddirov; Ashok Kumar Sharma |
Related Documents
:
|
17710504 - The outcome of laparoscopic heller myotomy for achalasia is not influenced by the degre... 15145014 - Long-term results and quality of life after surgery for oesophageal achalasia: one surg... 15046204 - Impact of endoscopic suturing of the gastroesophageal junction on lower esophageal sphi... 21765374 - Evaluation of microincision vitrectomy wounds made with microvitreoretinal blade or bev... 18726154 - Synbiotics decrease the incidence of septic complications in patients with severe sirs:... 19854794 - In patients undergoing thoracic surgery is paravertebral block as effective as epidural... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of thoracic disease Volume: 3 ISSN: 2077-6624 ISO Abbreviation: J Thorac Dis Publication Date: 2011 Sep |
Date Detail:
|
Created Date: 2012-01-20 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101533916 Medline TA: J Thorac Dis Country: China |
Other Details:
|
Languages: eng Pagination: 171-6 Citation Subset: - |
Affiliation:
|
Department of Surgery, Cardiothoracic Surgery Division, Sultan Qaboos University Hospital, Alkhoud, Oman. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Effect of intersubject variability of extrathoracic morphometry, lung airways dimensions and respira...
Next Document: Prevalence of chronic obstructive pulmonary disease among stable chronic disease subjects in primary...