Do infected inguinal lymph nodes increase the incidence of postoperative groin wound infection?

Josephs, Leon G.; Cordts, Paul R.; DiEdwardo, Christine L.; LaMorte, Wayne W.; Menzoı́an, James O.

doi:10.1016/0741-5214(93)90678-f

Cited by 24 publications

(10 citation statements)

References 11 publications

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“…One study revealed that the presence of an open extremity lesion is a significant risk factor for developing of SWI (13). In our study, neither the presence of ischemic ulcer nor skin bacterial colonization was found to be a risk factor to SWI.…”

Section: Discussionmentioning

confidence: 41%

“…The angiography puncture site within the operation area was the third independent predictor of SWI in our study. Landreneau et al described an elevated incidence of postoperative wound complications in the groin area related to transfemoral arteriography (16) but this has not been confirmed in later studies (12,13).…”

Section: Discussionmentioning

confidence: 99%

“…One possible explanation for the high incidence of SWI in our study is the determination of SWI. Some studies (12,13) have defined a wound complication an infection only if there is a positive culture from the wound. We classified a wound complication as an infection if there were signs of infection even though the culture was negative.…”

Section: Discussionmentioning

confidence: 99%

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Surgical Wound Infections after Vascular Surgery: Prospective Multicenter Observational Study

et al. 2010

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Background and Aims: this multicenter prospective observational study defined the incidence and risk factors of surgical wound infections (Swi) after infrarenal aortic and lower limb vascular surgery procedures and evaluated the severity and costs of these infections.Methods: the study cohort comprised of 184 consecutive patients. postoperative complications were recorded. the additional costs attributable to Swi were calculated.Results: eighty-four (46%) patients had critical ischaemia, 81 (45%) patients underwent infrainguinal bypass surgery and 64 (35%) received vascular prosthesis or prosthetic patch. forty-nine (27%) patients developed Swi. Staphylococcus aureus was the leading pathogen cultured from the wound. forty-seven of the 49 infected wounds responded to and healed with the treatment. Swi was the cause of one major amputation. independent predictors for Swi were infrainguinal surgery (or 7.2, 95% cl 2.92-17.65, p < 0.001), obesity (or 6.1, 95% cl 2.44-15.16, p < 0.001) and arteriography injection site within the operative area (or 2.5, 95% cl 1.13-5.48, p = 0.02). the average cost attributable to Swi was 3320 €.Conclusion: the incidence of Swi after vascular surgery is high. the risk factors for Swi are infrainguinal surgery, obesity and arteriography injection site within the operative area. Swi increases morbidity and costs of operative treatment.

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Section: Discussionmentioning

confidence: 41%

Section: Discussionmentioning

confidence: 99%

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Surgical Wound Infections after Vascular Surgery: Prospective Multicenter Observational Study

et al. 2010

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“…The predictive values of diabetes and infra-inguinal surgery have also been demonstrated in other studies. 1,5,7,17 Likewise in a previous study, 1 redo surgery was found to be protective against SSI. The explanation for this surprising result might be that a vascular prosthesis was used more often as a graft at redo surgery, meaning that there were no long vein harvesting incisions.…”

Section: Discussionmentioning

confidence: 56%

The Impact of Surgical Wound Bacterial Colonization on the Incidence of Surgical Site Infection After Lower Limb Vascular Surgery: A Prospective Observational Study

Turtiainen

Hakala

Hakkarainen

et al. 2014

European Journal of Vascular and Endovascular Surgery

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“…Distal perfusion is clearly adequate, and in some cases, can predict healing of local amputations before angiography. Serious postbypass wound infections are more common in diabetic patients (23). Preoperative broad-spectrum antibiotic therapy should be initiated.…”

Section: Approaches To Diabetic Ischemiamentioning

confidence: 99%

Infrainguinal Reconstruction in Diabetes

DePalma

Talieh

1996

Diabetes

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Dramatic changes have occurred in the efficacy of infrainguinal reconstruction in diabetic patients. Enhanced limb salvage resulted from comprehensive understanding of patterns of macrovascular involvement, better perioperative control of sepsis and hyperglycemia, and advances in techniques for limb salvage. This report summarizes the applicability of recently evolving surgical techniques. Advances in pattern recognition have eliminated the misconception that microvascular involvement of the foot precludes successful reconstruction. A decreasing incidence of amputation in diabetic patients is currently seen. Interventions applicable to the usual patterns of diabetic macroangiopathy include femorodistal bypass to ankle or foot and popliteal distal bypass using autogenous vein usually in situ. In the absence of usable vein (a rare occurrence), the authors have observed intermediate patency using polytetrafluoroethylene to a vein cuff and anticoagulation. Initially, successful bypasses in diabetic and nondiabetic patients exhibit comparable longterm patency. Local toe or foot amputations are used more frequently to maintain bipedal gait. With careful management, a high rate of limb salvage is practical for nonsmoking, nonuremic diabetic patients.

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Do infected inguinal lymph nodes increase the incidence of postoperative groin wound infection?

Cited by 24 publications

References 11 publications

Surgical Wound Infections after Vascular Surgery: Prospective Multicenter Observational Study

Surgical Wound Infections after Vascular Surgery: Prospective Multicenter Observational Study

The Impact of Surgical Wound Bacterial Colonization on the Incidence of Surgical Site Infection After Lower Limb Vascular Surgery: A Prospective Observational Study

Infrainguinal Reconstruction in Diabetes

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