Saphenous vein harvest wound complications: risk factors, identification, prevention, and management

Siddiqi, Mohammad Salman

doi:10.2147/cwcmr.s82601

Cited by 15 publications

(18 citation statements)

References 44 publications

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“…The OVH technique has remained unchanged over the years. However, leg wound complications can be a major source of postoperative morbidity [11] . The best indication for EVH is the patients with increased risk for wound infection and in whom cosmetics is a major concern.…”

Section: Discussionmentioning

confidence: 99%

Effect of Endoscopic Versus Open Saphenous Vein Harvesting Technique on Leg Wound Complications

Mubarak¹

2020

Preprint

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Background: EVH has become prevalent in recent years due to its reduced morbidity and increased patient satisfaction. We designed and carried out a prospective study of patients undergoing CABG to compare outcomes of open versus endoscopic harvesting technique for great saphenous vein. Two groups of patients who underwent elective Coronary artery bypass grafting at our hospitals between January 2018 and October 2020 were included. Endoscopic vein harvesting group (50 patients) was performed endoscopic technique compared with Open Vein Harvesting group (50 patients) was performed open surgical incision for harvesting. Both groups were demographically similar and received identical management. Leg wound was evaluated at discharge, 2 weeks, and 4 weeks for evidence of complications. Early outcomes were compared included, infection, gaped wound and re-suture, pain, satisfied cosmetically and mobilization. Results: Endoscopic vein harvesting group had increased harvest time and decreased incision closure time when compared with Open Vein Harvesting. The average hospitalization time was 6.5 ± 2.2 days for Endoscopic vein harvesting group and 9.2 ± 2.9 days for Open Vein Harvesting group. In Endoscopic vein harvesting group, no significant hematomas were observed. In Open Vein Harvesting group, hematomas were detected in 2 patients and were surgically evacuated. In Endoscopic vein harvesting group, edema occurred less frequently. Infection of the incision location did not occur in Endoscopic vein harvesting group. Leg wound complications were significantly reduced in Endoscopic vein harvesting group in comparison with Open Vein Harvesting group. Conclusions: Endoscopic vein harvesting decreases leg wound complications and increases patient’s satisfaction cosmetically.

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Section: Discussionmentioning

confidence: 99%

Effect of Endoscopic Versus Open Saphenous Vein Harvesting Technique on Leg Wound Complications

Mubarak¹

2020

Preprint

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“…Leg wound complications can be a major source of postoperative morbidity [Siddiqi 2016]. The best indication for EVH is patients with increased risk for SSI and for whom cosmetics is a major concern.…”

Section: E608mentioning

confidence: 99%

Leg Wound Complications: A Comparison Between Endoscopic and Open Saphenous Vein Harvesting Techniques

Mubarak

Abdeljawad

2021

HSF

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Background: The most common conduit for coronary artery bypass graft (CABG) surgery is saphenous vein graft (SVG). There are two techniques for SVG harvesting: open and endoscopic. Our aim is to evaluate clinical results of endoscopic versus open SVG harvesting. Nowadays, endoscopic vein harvesting (EVH) has become prevalent because of reduced complications with more patient satisfaction. Objective: We designed and performed a prospective randomized cohort study of patients undergoing CABG to compare the results of open versus endoscopic harvesting technique. Methods: Patients who underwent elective CABG at our hospitals were divided into two groups, during the period of January 2019 to March 2021. The EVH group (50 patients) underwent endoscopic technique compared with the open vein harvesting (OVH) group (50 patients) that was underwent open surgical incision for great saphenous vein (GSV) harvesting. The two groups demographically were similar and received identical management. Leg wound was evaluated at discharge, two weeks, and four weeks for evidence of any complications. Early outcomes were recorded, including infection, gaped wound and surgical re-suture, degree of pain, level of cosmetic satisfaction, and early mobilization. Results: In the EVH group, harvesting time increased, and incision closure time decreased in comparison with OVH. The hospital stay was 5.5 ± 2.4 days in the EVH group versus 9.5 ± 2.7 days in the OVH group. Leg wound complications were significantly reduced in the EVH group in comparison with the OVH group. Conclusions: Endoscopic vein harvesting technique reduced leg wound complications. Conveniently, patients also were cosmetically satisfied.

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“…Diabetes Mellitus (DM) in patients undergoing cardiac surgery is identified as an independent risk factor associated with surgical site infections (SSIs) after cardiac surgery that has been operationally defined as an infection that arises after CABG surgery. It may only affect the superficial layers of an incision or may extend into deeper tissues that were handled during the CABG surgery [9,10,11,12,13,14,15]. Previous studies have suggested a link between poor glycemic control and adverse outcomes in diabetic patients undergoing CABG surgery, including increased SSI rates [16,17,18].…”

Section: Introductionmentioning

confidence: 99%

The effect of intraoperative glycemic control on surgical site infections among diabetic patients undergoing coronary artery bypass graft (CABG) surgery

Hweidi

Zytoon

Hayajneh

et al. 2021

Heliyon

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Perioperative poor glycemic control in diabetic patients undergoing Coronary Artery Bypass Graft (CABG) surgery has been associated with infectious complications, particularly surgical site infections that are linked with adverse health surgical outcomes. The purpose of this study was to investigate the effect of two different intraoperative glycemic control protocol, tight and conventional, on thirty-day postoperative surgical site infection (SSI) rates among diabetic patients undergoing CABG surgery. Design: A randomized controlled trial (RCT) design was employed in the study, with a convenience sample of 144 adult patients who were scheduled to undergo coronary artery bypass grafting surgery. Setting: A main referral heart institute in Amman, Jordan. Participants: Subjects were randomly assigned to either the tight glycemic control group (n ¼ 72), which maintained an intraoperative blood glucose level of 110-149 mg/dl via continuous intravenous insulin infusion, or the conventional glycemic control group (n ¼ 72), which maintained an intraoperative blood glucose level of 150-180 mg/dl via continuous intravenous insulin infusion. The postoperative SSIs among both groups were evaluated and compared by independent blinded physicians. Results: The primary findings of this study indicated no statistically significant difference between the two treatment groups in terms of SSI rates and their potential adverse surgical outcomes (p ¼ 0.512). Conclusion: Nurses should consider the glycemic stability and glycemic control approach to minimize adverse surgical outcomes post CABG surgery. Healthcare providers should also carefully consider diabetic patients who have undergone CABG surgery and are at risk of developing postoperative SSIs. Clinicaltrials.gov identifier: NCT04451655 was retrospectively registered in 30/06/2020.

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Saphenous vein harvest wound complications: risk factors, identification, prevention, and management

Cited by 15 publications

References 44 publications

Effect of Endoscopic Versus Open Saphenous Vein Harvesting Technique on Leg Wound Complications

Effect of Endoscopic Versus Open Saphenous Vein Harvesting Technique on Leg Wound Complications

Leg Wound Complications: A Comparison Between Endoscopic and Open Saphenous Vein Harvesting Techniques

The effect of intraoperative glycemic control on surgical site infections among diabetic patients undergoing coronary artery bypass graft (CABG) surgery

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