Surgical Site Infections (SSI) after Lower Limb Varicose Vein Surgery: Redo Surgery Doubles the Risk of SSI

Ambrogi, Vanina; Bossavy, Jean-Pierre; Venier, Anne-Gaëlle; Jarno, P.; Aupée, Martine; Perennec-Olivier, Marion; Parneix, Pierre; Malavaud, S.

doi:10.1016/j.avsg.2015.11.001

Cited by 2 publications

(2 citation statements)

References 7 publications

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“…6,7 Notwithstanding these progressions, abundance of comprehensive data contrasting the rates of postoperative wound infection in varicose veins between UMA and conventional surgery is lacking. 8,9 Infections of wounds affect not only the recuperation and satisfaction of patients but also the allocation of healthcare resources and costs. Consequently, it is critical to evaluate and compare rates of wound infection following the procedure in order to ascertain the overall effectiveness and safety of these treatments.…”

Section: Introductionmentioning

confidence: 99%

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Assessing postoperative wound infection rates in ultrasound‐guided microwave ablation versus conventional surgery for varicose veins

Wu,

Lu,

Cheng

et al. 2023

International Wound Journal

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Varicose veins are the prevalent vascular disorder that has conventionally been managed via risky postoperative wound infections and conventional surgery. While ultrasound‐guided microwave ablation (UMA) has gained attention as a minimally invasive alternative, there is still a lack of research examining its comparative effectiveness. A prospective comparative investigation was undertaken in the Zhejiang region of China from January to November 2023, involving 140 patients who had received the diagnosis of primary varicose veins. An equal number of 70 patients underwent UMA and conventional surgery. Exclusion criteria for the study encompassed adult patients aged 18–65, with the exception of those who had undergone prior venous surgery, deep vein thrombosis or peripheral arterial disease. The demographical characteristics, procedural details and complication profiles of patients who developed postoperative wound infections within 30 days were analysed statistically. The outcomes demonstrated that postoperative wound infections were significantly diminished (5.7%) with UMA in comparison to conventional surgery (17.1%). In addition, the average duration of procedures and length of hospital stay for UMA patients were both reduced, although neither of these differences was found to be statistically significant (p > 0.05). Infection management, age and gender distribution of varicose veins were comparable between the two groups (p > 0.05). A significant inverse correlation was observed between the severity of varicose veins and postoperative outcomes, as determined by the regression analysis (p < 0.05). Using UMA to treat varicose veins showed promise as an alternative to conventional surgery, specifically in minimizing the incidence of postoperative wound infections. Additional research and clinical consideration are needed regarding the potential transition toward minimally invasive techniques in treatment of varicose veins, as suggested by these results.

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Section: Introductionmentioning

confidence: 99%

“…Notwithstanding these progressions, abundance of comprehensive data contrasting the rates of postoperative wound infection in varicose veins between UMA and conventional surgery is lacking 8,9 . Infections of wounds affect not only the recuperation and satisfaction of patients but also the allocation of healthcare resources and costs.…”

Section: Introductionmentioning

confidence: 99%

Assessing postoperative wound infection rates in ultrasound‐guided microwave ablation versus conventional surgery for varicose veins

Wu,

Lu,

Cheng

et al. 2023

International Wound Journal

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Offene Varizenchirurgie – wann ambulant, wann stationär?

Frings¹,

Rass²,

Bruning³

et al. 2020

Phlebologie

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Zusammenfassung Hintergrund Die offene Varizenchirurgie kann sowohl in einem ambulanten als auch in einem stationären Setting durchgeführt werden. Aktuelle Leitlinien zur Therapie der Varikose nehmen zu der Frage, welche Patienten ambulant und welche stationäre zu operieren sind, nicht Stellung. Fragestellung Erarbeitung von Kriterienkatalogen zur Frage einer ambulanten oder stationären Varizenoperation. Material und Methode PubMed-Recherche zur Fragestellung und basierend auf den Literaturdaten Erarbeitung eines Delphi-Konsensus der Autoren. Ergebnisse Zur Frage, ob eine Varizenchirurgie ambulant oder stationär durchgeführt werden kann, existieren lediglich 2 monozentrische retrospektive Analysen sowie eine Registerstudie. In diesen Studien werden ambulante Operationen im Wesentlichen bei Patienten mit Normalgewicht und ASA-Stadium 1 durchgeführt. Gut geeignete Lokalbefunde für eine ambulante Operation sind Primäreingriffe und ein geringeres C-Stadium der CEAP-Klassifikation. Für eine stationäre Varizenoperation sprechen ausgedehnte Befunde, bei denen mehr als eine Crosse saniert werden muss, Rezidiveingriffe in der Leiste oder der Kniekehle, vorangegangene thromboembolische Ereignisse, eine erhöhte Blutungsneigung aufgrund monströser Varizen oder einer Antikoagulation, Hautkomplikationen wie ein Ulcus cruris oder eine schwere Stauungsdermatitis bzw. Dermatosklerose sowie ein BMI über 30 bei Crossektomie. Schlussfolgerungen Basierend auf Literaturdaten und Expertenmeinungen konnten Kriterienkataloge für eine ambulante versus stationäre offene Varizenchirurgie erarbeitet werden.

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Surgical Site Infections (SSI) after Lower Limb Varicose Vein Surgery: Redo Surgery Doubles the Risk of SSI

Cited by 2 publications

References 7 publications

Assessing postoperative wound infection rates in ultrasound‐guided microwave ablation versus conventional surgery for varicose veins

Assessing postoperative wound infection rates in ultrasound‐guided microwave ablation versus conventional surgery for varicose veins

Offene Varizenchirurgie – wann ambulant, wann stationär?

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