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The Journal of Thoracic and Cardiovascular Surgery, Vol 98, 147-149, Copyright © 1989 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
JR Utley, ME Thomason, DJ Wallace, DW Mutch, L Staton, V Brown, CM Wilde and MS Bell
Although major wound complications after saphenous vein excision are
infrequent, we have found broadly defined impairment in leg wound healing
to be relatively common. Wound healing impairment is defined in this study
as inflammation, separation, cellulitis, lymphangitis, drainage, necrosis,
or abscess necessitating dressing, antibiotics, or debridement before wound
healing with complete epithelialization without eschar. Healing was
impaired in 245 of 1047 patients (24.3%). Significant correlations were
found between impaired wound healing and female sex (p less than 0.005),
body mass index (obesity) (p less than 0.005), diabetes mellitus (p less
than 0.005), left ventricular end- diastolic pressure greater than 15 mm Hg
(p = 0.0074), arterial occlusive disease of the legs (p = 0.0124), and
preoperative hematocrit value (p = 0.0491).
ARTICLES
Preoperative correlates of impaired wound healing after saphenous vein excision
Division of Cardiac Surgery, Spartanburg Regional Medical Center, S.C.
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