Article

Saphenous vein harvesting site dermatoses in eastern India.

Department Of Dermatology, Venereology, and Leprosy, R.G. Kar Medical College, Kolkata, India. .
Dermatology online journal 01/2009; 15(7):13. pp.13
Source: PubMed

ABSTRACT Coronary artery bypass grafting (CABG) has become a common surgical procedure. During this procedure, the greater saphenous vein is most often used as the conduit and the side effects of the leg vein harvesting include a variety of cutaneous changes. We report the cutaneous effects at the saphenous vein harvesting sites in 21 patients who underwent CABG.

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    ABSTRACT: Background. Cutting nerve during operations like saphenous vein grafting and knee joint surgery are common surgical procedures. Objective. To report cases of dermatitis at the site of neuropathy following skin incision for saphenous vein grafting and knee joint surgery. Patients and Methods. This case report work was done in the Department of Dermatology, Baghdad Teaching Hospital, during 2009-2010, seven cases were recorded, six following saphenous vein grafting and one case after knee surgery. Five males and two females, their ages ranged from 50 to 66 (58 ± 5.033223) years. Detailed history and full clinical examination were done for each patient regarding all points related to their conditions. Results. All cases presented around 2-3 months following the operation with dermatitis at the site of operational incision. The dermatitis appeared on one side of the operational scar and at area of neuropathy, and the rash did not cross to contralateral side. The dermatitis was well-defined plaque or patch erythematous slight scaly and nonitchy and subsided within few weeks with or without topical therapy. Conclusions. Neuropathy dermatitis is apparently a new variant of dermatitis that follows nerve cut during surgery.
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