[show abstract]
[hide abstract]
ABSTRACT: Background: We aimed to compare wound complications due to either supragenual or infragenual incisions insaphenous vein preparation with the technique of open surgery during coronary bypass surgery(CABG).Materialsand methods: Totally, 428 patients whose saphenous veins were prepared for their CABG operation wereenrolled in the study. They were randomized into Group A (n=232), infragenual incision applied, and also Group B(n=196), supragenual incision applied. Exclusion criteria were having peripheral vascular disease, being usedintra-aortic balloon pump, and being over seventy five years old or below forty years old, and also having bodymass index ≥30 kg/m2. Postoperatively; scoring of pain, grading of wound healing, infection, paresthesia andhematoma were performed. Data were analyzed statistically by using SPSS. 10.0 for Windows. Results: Of 428patients, fifteen developed ankle edema, 10 suffered delayed wound healing, 13 had paresthesia, 3 developedsuperficially wound infection and 2 had hematoma. Comparison of the pain scoring of two groups was notstatistically significant. (p>0.05) Rate of ankle edema was statistically different in two groups (12 in Group A, 3 inGroup B, p<0.05). Paresthesia in 13 patients also differed statistically (11 in Group A and 2 in Group B, p<0.05)Delayed wound healing developed in 10 patients was not statistically different (7 in Group A, 3 in Group B,p>0.05). Wound infection (2 in Group A, 1 in Group B, p>0.05) and hematoma (2 in only group B, p>0.05) werenot statistically different between two groups. Conclusion: During preparation of saphenous vein graft with opensurgical technique, local wound complications were encountered relatively more in infragenual incisions than thesupragenual incisions. Hence we care to prefer supragenual incision when short segment of graft is required inthe patient. (Anatol J Clin Investig 2008:2(2);70-73).
The Anatolian Journal of Clinical Investigation. 01/2008;
