Comparative study of leg wound skin closure in coronary artery bypass graft operations.
AUTOR(ES)
Angelini, G D
RESUMO
A prospective randomised study of four different methods of leg wound skin closure after removal of the long saphenous vein was carried out in 113 patients undergoing coronary artery bypass grafting. These methods were: (1) continuous nylon vertical mattress suture (27 patients); (2) continuous subcuticular absorbable (Dexon) suture (29 patients); (3) metal skin staples (Autosuture) (27 patients); and (4) adhesive sutureless skin closure ("Op-site") (30 patients). All wounds were examined by two independent observers at five, 10, and 45 days after operation. At five days, inflammation, extent of oedema, discharge, and infection were assessed. At 10 days attention was paid to the state of wound healing and at 45 days to the final cosmetic appearance. The use of continuous subcuticular suture resulted in significantly less discharge than did the use of metal staples, nylon vertical mattress suture, or Op-site. The incidence of established wound infection was 4.5% overall, with no infection in the wounds closed with Dexon. Assessment of the healing process showed subcuticular Dexon to be more effective than metal staples or vertical mattress nylon suture. The final cosmetic result showed continuous subcuticular suture to be superior to nylon vertical mattress suture and skin staples but as effective as Op-site sutureless skin closure.
ACESSO AO ARTIGO
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=459958Documentos Relacionados
- Postoperative neuralgia in the leg after saphenous vein coronary artery bypass graft: a prospective study.
- Closure of postinfarction ventricular septal defect, left ventricular aneurysmectomy, and coronary artery bypass graft: Case report
- Diagnosis by ultrasound of severe carotid artery disease in patients undergoing cardiopulmonary bypass operations.
- Fifty Years of Coronary Artery Bypass Graft Surgery
- Syndecan-1 as a marker to predict acute kidney injury after isolated coronary artery bypass graft operations