Saphenous vein harvest wound complications: risk factors, identification, prevention, and management

Mohammad Salman Siddiqi Cardiothoracic Surgery Division, Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman Abstract: Coronary artery bypass grafting is a commonly performed surgery worldwide that gives good results. Great saphenous vein is used as a conduit for bypass i...

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Main Author: Siddiqi MS
Format: Article
Language:English
Published: Dove Medical Press 2016-11-01
Series:Chronic Wound Care Management and Research
Subjects:
Online Access:https://www.dovepress.com/saphenous-vein-harvest-wound-complications-risk-factors-identification-peer-reviewed-article-CWCMR
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author Siddiqi MS
author_facet Siddiqi MS
author_sort Siddiqi MS
collection DOAJ
description Mohammad Salman Siddiqi Cardiothoracic Surgery Division, Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman Abstract: Coronary artery bypass grafting is a commonly performed surgery worldwide that gives good results. Great saphenous vein is used as a conduit for bypass in over 95% cases. The harvesting technique has remained unchanged over the years. However, wound complications from harvesting the great saphenous vein by open method can be a major source of postoperative morbidity. With the objective of preventing major complications, identification of risk factors for saphenous vein harvest site infection is important. It is imperative to develop approaches that prevent infection and to allow for early recognition of patients who are at high risk and who may need more watchful monitoring so as to prevent development of wound complications. It is desirable to assess the patient completely, delineate the anatomy of peripheral vessels particularly in a patient with associated peripheral vascular disease, identify the best site to perform the saphenous vein harvest incision, employ a meticulous surgical technique, recognize complications early, and start the recommended treatment without delay. The aim of this paper is to identify the risk factors for saphenous vein harvest site complications and their identification, prevention, and management. Keywords: saphenous vein harvest, wound complication, coronary artery bypass grafting, risk factors, surgical site infection, endo vein harvesting
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spelling doaj.art-b0800ccc040c4054ab79d334436497122022-12-22T00:20:50ZengDove Medical PressChronic Wound Care Management and Research2324-481X2016-11-01Volume 314715630012Saphenous vein harvest wound complications: risk factors, identification, prevention, and managementSiddiqi MSMohammad Salman Siddiqi Cardiothoracic Surgery Division, Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman Abstract: Coronary artery bypass grafting is a commonly performed surgery worldwide that gives good results. Great saphenous vein is used as a conduit for bypass in over 95% cases. The harvesting technique has remained unchanged over the years. However, wound complications from harvesting the great saphenous vein by open method can be a major source of postoperative morbidity. With the objective of preventing major complications, identification of risk factors for saphenous vein harvest site infection is important. It is imperative to develop approaches that prevent infection and to allow for early recognition of patients who are at high risk and who may need more watchful monitoring so as to prevent development of wound complications. It is desirable to assess the patient completely, delineate the anatomy of peripheral vessels particularly in a patient with associated peripheral vascular disease, identify the best site to perform the saphenous vein harvest incision, employ a meticulous surgical technique, recognize complications early, and start the recommended treatment without delay. The aim of this paper is to identify the risk factors for saphenous vein harvest site complications and their identification, prevention, and management. Keywords: saphenous vein harvest, wound complication, coronary artery bypass grafting, risk factors, surgical site infection, endo vein harvestinghttps://www.dovepress.com/saphenous-vein-harvest-wound-complications-risk-factors-identification-peer-reviewed-article-CWCMRSaphenous vein harvestwound complicationcoronary artery bypass graftingrisk factorssurgical site infection
spellingShingle Siddiqi MS
Saphenous vein harvest wound complications: risk factors, identification, prevention, and management
Chronic Wound Care Management and Research
Saphenous vein harvest
wound complication
coronary artery bypass grafting
risk factors
surgical site infection
title Saphenous vein harvest wound complications: risk factors, identification, prevention, and management
title_full Saphenous vein harvest wound complications: risk factors, identification, prevention, and management
title_fullStr Saphenous vein harvest wound complications: risk factors, identification, prevention, and management
title_full_unstemmed Saphenous vein harvest wound complications: risk factors, identification, prevention, and management
title_short Saphenous vein harvest wound complications: risk factors, identification, prevention, and management
title_sort saphenous vein harvest wound complications risk factors identification prevention and management
topic Saphenous vein harvest
wound complication
coronary artery bypass grafting
risk factors
surgical site infection
url https://www.dovepress.com/saphenous-vein-harvest-wound-complications-risk-factors-identification-peer-reviewed-article-CWCMR
work_keys_str_mv AT siddiqims saphenousveinharvestwoundcomplicationsriskfactorsidentificationpreventionandmanagement