Abstract：
BACKGROUND:To look at wound complications with either a transverse or vertical groin incision in vascular surgery. METHODS:All patients undergoing vascular procedure requiring access to femoral vessels were randomized to either a vertical or transverse incision. Patients were followed up for 28 days after the procedure and examined for wound infection, wound breakdown, development of lymphatic leak and lymphatic collection. RESULTS:88 patients (116 groins) were randomised to either incision. Of these, 55 groins had transverse incisions and the remaining had vertical incisions. There was no significant difference in the patient's age, sex, smoking, diabetes, operative times and use of prosthetic material. 29/61 (47.5%) of vertical incisions and 7/55 (12.7%) of transverse incisions had wound complications (p<0.001). There were 13(11%) wound infections in the 116 groins by day 28. There were 3 wound infections in the transverse group and 10 infections in the vertical group (p=0.062). There were 17 (27.9%) lymphatic leaks in the vertical incisions compared to 7(12.7%) in the transverse incisions (p=0.044). The majority of infections were diagnosed after patient discharge from hospital. CONCLUSION:Wound complications are higher with vertical incision. Many infections are diagnosed after patient discharge. We recommend transverse incisions for access to the femoral vessels in the groin.
journal_name
Ann Vasc Surgjournal_title
Annals of vascular surgeryauthors
Swinnen J,Chao A,Tiwari A,Crozier J,Vicaretti M,Fletcher Jdoi
10.1016/j.avsg.2009.07.020subject
Has Abstractpub_date
2010-04-01 00:00:00pages
336-41issue
3eissn
0890-5096issn
1615-5947pii
S0890-5096(09)00174-5journal_volume
24pub_type
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