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dc.contributor.authorBeirne, Christopher
dc.contributor.authorMartin, Fiachra
dc.contributor.authorHynes, Niamh
dc.contributor.authorSultan, Sherif
dc.date.accessioned2013-10-30T14:22:06Z
dc.date.available2013-10-30T14:22:06Z
dc.date.issued2008-07
dc.identifier.citationFive years' experience of transverse groin incision for femoral artery access in arterial reconstructive surgery: parallel observational longitudinal group comparison study., 16 (4):207-12 Vascularen_GB
dc.identifier.issn1708-5381
dc.identifier.pmid18845101
dc.identifier.urihttp://hdl.handle.net/10147/304781
dc.description.abstractVertical groin incisions (VGIs) have been used to access femoral vessels, but reports allude to wound complications. Our aim was to compare VGI with transverse groin incision (TGI) for femoral artery exposure. Over a 5-year interval, 196 patients with 284 femoral artery exposures for supra- and infrainguinal procedures were studied. Primary endpoints were surgical skin site wound infection, seroma, haematoma formation, and major lower limb amputation. Secondary endpoints were graft patency, wound paresthesias, and length of hospital stay. There were 160 TGIs and 124 VGIs. The demographics and risk factor profile were not statistically different between groups. Seroma developed in 4.4% of TGIs and 13.7% of VGIs (p= .005). The complicated skin and soft tissue infection rate was five times greater with VGI (p= .001). The VGI group had a significantly higher rate of major amputation (p= .0005). Significantly higher graft failure rates were observed in the VGI group (p= .011). No paresthesia was reported in any TGI wound. The mean hospital stay was also significantly shorter in the TGI group (p= .006). The study data support and expound on the theory that an alternative incision to VGI offers lower short- and long-term morbidity. Our findings sustain the selection of the TGI in femoral artery surgery for both supra- and infrainguinal procedures without compromise of vessel exposure.
dc.language.isoenen
dc.publisherVascularen_GB
dc.rightsArchived with thanks to Vascularen_GB
dc.subject.meshAged
dc.subject.meshAmputation
dc.subject.meshFemale
dc.subject.meshFemoral Artery
dc.subject.meshFollow-Up Studies
dc.subject.meshGroin
dc.subject.meshHematoma
dc.subject.meshHumans
dc.subject.meshLongitudinal Studies
dc.subject.meshMale
dc.subject.meshSeroma
dc.subject.meshSurgical Wound Infection
dc.subject.meshTreatment Outcome
dc.subject.meshVascular Surgical Procedures
dc.subject.meshWound Healing
dc.titleFive years' experience of transverse groin incision for femoral artery access in arterial reconstructive surgery: parallel observational longitudinal group comparison study.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Vascular and Endovascular Surgery, Western Vascular Institute, University College Hospital Galway, Galway, Ireland.en_GB
dc.identifier.journalVascularen_GB
dc.description.fundingNo fundingen
dc.description.provinceConnachten
dc.description.peer-reviewpeer-reviewen
html.description.abstractVertical groin incisions (VGIs) have been used to access femoral vessels, but reports allude to wound complications. Our aim was to compare VGI with transverse groin incision (TGI) for femoral artery exposure. Over a 5-year interval, 196 patients with 284 femoral artery exposures for supra- and infrainguinal procedures were studied. Primary endpoints were surgical skin site wound infection, seroma, haematoma formation, and major lower limb amputation. Secondary endpoints were graft patency, wound paresthesias, and length of hospital stay. There were 160 TGIs and 124 VGIs. The demographics and risk factor profile were not statistically different between groups. Seroma developed in 4.4% of TGIs and 13.7% of VGIs (p= .005). The complicated skin and soft tissue infection rate was five times greater with VGI (p= .001). The VGI group had a significantly higher rate of major amputation (p= .0005). Significantly higher graft failure rates were observed in the VGI group (p= .011). No paresthesia was reported in any TGI wound. The mean hospital stay was also significantly shorter in the TGI group (p= .006). The study data support and expound on the theory that an alternative incision to VGI offers lower short- and long-term morbidity. Our findings sustain the selection of the TGI in femoral artery surgery for both supra- and infrainguinal procedures without compromise of vessel exposure.


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