STUDY OF LEG WOUND COMPLICATIONS FOLLOWING SAPHENOUS VEIN HARVESTING FOR CORONARY ARTERY BYPASS GRAFTING – A PROSPECTIVE OBSERVATIONAL STUDY.
Dr. Penmetcha Lakshmi Chandravathi, Dr. Seelamsetty Kiran, Dr. Sree Chandana Thatikonda, Dr. Shruti B. Dewang*
ABSTRACT
Background: In India CABG operations are increasing in number. Keeping up to its pace, the leg wound complications following traditional vein harvesting techniques pose a real challenge for treating dermatologists. Aims: To know the incidence and prevalence of various dermatological manifestations after saphenous vein harvest for CABG. To know the predictors of saphenous vein harvesting leg wound complications after CABG. Methods: In our institution 640 CABG with saphenous vein harvesting surgeries were done. We have conducted a study on 80 post operative patients who attended our OPD with various dermatological problems and found out the incidence and prevalence of the most commonly observed dermatological conditions. Results: Our study included 80 patients which is 12.5% of total CABG with saphenous graft (640), 92.5 %(74) males and 7.5 %( 6) females with a mean age of 59.16±8.6 years. The commonly reported leg wound complications implicated after the saphenous vein harvesting for CABG include eczematous eruptions (30%), xerosis (27.5%), saphenous nerve neuropathy (12.5%), recurrent cellulitis (10%), hypertrophic scars (8.75%), chronic non healing ulcers (6.25%), lichenoid dermatitis (2.5%), hypohidrosis, bilateral persistent pedal edema, pretibial hair loss. Conclusions: These complications pose a great concern for patients in terms of morbidity which in turn has implication on cost of postoperative care of CABG patients and also on their quality of life. Early identification of patients at risk, and early administration of appropriate therapy will help in reducing the morbidity and thereby improving the quality of life among CABG patients.
Keywords: CABG, Saphenous vein harvest, Leg wound complications.
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