CORONARY BYPASS SURGERY IN DIABETIC PATIENTS: THE PROBLEM OF LEG WOUND HEALING AND ENDOSCOPIC SAPHENOUS VEIN PREPARATION AS A SOLUTION

Yıl 2025, Cilt: 7 Sayı: 2, 71 - 78, 31.07.2025

Bülent Meşe , Feragat Uygur

Öz

Objective: In this study, we aimed to compare the short-term wound healing results of the endoscopic vein preparation technique with the classical open vein preparation technique.
Study design: Between January 2020 and January 2024, 628 patients undergone multiple coronary bypass surgery were included the study.
Results: In this study 231 of whom underwent EVH and 399 of whom underwent OVH. In the EVH group M/F was 177/54, mean. Age was 61.06±10.2 years; range was 36-86 years, in OVH group M/F was 291/108, mean. age was: 62.4±9.57 years; range was 30 to 87 years.
DM rate was higher and statistically significant in the EVH group (p=0,040) There was no difference between the two groups in terms of wound infection.(p=0,278) Non
The rate of discharge with infection was 231/8 (3.5%) in the EVH group and 399/74 (18.5%) in the OVH group. (p<0,001). The rate of skin necrosis was 231/0(0%) in EVH and 399/49(12.3%) in OVH (p<0,001). Dehiscence rate was 231/4(1.7%) in EVH and 399/105(26.3%) in OVH (p<0,001). Revision frequency was 231/17(7.4%) in EVH and 399/103(25.8%) in OVH (p<0,001).
Conclusion: We consider EVH is one of the best solutions for the problem of leg wound healing in diabetic patients.
Keywords: Endoscopic vein removal, Coronary artery bypass graft surgery, classical Saphenous vein removal, leg wound infection, wound healing.

Anahtar Kelimeler

Endoscopic vein removal , Coronary artery bypass graft surgery , classical Saphenous vein removal , leg wound infection , wound healing.

DİYABETİK HASTALARDA KORONER BYPASS AMELİYATI: BACAK YARALARININ İYİLEŞMESİ SORUNU VE ÇÖZÜM OLARAK ENDOSKOPİK SAFEN VEN HAZIRLIĞI

Öz

Amaç: Bu çalışmada, endoskopik damar hazırlama tekniğinin kısa dönem yara iyileşme sonuçlarının klasik açık damar hazırlama tekniği ile karşılaştırılması amaçlanmıştır.
Çalışma tasarımı: Ocak 2020 ile Ocak 2024 tarihleri arasında, 628 hastaya çoklu koroner bypass cerrahisi uygulandı.
Sonuçlar: Bu çalışmada 231 hastaya EVH ve 399 hastaya OVH uygulandı. EVH grubunda M/K 177/54, ortalama. Yaş 61.06±10.2 yıl; aralık 36-86 yıl, OVH grubunda M/F 291/108, ortalama. yaş: 62.4±9.57 yıl; aralık: 30-87 yıl. EVH grubunda DM oranı daha yüksekti ve istatistiksel olarak anlamlıydı (p=0.040). Yara enfeksiyonu açısından iki grup arasında fark yoktu.(p=0,278) Non
Enfeksiyonla taburcu olma oranı EVH grubunda 231/8 (%3,5), OVH grubunda 399/74 (%18,5) idi. (p<0,001). Cilt nekrozu oranı EVH’de 231/0(0%) ve OVH’de 399/49(12.3%) idi (p<0,001). EVH’de açılma oranı 231/4(1.7%) ve açık cerrahide 399/105(26.3%) idi.

Anahtar Kelimeler

Endoskopik damar çıkarma , Koroner arter bypass greft cerrahisi , klasik Safen ven çıkarma , bacak yarası enfeksiyonu , yara iyileşmesi.

Etik Beyan

Bu çalışmada etik kurallara riayet etmede maksimum hassasiyet gösterildiğini ve aynı zamanda Helsinki Deklarasyonuna uygun davranıldığını beyan ederim.

Destekleyen Kurum

Yok

Teşekkür

Bu çalışmaya ayıracağınız vakit için şimdiden çok teşekkür eder saygılarımı sunarım.

Kaynakça

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