Ploeg Arianne J, Lardenoye Jan-Willem P, Peeters Mark-Paul F M Vrancken, Hamming Jaap F, Breslau Paul J
Haga Hospital, Department of Vascular Surgery, The Hague, the Netherlands.
Am J Surg. 2009 Jun;197(6):747-51. doi: 10.1016/j.amjsurg.2008.04.014. Epub 2008 Oct 17.
The groin incision after arterial reconstructive surgery is most likely at risk for infectious or lymphatic wound complications. Theoretically; sparing lymphatic tissue by a lateral approach to the femoral artery should minimize these. The aim of this study was to assess the incidence of wound complications after the lateral versus the direct approach of the common femoral artery.
The study population included all patients who underwent an exploration of the common femoral artery between May 2002 and December 2005.
After 6 weeks, no statistical differences in the occurrence of wound complications could be shown. A wound infection was present after 6 weeks in 6.1% in the direct group versus 6.0% in the lateral group. Lymphorrhea was persistent in 3.1% in the direct group versus 5.0% in the lateral group.
Using a lateral vertical incision for the approach of the common femoral artery did not decrease the incidence of postoperative wound complications.
动脉重建手术后腹股沟切口最有可能出现感染或淋巴性伤口并发症。从理论上讲，采用股动脉外侧入路保留淋巴组织应能将这些并发症降至最低。本研究的目的是评估股总动脉外侧入路与直接入路术后伤口并发症的发生率。
研究人群包括2002年5月至2005年12月期间所有接受股总动脉探查的患者。
6周后，伤口并发症的发生率无统计学差异。直接入路组6周后伤口感染率为6.1%，外侧入路组为6.0%。直接入路组淋巴漏持续率为3.1%，外侧入路组为5.0%。
采用股总动脉外侧垂直切口并不能降低术后伤口并发症的发生率。
