A comparison of single-layer versus multi-layer closure of the leg wound following long saphenous vein harvest for coronary artery bypass graft surgery: a prospective randomised controlled trial - Journal of Mazandaran University of Medical Sciences
Volume 19, Number 74 (Jan 2010)                   J Mazandaran Univ Med Sci 2010, 19(74): 18-23 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Nouraei S, Masoumi S, Mohammad Pour Tahamtan R, Habibi M, Alamolhoda S. A comparison of single-layer versus multi-layer closure of the leg wound following long saphenous vein harvest for coronary artery bypass graft surgery: a prospective randomised controlled trial. J Mazandaran Univ Med Sci. 2010; 19 (74) :18-23
URL: http://jmums.mazums.ac.ir/article-1-596-en.html

Abstract:   (8995 Views)
Background and purpose: Cardiovascular diseases is the leading cause of death in the world. Over the last decades, open heart surgery reduced the mortality rate of these patients. The long saphenous vein is most commonly-used conduit in coronary artery bypass surgery. Complications associated with its harvest can lead to significant patient morbidity. We aimed to determine the optimal method of wound closure in these patients by comparing single-layer with multi-layer wound closure techniques.
Materials and methods: In a randomized controlled trial, eighty patients undergoing first-time elective coronary artery bypass were randomly divided into single-layer and multi-layer leg wound closure groups. In the first group, single-layer wound cloture technique, and in the second group, multiple-layer cloture technique was applied. Postoperative complications in both groups were analyzed using SPSS software (17) and descriptive statistical tests t-test and chi-square.
Results: The two groups were comparable in respect of age, weight, height, sex and BMI. There was a significantly higher incidence of haematoma formation in the multi-layer closure group (n=18) compared with the single-layer closure group (n=5) (p<0.001). There was also a significantly higher incidence of saphenous nerve neuralgia in the multi-layer closure group on the 14th postoperative day. The incidence of postoperative pain and wound infection was also lower in the single-layer wound closure group.
Conclusion: Single-layer leg wound closure following saphenous vein harvest for coronary artery bypass grafting is associated with fewer postoperative complications and does not impair postoperative wound-healing. We recommend its routine use in this clinical setting to prevent unwanted side effects such as wound infection and / or chronic pain and hematoma formation.
Full-Text [PDF 270 kb]   (1123 Downloads)    
Type of Study: Research(Original) |

Add your comments about this article : Your username or email:
Write the security code in the box

Send email to the article author


© 2015 All Rights Reserved | Journal of Mazandaran University of Medical Sciences

Designed & Developed by : Yektaweb