Preliminary experiences with early primary closure of foot wounds after lower extremity revascularization

Neal R. Barshes, Carlos F. Bechara, George Pisimisis, Panos Kougias

Research output: Contribution to journalArticle

7 Scopus citations


Background The costs associated with local wound care after revascularization can be significant, and it has been suggested that early closure or healing of foot wounds can be a source of cost savings. We sought to determine the safety and effectiveness of attempts to primarily close chronic foot wounds early after revascularization. Methods We performed a single-center 1-year review of patients who underwent primary wound closure during the same hospitalization as revascularization. Results Seven patients underwent an attempt at early primary wound closure. Most (71%) were diabetic. The wounds were primarily closed at a median of 6 days after revascularization (range 3-8 days). The limb-salvage rate at 6 months was 86%. Four patients remained completely healed with primary closure. One healed secondarily with wound care, and 2 required major amputation. Wound-closure techniques included the use of toe/forefoot amputations, skin grafting, and local flaps. Conclusions Early primary closure after revascularization may be a safe technique to consider for carefully selected foot wounds without ongoing soft tissue infection.

Original languageEnglish (US)
Pages (from-to)48-52
Number of pages5
JournalAnnals of Vascular Surgery
Issue number1
StatePublished - Jan 2014

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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