TY - JOUR
T1 - Preliminary experiences with early primary closure of foot wounds after lower extremity revascularization
AU - Barshes, Neal R.
AU - Bechara, Carlos F.
AU - Pisimisis, George
AU - Kougias, Panos
N1 - Copyright:
Copyright 2014 Elsevier B.V., All rights reserved.
PY - 2014/1
Y1 - 2014/1
N2 - 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.
AB - 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.
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U2 - 10.1016/j.avsg.2013.06.012
DO - 10.1016/j.avsg.2013.06.012
M3 - Article
C2 - 24189006
AN - SCOPUS:84890567923
SN - 0890-5096
VL - 28
SP - 48
EP - 52
JO - Annals of Vascular Surgery
JF - Annals of Vascular Surgery
IS - 1
ER -