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Wound Infections after Femoral Popliteal Bypass

Wound Infections after Femoral Popliteal Bypass


Editorial Wound Infections after Femoral Popliteal Bypass SAMUEL E. WILSON, M.D. T by Lee, et al, of risk factors for wound infection after infrainguinal bypass operations, rests on the senior author’s 20 year experience with a postoperative wound surveillance program [1,2]. The premise of the paper is that risk factors for infection would be derived from analysis of the almost 1,000 patients studied and that some of these risks are correctable. Because femoral popliteal bypass procedures are often elective operations, identification of risk factors for infection would help the surgeon in selection of patients and assessing for a possible adverse outcome. Further, since wound infection can lead to loss of the graft, negating the purpose of the operation and possibly worsening ischemia in the limb, a strong predictor of postoperative infection may temper the decision for elective operation for claudication. In an informal survey, I asked several of my colleagues what they estimated the wound infection rate after femoral popliteal bypass to be and the reply was consistently “approximately 5%.” While it is recognized that inguinal incisions have a higher infection rate in vascular surgery, compared with abdominal and neck incisions, it is generally unappreciated that it is
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