Raised BMI is an independent risk factor for groin surgical site infections in patients undergoing varicose vein surgery

Yeung, Trevor M.; Cope, Alexandra; Whittome, N.; Lintott, Patrick

doi:10.1016/j.ajic.2007.08.002

Cited by 9 publications

(5 citation statements)

References 7 publications

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“…Several studies stated that patients with a higher BMI are more likely to develop surgical site infections and anatomic failures after groin surgery or RFA. 15,16 Hence it seems logical to have these patients lose some weight before proceeding to endovenous or surgical treatment of varicose veins. If the patient was on chronic anticoagulant treatment, participants often avoided performing phlebectomies.…”

Section: Discussionmentioning

confidence: 99%

Management Strategies for Patients with Varicose Veins (C2–C6): Results of a Worldwide Survey

Velden

Pichot

Bos

et al. 2015

European Journal of Vascular and Endovascular Surgery

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Section: Discussionmentioning

confidence: 99%

Management Strategies for Patients with Varicose Veins (C2–C6): Results of a Worldwide Survey

Velden

Pichot

Bos

et al. 2015

European Journal of Vascular and Endovascular Surgery

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“…Factors such as BMI 10 and occupation 11 are known risk factors for varicose veins and associated symptoms and also for subsequent complications from treatment, such as wound infection. 12 This highlights the necessity for accurate recording of population characteristics. Moreover, outcomes may vary hugely depending on CEAP grade.…”

Section: Discussionmentioning

confidence: 99%

Heterogeneity of Reporting Standards in Randomised Clinical Trials of Endovenous Interventions for Varicose Veins

Thakur

Shalhoub

Hill

et al. 2010

European Journal of Vascular and Endovascular Surgery

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“…Some studies have reported that overweight patients undergoing HLS have a higher rate of lymphatic complications and wound infections ( 13 – 14 ), and should be monitored closely in the perioperative period. Another study also demonstrated that moderate and severe obesity were associated with an increased incidence of postoperative complications and unplanned admissions in major ambulatory centers ( 13 – 15 ). Despite some evidence suggesting that increased weight can promote the incidence of lower limb varicose veins, there are few studies focusing on the effects of weight on patients after HLS in ambulatory centers.…”

Section: Introductionmentioning

confidence: 92%

The Effect of Body Mass Index on Outcome Following Ambulatory High Ligation and Stripping for Lower Varicose Veins: A Prospective Cohort Study

et al. 2022

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ObjectivesThe effects of body mass index (BMI) on the outcome of high ligation and stripping (HLS) in an ambulatory center remain unclear. This study aims to investigate the outcomes of HLS in an ambulatory center based on BMI in the Chinese population.DesignThis was a prospective cohort study with mid-term follow-up.Materials and Methods170 eligible patients were included in the study and the data of Clinical, Etiology, Anatomy, and Pathophysiology (CEAP) classification, Venous Clinical Severity Score (VCSS), Visual Analogue Score (VAS), Aberdeen Varicose Veins Questionnaire (AVVQ), Quality of Recovery (QoR-15), and postoperative complications at predetermined time points were collected.ResultsA total of 170 patients (236 limbs) with a mean age of 53.87 ± 9.96 years (range, 24–80 years) and a mean BMI of 23.86 ± 2.96 kg/m2 were included. Of the group, 50.6% were women, and 66 patients received bilateral procedures. Through curve fitting, a BMI less than 28 and a BMI of 28 or higher were found to have a negative [−0.1 (−0.3, 0.1) 0.296] and positive [0.7 (0.2, 1.2) 0.006] relationship trend, respectively, with the improvement of VCSS at 6 weeks after surgery. Through smooth curve fitting, BMI was shown to have a negative relationship trend on the improvement of VCSS at 6 months after surgery. After multivariable risk adjustment for potential confounding factors, BMI was not found to be associated with the improvement of VCSS and AVVQ at 6 weeks after surgery, as well as the improvement of AVVQ at 6 months after surgery (all p-values >0.05). Six months after surgery, BMI was shown to have a negative relationship trend on the improvement of VCSS, and obese patients showed lower VCSS improvement than patients of normal BMI [−1.3 (−1.9, −0.7) <0.0001]. Six weeks after surgery, postoperative complications such as paresthesia were found to be significantly higher in the obese group than in the non-obese group (p < 0.05). At 6 months after surgery, the obese group showed significantly higher complications of the legs compared with the normal BMI group (p < 0.05).ConclusionsOur results showed that obesity is a risk factor for prognosis and postoperative complications following ambulatory HLS.

show abstract

Raised BMI is an independent risk factor for groin surgical site infections in patients undergoing varicose vein surgery

Cited by 9 publications

References 7 publications

Management Strategies for Patients with Varicose Veins (C2–C6): Results of a Worldwide Survey

Management Strategies for Patients with Varicose Veins (C2–C6): Results of a Worldwide Survey

Heterogeneity of Reporting Standards in Randomised Clinical Trials of Endovenous Interventions for Varicose Veins

The Effect of Body Mass Index on Outcome Following Ambulatory High Ligation and Stripping for Lower Varicose Veins: A Prospective Cohort Study

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