Vertical or Transverse Incisions for Access to the Femoral Artery: A Randomized Control Study

Evaluation of inguinal vascular surgical scars treated with closed incisional negative pressure wound therapy using three‐dimensional digital imaging—A randomized controlled trial on bilateral incisions

“…17 In the present study, only two (6.1%) of the 33 patients who had bilateral, longitudinal inguinal incisions reflecting the general attitude at this vascular center to avoid vertical incisions and their associated increased risk for wound complications. 38 Furthermore, despite the good-to-very good intra-rater reliability and moderate-to-good inter-rater reliability, and comparable ICC's in the present study, there is a level of uncertainty associated with scar assessment scales. This inaccuracy can influence the ability to detect minor changes.…”

“…Both factors can contribute to worse wound healing and increased scar formation . In the present study, only two (6.1%) of the 33 patients who had bilateral, longitudinal inguinal incisions reflecting the general attitude at this vascular center to avoid vertical incisions and their associated increased risk for wound complications …”

Reduction of groin wound complications in vascular surgery patients using closed incision negative pressure therapy (ciNPT): a prospective, randomised, single‐institution study

“…• several clinical studies and case reports show a reduction of surgical site infections (SSIs) in various wound types after using closed incision negative pressure therapy (ciNPT) • the aim of this prospective, randomised, single-institution study was to investigate the effectiveness of ciNPT compared to conventional therapy on groin incisions after vascular surgery • compared to the control group, ciNPT significantly reduced the incidence of incision complications and revision surgeries after vascular surgeries infections with prosthetic material involvement are described in up to 6% of cases (4,10). The relationship between SSIs and morbidity correlates with extended hospital stay, severe limb ischaemia, extremity loss, massive haemorrhage, systemic sepsis and septic embolisation (1,4,5). De spite increasing knowledge of systemic wound-healing factors and many surgical techniques (e.g., sloping groin cut, implantation of obturator and lateral femoral bypasses, use of antibiotic-coated prosthesis, rotation flaps, and fibrin glue), only systemic antibiotic therapy has yielded acceptable results (3)(4)(5)(6)11).…”

“…In accordance with international data, the incidence of SSIs after vascular surgery in the groin are 3–44%, and deep groin infections with prosthetic material involvement are described in up to 6% of cases . The relationship between SSIs and morbidity correlates with extended hospital stay, severe limb ischaemia, extremity loss, massive haemorrhage, systemic sepsis and septic embolisation .…”

Techniques in Endovascular Aneurysm Repair

“…The latter, meanwhile, is believed to have lower morbidity by some. In a prospective randomized trial of patients undergoing vascular procedures who had no prior surgeries in the index groins, Swinnen et al demonstrated a lower complication rate with transverse incisions (47.5% versus 12.7%, P < 0.001) [2]. There were 13 (11%) wound infections in 116 groins by postoperative day 28, with 3 in patients with transverse incisions and 10 in patients with vertical incisions ( P = 0.062).…”