Multicomponent strategy for optimized peri- and postoperative wound care after open revascularization for peripheral...

Area of Science:

• Vascular Surgery
• Wound Management
• Patient Outcomes

Background:

• Open infrainguinal surgical revascularization carries a high risk of surgical wound complications.
• Effective management strategies are crucial to mitigate these risks.

Purpose of the Study:

• To evaluate an optimized multicomponent surgical wound management strategy.
• The strategy included preoperative risk stratification, optimized perioperative wound closure and dressing, and postoperative edema control.

Main Methods:

• A pragmatic pre-post study compared patients before and after intervention at a tertiary vascular surgery center.
• Surgical wound complications were assessed during primary admission and within 60 days post-surgery.
• Logistic regression and propensity score weighting were used for analysis.

Main Results:

• Surgical wound complications decreased from 40.8% to 20.6% during primary admission (adjusted OR, 0.43).
• Length of stay was reduced by an average of 1.19 days in the postintervention group.
• No significant reduction in complications was observed within 60 days post-surgery (adjusted OR, 1.18).

Conclusions:

• Optimized peri- and postoperative wound management effectively reduced complications during initial hospitalization.
• The risk of serious surgical wound complications within 60 days post-discharge remained high.