Related Experiment Video
Updated: Jan 31, 2026
08:12
Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
2.4K
Occurrence, Definition and Risk Factors Related to Groin Wound Complications Following Open Vascular Surgeries
Andreas L H Gerken1,2, Yuting Jiang2, Christel Weiß3
1Division of Vascular Surgery, Department of Surgery, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
International Wound Journal
|January 29, 2026
Summary
Surgical site complications (SSCs) after open femoral vessel access are frequent, with 21% being clinically relevant. Lymphatic leakage is a key factor, suggesting interventions should target reducing lymphatic morbidity.
Area of Science:
- Vascular Surgery
- Surgical Complications
- Wound Healing
Background:
- Open femoral vessel access is a common vascular surgery procedure.
- Surgical site complications (SSCs) are frequent following these interventions.
- A standardized definition and grading system for groin wound complications is needed.
Purpose of the Study:
- To evaluate the incidence of groin wound complications after open femoral vessel access.
- To identify potential risk factors for these complications.
- To apply a new standardized definition and grading of groin wound complications.
Main Methods:
- Retrospective analysis of 201 consecutive patients undergoing 219 vascular interventions requiring vertical groin incisions.
- Groin SSCs were defined and graded using a modified Clavien-Dindo classification.
- Univariable and multivariable logistic regression analyses were performed to identify risk factors.
Main Results:
- The incidence of clinically relevant SSCs (grade 2-4) was 21%.
- Drainage volume >70 mL/24h on postoperative day 4 independently predicted relevant SSCs (AUC=0.835).
- Lymphatic leakage was identified as the most significant, potentially preventable complication.
Conclusions:
- Groin wound complications are common after vascular procedures.
- Lymphatic leakage is a major contributor to relevant SSCs.
- Interventions should focus on reducing lymphatic morbidity to prevent complications.
Related Concept Videos
01:26Factors Affecting the Risk of Infection
13.5K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
13.5K
01:29Definite Integral
66
Consider a real-valued function defined on a closed interval. One of the fundamental objectives in calculus is to determine the area under the graph of such a function. When an exact computation is not readily available, this area can be estimated by dividing the interval into a finite number of equal subintervals. Each subinterval corresponds to a rectangle whose width is the length of the subinterval and whose height is determined by the value of the function at a selected point within that...
66
01:26Definition of z-Transform
1.6K
The z-transform is a powerful mathematical tool used in the analysis of discrete-time signals and systems. It is an essential analytical tool, analogous to the Laplace transform used in continuous-time systems. It plays a crucial role in the analysis of signals and systems, complementing the discrete-time Fourier transform. Both the z-transform and the Laplace transform convert differential or difference equations into algebraic equations, simplifying the process of solving complex problems.
1.6K
01:21Types of Reports II: Incident or Occurrence Report
1.3K
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
1.3K
01:24Hemodialysis II: Procedure and Complications
808
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
808
01:12Relative Risk
2.1K
Relative risk (RR) is a statistical measure commonly used in epidemiology to compare the likelihood of a particular event occurring between two groups. This metric is important for evaluating the relationship between exposure to a specific risk factor and the probability of a particular outcome. It plays a crucial role in medical research, public health studies, and risk assessment. Relative risk quantifies how much more (or less) likely an event is to occur in an exposed group compared to an...
2.1K