ArticleAnnals of vascular diseases2026
Preceding Wound Complications as Drivers of Surgical Site Infection after Bypass for Chronic Limb-Threatening Ischemia.
Article in Annals of vascular diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objectives: Surgical site infection (SSI) remains a serious complication following bypass surgery for chronic limb-threatening ischemia (CLTI). This study aimed to characterize wound complications (WCs) preceding SSI and to identify predictors of SSI in a Japanese CLTI cohort with a high prevalence of dialysis. Methods: A single-center retrospective study was conducted in patients undergoing infra-inguinal bypass with saphenous vein grafts (2012-2021). WCs and subsequent SSI within 3 months were evaluated. Predictors of SSI were examined using the Mann-Whitney U test for continuous variables and the χ Results: Among 148 patients, the incidence of SSI was 8.7% (n = 13). Preceding WCs included lymphorrhea/lymphocele (n = 7), hematoma (n = 4), and edema (n = 2). Hematoma had the highest conversion rate to SSI (25.0%). Conclusions: SSI following bypass surgery in CLTI predominantly arises from preceding WCs, characterized by edema or inadequate drainage of blood or lymph. Targeted management to prevent these preceding WCs may be a crucial strategy to reduce SSI.
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