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Jan L. Svennevig - One of the best experts on this subject based on the ideXlab platform.
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Leg wound closure after saphenous vein harvesting in patients undergoing coronary artery bypass grafting: a prospective randomized study comparing Intracutaneous, transcutaneous and zipper techniques.
Scandinavian Cardiovascular Journal, 2002Co-Authors: Ivar Risnes, Michael Abdelnoor, Runar Lundblad, Svein Tore Baksaas, Jan L. SvennevigAbstract:Objective : Two prospective randomized studies were undertaken to compare different suture closure techniques with respect to postoperative wound infection rates and cosmetic results after saphenous vein harvesting in patients undergoing coronary artery bypass surgery. Design : A total of 166 patients were included in the first study, in which 85 had their leg wounds closed with transcutaneous and 81 with Intracutaneous suture. In the second study, 168 patients were selected to a non-invasive surgical zipper ( n = 78) or Intracutaneous suture ( n = 90). Results : In the first study the overall infection rate was 20.5%, 17.6% in the transcutaneous group compared with 23.5% in the Intracutaneous group ( p = 0.35). In the second study the infection rate was 19.3%, 15.3% in the zipper group vs 23.3% in the Intracutaneous group ( p = 0.20). On a cosmetic scale from 1 to 10, an average score of 8.0 was obtained in the percutaneous (p.c.) group vs 8.3 in the Intracutaneous (i.c.) group ( p = 0.35), and 9.0 in th...
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Sternal wound closure in patients undergoing open-heart surgery: a prospective randomized study comparing Intracutaneous and zipper techniques.
European Journal of Cardio-Thoracic Surgery, 2002Co-Authors: Ivar Risnes, Michael Abdelnoor, Runar Lundblad, Svein Tore Baksaas, Jan L. SvennevigAbstract:Objective: A prospective, randomized study was undertaken to compare a non-invasive surgical zipper to Intracutaneous suture closure in open-heart surgery with respect to postoperative wound infection rate and cosmetic results. Methods: A total number of 300 patients were included in the study, of which 150 had their skin wound closed with zipper and 150 with Intracutaneous suture. The end-points were superficial and deep sternal wound infections within 6 weeks postoperatively. Results: The incidence of total infection after 6 weeks was equal in the two groups (6.7 vs. 6.7%) (P ¼ 0:94). The superficial infection rate was 5.3% in the zipper group vs. 6.0% in the Intracutaneous, and the deep infection rate was 1.4% in the zipper group and 0.7% in the Intracutaneous. There was no statistically significant difference between the groups. Only the cosmetic result differed. On a visual scale from 1 (poorest) to 10 (best), an average score of 8.2 was obtained in the Intracutaneous group versus 8.9 in the zipper group (P , 0:01). Conclusion: The wound infection rate was equal for the Intracutaneous group compared with the zipper group; however, the cosmetic result was judged better by the patients in the zipper group. q 2002 Elsevier Science B.V. All rights reserved.
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sternal wound infections in patients undergoing open heart surgery randomized study comparing Intracutaneous and transcutaneous suture techniques
The Annals of Thoracic Surgery, 2001Co-Authors: Ivar Risnes, Runar Lundblad, Svein Tore Baksaas, Michel Abdelnoor, Jan L. SvennevigAbstract:Abstract Background . Intracutaneous suture technique has been our standard method for closing sternal wounds in cardiac surgery, mainly for cosmetic reasons. However, an increased rate of postoperative infections has been reported in cosmetic surgery with this method compared with the percutanous or transcutaneous closure technique. A comparison of these two techniques in cardiac surgery is presented. Methods . In a randomized study, 300 patients were selected to Intracutaneous suture (n = 150) or percutanous suture (n = 150). The endpoints were superficial and deep sternal wound infections within 6 weeks postoperatively. Results . The total infection rate was lower in the percutanous group compared with the Intracutaneous group (3% versus 8%) ( p = 0.007). The superficial infection rate was lower in the percutaneous group (2.3% versus 6.7%) ( p = 0.01), whereas there was no statistically significant difference in the deep infection rate between the groups. Conclusions . The percutaneous suture technique reduces the incidence of superficial wound infections, but not the deep infection rate in open heart surgery. There was no difference in the cosmetic results on a visual scale, assessed by the patients.
Ivar Risnes - One of the best experts on this subject based on the ideXlab platform.
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Leg wound closure after saphenous vein harvesting in patients undergoing coronary artery bypass grafting: a prospective randomized study comparing Intracutaneous, transcutaneous and zipper techniques.
Scandinavian Cardiovascular Journal, 2002Co-Authors: Ivar Risnes, Michael Abdelnoor, Runar Lundblad, Svein Tore Baksaas, Jan L. SvennevigAbstract:Objective : Two prospective randomized studies were undertaken to compare different suture closure techniques with respect to postoperative wound infection rates and cosmetic results after saphenous vein harvesting in patients undergoing coronary artery bypass surgery. Design : A total of 166 patients were included in the first study, in which 85 had their leg wounds closed with transcutaneous and 81 with Intracutaneous suture. In the second study, 168 patients were selected to a non-invasive surgical zipper ( n = 78) or Intracutaneous suture ( n = 90). Results : In the first study the overall infection rate was 20.5%, 17.6% in the transcutaneous group compared with 23.5% in the Intracutaneous group ( p = 0.35). In the second study the infection rate was 19.3%, 15.3% in the zipper group vs 23.3% in the Intracutaneous group ( p = 0.20). On a cosmetic scale from 1 to 10, an average score of 8.0 was obtained in the percutaneous (p.c.) group vs 8.3 in the Intracutaneous (i.c.) group ( p = 0.35), and 9.0 in th...
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Sternal wound closure in patients undergoing open-heart surgery: a prospective randomized study comparing Intracutaneous and zipper techniques.
European Journal of Cardio-Thoracic Surgery, 2002Co-Authors: Ivar Risnes, Michael Abdelnoor, Runar Lundblad, Svein Tore Baksaas, Jan L. SvennevigAbstract:Objective: A prospective, randomized study was undertaken to compare a non-invasive surgical zipper to Intracutaneous suture closure in open-heart surgery with respect to postoperative wound infection rate and cosmetic results. Methods: A total number of 300 patients were included in the study, of which 150 had their skin wound closed with zipper and 150 with Intracutaneous suture. The end-points were superficial and deep sternal wound infections within 6 weeks postoperatively. Results: The incidence of total infection after 6 weeks was equal in the two groups (6.7 vs. 6.7%) (P ¼ 0:94). The superficial infection rate was 5.3% in the zipper group vs. 6.0% in the Intracutaneous, and the deep infection rate was 1.4% in the zipper group and 0.7% in the Intracutaneous. There was no statistically significant difference between the groups. Only the cosmetic result differed. On a visual scale from 1 (poorest) to 10 (best), an average score of 8.2 was obtained in the Intracutaneous group versus 8.9 in the zipper group (P , 0:01). Conclusion: The wound infection rate was equal for the Intracutaneous group compared with the zipper group; however, the cosmetic result was judged better by the patients in the zipper group. q 2002 Elsevier Science B.V. All rights reserved.
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sternal wound infections in patients undergoing open heart surgery randomized study comparing Intracutaneous and transcutaneous suture techniques
The Annals of Thoracic Surgery, 2001Co-Authors: Ivar Risnes, Runar Lundblad, Svein Tore Baksaas, Michel Abdelnoor, Jan L. SvennevigAbstract:Abstract Background . Intracutaneous suture technique has been our standard method for closing sternal wounds in cardiac surgery, mainly for cosmetic reasons. However, an increased rate of postoperative infections has been reported in cosmetic surgery with this method compared with the percutanous or transcutaneous closure technique. A comparison of these two techniques in cardiac surgery is presented. Methods . In a randomized study, 300 patients were selected to Intracutaneous suture (n = 150) or percutanous suture (n = 150). The endpoints were superficial and deep sternal wound infections within 6 weeks postoperatively. Results . The total infection rate was lower in the percutanous group compared with the Intracutaneous group (3% versus 8%) ( p = 0.007). The superficial infection rate was lower in the percutaneous group (2.3% versus 6.7%) ( p = 0.01), whereas there was no statistically significant difference in the deep infection rate between the groups. Conclusions . The percutaneous suture technique reduces the incidence of superficial wound infections, but not the deep infection rate in open heart surgery. There was no difference in the cosmetic results on a visual scale, assessed by the patients.
Svein Tore Baksaas - One of the best experts on this subject based on the ideXlab platform.
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Leg wound closure after saphenous vein harvesting in patients undergoing coronary artery bypass grafting: a prospective randomized study comparing Intracutaneous, transcutaneous and zipper techniques.
Scandinavian Cardiovascular Journal, 2002Co-Authors: Ivar Risnes, Michael Abdelnoor, Runar Lundblad, Svein Tore Baksaas, Jan L. SvennevigAbstract:Objective : Two prospective randomized studies were undertaken to compare different suture closure techniques with respect to postoperative wound infection rates and cosmetic results after saphenous vein harvesting in patients undergoing coronary artery bypass surgery. Design : A total of 166 patients were included in the first study, in which 85 had their leg wounds closed with transcutaneous and 81 with Intracutaneous suture. In the second study, 168 patients were selected to a non-invasive surgical zipper ( n = 78) or Intracutaneous suture ( n = 90). Results : In the first study the overall infection rate was 20.5%, 17.6% in the transcutaneous group compared with 23.5% in the Intracutaneous group ( p = 0.35). In the second study the infection rate was 19.3%, 15.3% in the zipper group vs 23.3% in the Intracutaneous group ( p = 0.20). On a cosmetic scale from 1 to 10, an average score of 8.0 was obtained in the percutaneous (p.c.) group vs 8.3 in the Intracutaneous (i.c.) group ( p = 0.35), and 9.0 in th...
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Sternal wound closure in patients undergoing open-heart surgery: a prospective randomized study comparing Intracutaneous and zipper techniques.
European Journal of Cardio-Thoracic Surgery, 2002Co-Authors: Ivar Risnes, Michael Abdelnoor, Runar Lundblad, Svein Tore Baksaas, Jan L. SvennevigAbstract:Objective: A prospective, randomized study was undertaken to compare a non-invasive surgical zipper to Intracutaneous suture closure in open-heart surgery with respect to postoperative wound infection rate and cosmetic results. Methods: A total number of 300 patients were included in the study, of which 150 had their skin wound closed with zipper and 150 with Intracutaneous suture. The end-points were superficial and deep sternal wound infections within 6 weeks postoperatively. Results: The incidence of total infection after 6 weeks was equal in the two groups (6.7 vs. 6.7%) (P ¼ 0:94). The superficial infection rate was 5.3% in the zipper group vs. 6.0% in the Intracutaneous, and the deep infection rate was 1.4% in the zipper group and 0.7% in the Intracutaneous. There was no statistically significant difference between the groups. Only the cosmetic result differed. On a visual scale from 1 (poorest) to 10 (best), an average score of 8.2 was obtained in the Intracutaneous group versus 8.9 in the zipper group (P , 0:01). Conclusion: The wound infection rate was equal for the Intracutaneous group compared with the zipper group; however, the cosmetic result was judged better by the patients in the zipper group. q 2002 Elsevier Science B.V. All rights reserved.
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sternal wound infections in patients undergoing open heart surgery randomized study comparing Intracutaneous and transcutaneous suture techniques
The Annals of Thoracic Surgery, 2001Co-Authors: Ivar Risnes, Runar Lundblad, Svein Tore Baksaas, Michel Abdelnoor, Jan L. SvennevigAbstract:Abstract Background . Intracutaneous suture technique has been our standard method for closing sternal wounds in cardiac surgery, mainly for cosmetic reasons. However, an increased rate of postoperative infections has been reported in cosmetic surgery with this method compared with the percutanous or transcutaneous closure technique. A comparison of these two techniques in cardiac surgery is presented. Methods . In a randomized study, 300 patients were selected to Intracutaneous suture (n = 150) or percutanous suture (n = 150). The endpoints were superficial and deep sternal wound infections within 6 weeks postoperatively. Results . The total infection rate was lower in the percutanous group compared with the Intracutaneous group (3% versus 8%) ( p = 0.007). The superficial infection rate was lower in the percutaneous group (2.3% versus 6.7%) ( p = 0.01), whereas there was no statistically significant difference in the deep infection rate between the groups. Conclusions . The percutaneous suture technique reduces the incidence of superficial wound infections, but not the deep infection rate in open heart surgery. There was no difference in the cosmetic results on a visual scale, assessed by the patients.
Runar Lundblad - One of the best experts on this subject based on the ideXlab platform.
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Leg wound closure after saphenous vein harvesting in patients undergoing coronary artery bypass grafting: a prospective randomized study comparing Intracutaneous, transcutaneous and zipper techniques.
Scandinavian Cardiovascular Journal, 2002Co-Authors: Ivar Risnes, Michael Abdelnoor, Runar Lundblad, Svein Tore Baksaas, Jan L. SvennevigAbstract:Objective : Two prospective randomized studies were undertaken to compare different suture closure techniques with respect to postoperative wound infection rates and cosmetic results after saphenous vein harvesting in patients undergoing coronary artery bypass surgery. Design : A total of 166 patients were included in the first study, in which 85 had their leg wounds closed with transcutaneous and 81 with Intracutaneous suture. In the second study, 168 patients were selected to a non-invasive surgical zipper ( n = 78) or Intracutaneous suture ( n = 90). Results : In the first study the overall infection rate was 20.5%, 17.6% in the transcutaneous group compared with 23.5% in the Intracutaneous group ( p = 0.35). In the second study the infection rate was 19.3%, 15.3% in the zipper group vs 23.3% in the Intracutaneous group ( p = 0.20). On a cosmetic scale from 1 to 10, an average score of 8.0 was obtained in the percutaneous (p.c.) group vs 8.3 in the Intracutaneous (i.c.) group ( p = 0.35), and 9.0 in th...
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Sternal wound closure in patients undergoing open-heart surgery: a prospective randomized study comparing Intracutaneous and zipper techniques.
European Journal of Cardio-Thoracic Surgery, 2002Co-Authors: Ivar Risnes, Michael Abdelnoor, Runar Lundblad, Svein Tore Baksaas, Jan L. SvennevigAbstract:Objective: A prospective, randomized study was undertaken to compare a non-invasive surgical zipper to Intracutaneous suture closure in open-heart surgery with respect to postoperative wound infection rate and cosmetic results. Methods: A total number of 300 patients were included in the study, of which 150 had their skin wound closed with zipper and 150 with Intracutaneous suture. The end-points were superficial and deep sternal wound infections within 6 weeks postoperatively. Results: The incidence of total infection after 6 weeks was equal in the two groups (6.7 vs. 6.7%) (P ¼ 0:94). The superficial infection rate was 5.3% in the zipper group vs. 6.0% in the Intracutaneous, and the deep infection rate was 1.4% in the zipper group and 0.7% in the Intracutaneous. There was no statistically significant difference between the groups. Only the cosmetic result differed. On a visual scale from 1 (poorest) to 10 (best), an average score of 8.2 was obtained in the Intracutaneous group versus 8.9 in the zipper group (P , 0:01). Conclusion: The wound infection rate was equal for the Intracutaneous group compared with the zipper group; however, the cosmetic result was judged better by the patients in the zipper group. q 2002 Elsevier Science B.V. All rights reserved.
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sternal wound infections in patients undergoing open heart surgery randomized study comparing Intracutaneous and transcutaneous suture techniques
The Annals of Thoracic Surgery, 2001Co-Authors: Ivar Risnes, Runar Lundblad, Svein Tore Baksaas, Michel Abdelnoor, Jan L. SvennevigAbstract:Abstract Background . Intracutaneous suture technique has been our standard method for closing sternal wounds in cardiac surgery, mainly for cosmetic reasons. However, an increased rate of postoperative infections has been reported in cosmetic surgery with this method compared with the percutanous or transcutaneous closure technique. A comparison of these two techniques in cardiac surgery is presented. Methods . In a randomized study, 300 patients were selected to Intracutaneous suture (n = 150) or percutanous suture (n = 150). The endpoints were superficial and deep sternal wound infections within 6 weeks postoperatively. Results . The total infection rate was lower in the percutanous group compared with the Intracutaneous group (3% versus 8%) ( p = 0.007). The superficial infection rate was lower in the percutaneous group (2.3% versus 6.7%) ( p = 0.01), whereas there was no statistically significant difference in the deep infection rate between the groups. Conclusions . The percutaneous suture technique reduces the incidence of superficial wound infections, but not the deep infection rate in open heart surgery. There was no difference in the cosmetic results on a visual scale, assessed by the patients.
Michel Abdelnoor - One of the best experts on this subject based on the ideXlab platform.
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sternal wound infections in patients undergoing open heart surgery randomized study comparing Intracutaneous and transcutaneous suture techniques
The Annals of Thoracic Surgery, 2001Co-Authors: Ivar Risnes, Runar Lundblad, Svein Tore Baksaas, Michel Abdelnoor, Jan L. SvennevigAbstract:Abstract Background . Intracutaneous suture technique has been our standard method for closing sternal wounds in cardiac surgery, mainly for cosmetic reasons. However, an increased rate of postoperative infections has been reported in cosmetic surgery with this method compared with the percutanous or transcutaneous closure technique. A comparison of these two techniques in cardiac surgery is presented. Methods . In a randomized study, 300 patients were selected to Intracutaneous suture (n = 150) or percutanous suture (n = 150). The endpoints were superficial and deep sternal wound infections within 6 weeks postoperatively. Results . The total infection rate was lower in the percutanous group compared with the Intracutaneous group (3% versus 8%) ( p = 0.007). The superficial infection rate was lower in the percutaneous group (2.3% versus 6.7%) ( p = 0.01), whereas there was no statistically significant difference in the deep infection rate between the groups. Conclusions . The percutaneous suture technique reduces the incidence of superficial wound infections, but not the deep infection rate in open heart surgery. There was no difference in the cosmetic results on a visual scale, assessed by the patients.
