| pubmed-article:7703063 | rdf:type | pubmed:Citation | lld:pubmed |
| pubmed-article:7703063 | lifeskim:mentions | umls-concept:C0035648 | lld:lifeskim |
| pubmed-article:7703063 | lifeskim:mentions | umls-concept:C0016504 | lld:lifeskim |
| pubmed-article:7703063 | lifeskim:mentions | umls-concept:C0205108 | lld:lifeskim |
| pubmed-article:7703063 | lifeskim:mentions | umls-concept:C1096106 | lld:lifeskim |
| pubmed-article:7703063 | lifeskim:mentions | umls-concept:C0741847 | lld:lifeskim |
| pubmed-article:7703063 | lifeskim:mentions | umls-concept:C0936012 | lld:lifeskim |
| pubmed-article:7703063 | pubmed:issue | 1 | lld:pubmed |
| pubmed-article:7703063 | pubmed:dateCreated | 1995-5-5 | lld:pubmed |
| pubmed-article:7703063 | pubmed:abstractText | Wound complications of the pedal incision continue to compromise successful limb salvage following aggressive revascularization. Significant distal wound disruption occurred in 14 of 142 (9.8%) patients undergoing pedal bypass with autogenous vein for limb salvage between 1986 and 1993. One hundred forty-two pedal bypass procedures were performed for rest pain in 66 patients and tissue necrosis in 76. Among the 86 men and 56 women, 76% were diabetic and 73% were black. All but eight patients had a history of diabetes and/or tobacco use. Eight wounds were successfully managed with maintenance of patent grafts from 5 to 57 months. Exposure of a patent graft precipitated amputation in three patients, as did graft occlusion in an additional patient. One graft was salvaged by revision to the peroneal artery and one was covered by a local bipedicled flap. Multiple regression analysis identified three factors associated with wound complications at the pedal incision site: diabetes mellitus (p = 0.03), age > 70 years (p = 0.03), and rest pain (p = 0.05). Ancillary techniques ("pie-crusting") to reduce skin tension resulted in no distal wound problems among 15 patients considered to be at greatest risk for wound breakdown. Attention to technique of distal graft tunneling, a wound closure that reduces tension, and control of swelling by avoiding dependency on and use of gentle elastic compression assume crucial importance in minimizing pedal wound complications following pedal bypass. | lld:pubmed |
| pubmed-article:7703063 | pubmed:language | eng | lld:pubmed |
| pubmed-article:7703063 | pubmed:journal | http://linkedlifedata.com/r... | lld:pubmed |
| pubmed-article:7703063 | pubmed:citationSubset | IM | lld:pubmed |
| pubmed-article:7703063 | pubmed:status | MEDLINE | lld:pubmed |
| pubmed-article:7703063 | pubmed:month | Jan | lld:pubmed |
| pubmed-article:7703063 | pubmed:issn | 0890-5096 | lld:pubmed |
| pubmed-article:7703063 | pubmed:author | pubmed-author:ElliottB MBM | lld:pubmed |
| pubmed-article:7703063 | pubmed:author | pubmed-author:BrothersT ETE | lld:pubmed |
| pubmed-article:7703063 | pubmed:author | pubmed-author:RobisonJ GJG | lld:pubmed |
| pubmed-article:7703063 | pubmed:author | pubmed-author:RossJ PJP | lld:pubmed |
| pubmed-article:7703063 | pubmed:issnType | Print | lld:pubmed |
| pubmed-article:7703063 | pubmed:volume | 9 | lld:pubmed |
| pubmed-article:7703063 | pubmed:owner | NLM | lld:pubmed |
| pubmed-article:7703063 | pubmed:authorsComplete | Y | lld:pubmed |
| pubmed-article:7703063 | pubmed:pagination | 53-9 | lld:pubmed |
| pubmed-article:7703063 | pubmed:dateRevised | 2004-11-17 | lld:pubmed |
| pubmed-article:7703063 | pubmed:meshHeading | pubmed-meshheading:7703063-... | lld:pubmed |
| pubmed-article:7703063 | pubmed:meshHeading | pubmed-meshheading:7703063-... | lld:pubmed |
| pubmed-article:7703063 | pubmed:meshHeading | pubmed-meshheading:7703063-... | lld:pubmed |
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| pubmed-article:7703063 | pubmed:meshHeading | pubmed-meshheading:7703063-... | lld:pubmed |
| pubmed-article:7703063 | pubmed:meshHeading | pubmed-meshheading:7703063-... | lld:pubmed |
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| pubmed-article:7703063 | pubmed:meshHeading | pubmed-meshheading:7703063-... | lld:pubmed |
| pubmed-article:7703063 | pubmed:meshHeading | pubmed-meshheading:7703063-... | lld:pubmed |
| pubmed-article:7703063 | pubmed:meshHeading | pubmed-meshheading:7703063-... | lld:pubmed |
| pubmed-article:7703063 | pubmed:meshHeading | pubmed-meshheading:7703063-... | lld:pubmed |
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| pubmed-article:7703063 | pubmed:meshHeading | pubmed-meshheading:7703063-... | lld:pubmed |
| pubmed-article:7703063 | pubmed:meshHeading | pubmed-meshheading:7703063-... | lld:pubmed |
| pubmed-article:7703063 | pubmed:meshHeading | pubmed-meshheading:7703063-... | lld:pubmed |
| pubmed-article:7703063 | pubmed:meshHeading | pubmed-meshheading:7703063-... | lld:pubmed |
| pubmed-article:7703063 | pubmed:year | 1995 | lld:pubmed |
| pubmed-article:7703063 | pubmed:articleTitle | Distal wound complications following pedal bypass: analysis of risk factors. | lld:pubmed |
| pubmed-article:7703063 | pubmed:affiliation | Section of Vascular Surgery, Medical University of South Carolina, Charleston 29425, USA. | lld:pubmed |
| pubmed-article:7703063 | pubmed:publicationType | Journal Article | lld:pubmed |
| http://linkedlifedata.com/r... | pubmed:referesTo | pubmed-article:7703063 | lld:pubmed |
