Risk of deep sternal wound infection of Pedicled versus Skeletonized Left Internal Mammary Artery in Diabetic patients Undergoing Coronary Artery Bypass Graft Surgery | ||||
| SVU-International Journal of Medical Sciences | ||||
| Article 17, Volume 7, Issue 1, January 2024, Page 180-186 PDF (163.34 K) | ||||
| Document Type: Original research articles | ||||
| DOI: 10.21608/svuijm.2021.59595.1067 | ||||
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| Authors | ||||
Rafik Fekry Soliman1; Fouad Mohamed Rasekh  2
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| 1Department of Cardiothoracic Surgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt. | ||||
| 2Department of Cardiothoracic Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt. | ||||
| Abstract | ||||
| Background: Diabetes is a major risk factor of IHD and responsible of many postoperative complications. Deep sternal wound infection after CABG is a major complication which associated with high mortality. Objectives: The aim of this study is to compare between pedicled and skeletonized LIMA in diabetic patients undergoing CABG Patients and methods: This study conducted on 100 diabetic patients underwent isolated CABG in the period between January 2017 and January 2018. Patients were divided into 2 groups: Group (A) patients had a pedicled LIMA (n=60) and Group (B) patients had a skeletonized LIMA (n=40). All patients in both groups were followed up during hospital stay and for one month after discharge for symptoms and signs of deep sternal wound infection. Results: Regarding intraoperative date there was significant increase in total operative time in Group (B) was 221±76.5 versus 195±53 in Group (A) (P=-0.003) and no significant difference in other operative data. Regarding postoperative data there was significant increase in incidence of deep sternal wound infection in Group (A ) 6 patients (10%0 versus 1 patient (2.5%) in Group (B) with (P=0.004) while other data showed no statistical difference in both groups, there was no mortality in both groups. Conclusion: Skeletonized LIMA is better to be used than pedicled LIMA in diabetic patients undergoing CABG. | ||||
| Keywords | ||||
| Coronary artery bypass graft surgery; Pedicled left internal mammary artery; Skeletonized left internal mammary artery; Diabetes Mellitus; Sternal wound infections | ||||
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