Manifestation of cellulitis after saphenous venectomy for coronary bypass surgery
A few cases of onset of cellulitis after saphenous venectomy for coronary by‐pass surgery were first reported by Baddour and Bisno in 1982. We reviewed the clinical characteristics of 31 subjects followed up in our department following onset of manifestations of cellulitis after saphenous venectomy...
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Veröffentlicht in: | Journal of the European Academy of Dermatology and Venereology 2002-09, Vol.16 (5), p.438-440 |
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creator | Karakaş, M Baba, M Aksungur, VL Memişoǧlu, HR Aksungur, EH Denli, YG Karakaş, P |
description | A few cases of onset of cellulitis after saphenous venectomy for coronary by‐pass surgery were first reported by Baddour and Bisno in 1982. We reviewed the clinical characteristics of 31 subjects followed up in our department following onset of manifestations of cellulitis after saphenous venectomy for coronary by‐pass surgery. In all the subjects the cellulitis originated at the scar of the saphenous venectomy, and most presented ill‐defined, mildly erythematous, slightly oedematous lesions. Mycologically confirmed tinea pedis was found in 25 subjects. All the patients responded well to penicillins or cephalosporins.
In this report we comment on the pathogenesis of this complication of saphenous venectomy based on the clinical features of the cases reviewed. We suggest that saphenous venectomy may destroy the lymphatics in the lower leg, that are located adjacent to the great saphenous vein, and thus microorganisms penetrating into the skin may easily cause cellulitis in areas with impaired lymphatic drainage. |
doi_str_mv | 10.1046/j.1468-3083.2002.00560.x |
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In this report we comment on the pathogenesis of this complication of saphenous venectomy based on the clinical features of the cases reviewed. We suggest that saphenous venectomy may destroy the lymphatics in the lower leg, that are located adjacent to the great saphenous vein, and thus microorganisms penetrating into the skin may easily cause cellulitis in areas with impaired lymphatic drainage.</description><identifier>ISSN: 0926-9959</identifier><identifier>EISSN: 1468-3083</identifier><identifier>DOI: 10.1046/j.1468-3083.2002.00560.x</identifier><identifier>PMID: 12428833</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Aged ; cellulitis ; Cellulitis - drug therapy ; Cellulitis - etiology ; Cellulitis - microbiology ; Coronary Artery Bypass ; coronary by-pass surgery ; Female ; Humans ; Male ; Middle Aged ; saphenectomy ; Saphenous Vein - transplantation ; Surgical Wound Infection - drug therapy ; Surgical Wound Infection - etiology ; Surgical Wound Infection - microbiology ; tinea pedis</subject><ispartof>Journal of the European Academy of Dermatology and Venereology, 2002-09, Vol.16 (5), p.438-440</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4520-895bf45670613f0c9df081b37b6368e5be7e8d7e1fc6cd1e8a4d4d17894ba7063</citedby><cites>FETCH-LOGICAL-c4520-895bf45670613f0c9df081b37b6368e5be7e8d7e1fc6cd1e8a4d4d17894ba7063</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1468-3083.2002.00560.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1468-3083.2002.00560.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12428833$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Karakaş, M</creatorcontrib><creatorcontrib>Baba, M</creatorcontrib><creatorcontrib>Aksungur, VL</creatorcontrib><creatorcontrib>Memişoǧlu, HR</creatorcontrib><creatorcontrib>Aksungur, EH</creatorcontrib><creatorcontrib>Denli, YG</creatorcontrib><creatorcontrib>Karakaş, P</creatorcontrib><title>Manifestation of cellulitis after saphenous venectomy for coronary bypass surgery</title><title>Journal of the European Academy of Dermatology and Venereology</title><addtitle>J Eur Acad Dermatol Venereol</addtitle><description>A few cases of onset of cellulitis after saphenous venectomy for coronary by‐pass surgery were first reported by Baddour and Bisno in 1982. We reviewed the clinical characteristics of 31 subjects followed up in our department following onset of manifestations of cellulitis after saphenous venectomy for coronary by‐pass surgery. In all the subjects the cellulitis originated at the scar of the saphenous venectomy, and most presented ill‐defined, mildly erythematous, slightly oedematous lesions. Mycologically confirmed tinea pedis was found in 25 subjects. All the patients responded well to penicillins or cephalosporins.
In this report we comment on the pathogenesis of this complication of saphenous venectomy based on the clinical features of the cases reviewed. We suggest that saphenous venectomy may destroy the lymphatics in the lower leg, that are located adjacent to the great saphenous vein, and thus microorganisms penetrating into the skin may easily cause cellulitis in areas with impaired lymphatic drainage.</description><subject>Aged</subject><subject>cellulitis</subject><subject>Cellulitis - drug therapy</subject><subject>Cellulitis - etiology</subject><subject>Cellulitis - microbiology</subject><subject>Coronary Artery Bypass</subject><subject>coronary by-pass surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>saphenectomy</subject><subject>Saphenous Vein - transplantation</subject><subject>Surgical Wound Infection - drug therapy</subject><subject>Surgical Wound Infection - etiology</subject><subject>Surgical Wound Infection - microbiology</subject><subject>tinea pedis</subject><issn>0926-9959</issn><issn>1468-3083</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkM1u1DAUhS0EokPpK1ResUuw499I3aChnbZqQYifIjaWk1y3GTLx1E5g8vY4zKhsWdmSz3d97ocQpiSnhMu365xyqTNGNMsLQoqcECFJvnuGFk8Pz9GClIXMylKUR-hVjGtCCKVCv0RHtOCF1owt0Kdb27cO4mCH1vfYO1xD141dO7QRWzdAwNFuH6D3Y8S_oId68JsJOx9w7YPvbZhwNW1tjDiO4R7C9Bq9cLaLcHI4j9HXi_Mvy8vs5uPqavnuJqu5KEimS1E5LqQikjJH6rJxRNOKqUoyqUFUoEA3CqirZd1Q0JY3vKFKl7yyCWLH6M1-7jb4xzFtYDZtnMvbHlJZowqpJVciBfU-WAcfYwBntqHdpOKGEjPrNGszWzOzNTPrNH91ml1CTw9_jNUGmn_gwV8KnO0Dv9sOpv8ebK7ff0uXhGd7vI0D7J5wG34aqZgS5u7DyizVqvx8-ePWfGd_AJ9MlAI</recordid><startdate>200209</startdate><enddate>200209</enddate><creator>Karakaş, M</creator><creator>Baba, M</creator><creator>Aksungur, VL</creator><creator>Memişoǧlu, HR</creator><creator>Aksungur, EH</creator><creator>Denli, YG</creator><creator>Karakaş, P</creator><general>Blackwell Science Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200209</creationdate><title>Manifestation of cellulitis after saphenous venectomy for coronary bypass surgery</title><author>Karakaş, M ; Baba, M ; Aksungur, VL ; Memişoǧlu, HR ; Aksungur, EH ; Denli, YG ; Karakaş, P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4520-895bf45670613f0c9df081b37b6368e5be7e8d7e1fc6cd1e8a4d4d17894ba7063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Aged</topic><topic>cellulitis</topic><topic>Cellulitis - drug therapy</topic><topic>Cellulitis - etiology</topic><topic>Cellulitis - microbiology</topic><topic>Coronary Artery Bypass</topic><topic>coronary by-pass surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>saphenectomy</topic><topic>Saphenous Vein - transplantation</topic><topic>Surgical Wound Infection - drug therapy</topic><topic>Surgical Wound Infection - etiology</topic><topic>Surgical Wound Infection - microbiology</topic><topic>tinea pedis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Karakaş, M</creatorcontrib><creatorcontrib>Baba, M</creatorcontrib><creatorcontrib>Aksungur, VL</creatorcontrib><creatorcontrib>Memişoǧlu, HR</creatorcontrib><creatorcontrib>Aksungur, EH</creatorcontrib><creatorcontrib>Denli, YG</creatorcontrib><creatorcontrib>Karakaş, P</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the European Academy of Dermatology and Venereology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Karakaş, M</au><au>Baba, M</au><au>Aksungur, VL</au><au>Memişoǧlu, HR</au><au>Aksungur, EH</au><au>Denli, YG</au><au>Karakaş, P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Manifestation of cellulitis after saphenous venectomy for coronary bypass surgery</atitle><jtitle>Journal of the European Academy of Dermatology and Venereology</jtitle><addtitle>J Eur Acad Dermatol Venereol</addtitle><date>2002-09</date><risdate>2002</risdate><volume>16</volume><issue>5</issue><spage>438</spage><epage>440</epage><pages>438-440</pages><issn>0926-9959</issn><eissn>1468-3083</eissn><abstract>A few cases of onset of cellulitis after saphenous venectomy for coronary by‐pass surgery were first reported by Baddour and Bisno in 1982. We reviewed the clinical characteristics of 31 subjects followed up in our department following onset of manifestations of cellulitis after saphenous venectomy for coronary by‐pass surgery. In all the subjects the cellulitis originated at the scar of the saphenous venectomy, and most presented ill‐defined, mildly erythematous, slightly oedematous lesions. Mycologically confirmed tinea pedis was found in 25 subjects. All the patients responded well to penicillins or cephalosporins.
In this report we comment on the pathogenesis of this complication of saphenous venectomy based on the clinical features of the cases reviewed. We suggest that saphenous venectomy may destroy the lymphatics in the lower leg, that are located adjacent to the great saphenous vein, and thus microorganisms penetrating into the skin may easily cause cellulitis in areas with impaired lymphatic drainage.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>12428833</pmid><doi>10.1046/j.1468-3083.2002.00560.x</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Aged cellulitis Cellulitis - drug therapy Cellulitis - etiology Cellulitis - microbiology Coronary Artery Bypass coronary by-pass surgery Female Humans Male Middle Aged saphenectomy Saphenous Vein - transplantation Surgical Wound Infection - drug therapy Surgical Wound Infection - etiology Surgical Wound Infection - microbiology tinea pedis |
title | Manifestation of cellulitis after saphenous venectomy for coronary bypass surgery |
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