Incidence and predictors of lower limb split-skin graft failure and primary closure dehiscence in day-case surgical patients

Stankiewicz, Monica and Coyer, Fiona and Webster, Joan and Osborne, Sonya (2015) Incidence and predictors of lower limb split-skin graft failure and primary closure dehiscence in day-case surgical patients. Dermatologic Surgery, 41 (7). pp. 775-783. ISSN 1076-0512


Background. After general surgery, the lower limb experiences some of the highest complications rates. However, little is known about contributing factors to surgical site failure in the lower limb dermatological surgery population.

Objective. To determine the incidence of lower limb surgical site failure and to explore the predictors that contribute to surgical site failure.

Methods. A prospective observational study design was used to collect data from 73 participants, from July 2010 to March 2012. Incidence was determined as a percentage of surgical site failure from the total population. Predictors were determined by the use of a binary logistic regression model.Results. The surgical site failure rate was 53.4%. Split-skin grafting had a higher failure rate than primary closures, 66% versus 25.1%. Predictors of lower limb surgical site failures were identified as increasing age (p=.04) and the presence of postoperative hematoma (p=.01), with all patients who developed surgical site infection experiencing surgical site failure (p=.01).

Conclusion. Findings from this study confirmed that the lower limb is at high risk of surgical site failure. Two predictors of surgical site failure from this cohort were determined. However, to understand this phenomenon and make recommendatinos to assist and reduce surgical site complications, further research in this field is required.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Published version cannot be displayed due to copyright restrictions.
Faculty/School / Institute/Centre: Current - Faculty of Health, Engineering and Sciences - School of Nursing and Midwifery
Date Deposited: 15 Jul 2019 05:00
Last Modified: 16 Jul 2019 01:41
Uncontrolled Keywords: lower limb surgery; split-skin graft failure; postoperative wound complication; surgical patient
Fields of Research : 11 Medical and Health Sciences > 1110 Nursing > 111003 Clinical Nursing: Secondary (Acute Care)
Socio-Economic Objective: E Expanding Knowledge > 97 Expanding Knowledge > 970111 Expanding Knowledge in the Medical and Health Sciences
Identification Number or DOI: 10.1097/DSS.0000000000000391

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