Firdous Perveen, Riffat Tanveer, Asad Khan.
Comparison of single and double layered saphenectomy wound closure techniques in coronary artery bypass graft surgery (CABG) using asepsis wound score.
Pak Heart J Jan ;51(2):154-60.

Objective: To compare the mean ASEPSIS wound scores in single-layer versus double-layer closure of below-knee saphenectomy wound at 5 post-operative day in coronary artery bypass graft surgery patients. Methodology: This randomized controlled trial was conducted at Department of Cardiac Surgery, Dow University of Health Sciences and Civil Hospital Karachi from January to June 2017. Patients of either gender with age of 50-60 years having multi-vessel coronary artery disease undergoing elective, isolated CABG with ejection fraction greater than 40% and controlled diabetes and hypertension for more than 5 years were included in the study . Patients were randomly assigned to two groups (Single layer closure and Double layer closure). Wounds were examined and scored (using ASEPSIS scoring system) by consultant on 5 postoperative day. Results: A total of 80 patients were included in the study . Patients were divided in two groups (S= Single layer closure and D= Double layer closure ) having 40 patients each. The mean age was 54.9 3.31 years. About 77.5% of patients were males. Mean ASEPSIS score in group S was 3.10 1.02 while in group D was 5.68 1.30 (p<0.05). Conclusion: Compared with double-layer, single-layered technique has lower mean ASEPSIS score in saphenectomy wounds of CABG surgery patients and hence is more suitable modality of saphenectomy wound closure.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com