Amputation Stump Perfusion is Predictive of Post-operative Necrotic Eschar Formation

Overview

Journal Am J Surg

Specialty General Surgery

Date 2018 May 24

PMID 29789123

Citations 1

Authors

Gayan S De Silva

Khalid Saffaf

Luis A Sanchez

Mohamed A Zayed

Affiliations

Soon will be listed here.

Abstract

Background: A large proportion of patients develop poor amputation stump healing. We hypothesize that Laser-Assisted Fluorescent Angiography (LAFA) can predict inadequate tissue perfusion and healing.

Methods: Over an 8-month period we reviewed all patients who underwent lower extremity amputation and LAFA. We evaluated intra-operative LAFA global and segmental stump perfusion, and post-operative modified Bates-Jensen (mBJS) wound healing scores.

Results: In 15 patients, amputation stumps with lower global perfusion demonstrated higher mBJS (P = 0.01). Lower suture-line perfusion also correlated with more eschar formation (P < 0.001). Diabetic patients had higher mBJS (P = 0.009), lower stump perfusion (P = 0.02), and increased eschar volume (P < 0.001).

Conclusion: LAFA is a useful adjunct for intra-operative stump perfusion assessment and can predict areas of poor stump healing and eschar formation. Diabetic patients seem to be at higher risk of stump eschar formation.

Citing Articles

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