A Human Fibroblast-Derived Growth Factor Preparation in the Management of a Chronic Surgical Wound

in a Diabetic Patient: A Case Report
The surgical treatment of choice for ischaemic heart disease is Coronary Artery Bypass Grafting (CABG). The Great Saphenous Vein (GSV) is the most frequently used conduit for CABG, and the technique for harvesting the GSV entails a long open skin incision, usually comprising the entire leg. The vast proportion of patients experience leg wounds as opposed to sternal wounds. The rate of great saphenous vein harvest site infections (GSVHSI) is reported to be between 1% and 24%. Risk factors associated with GSVHSI include peripheral vascular disease, diabetes mellitus, smoking, obesity, and chronic renal failure. It is well a recognized fact that one of the most significant challenges to wound healing is infection, leading to a poor prognosis and increased morbidity.4 Hence, although rare, complications arising from the great saphenous vein harvest site may require surgical debridement leading to a delay in recovery and may negatively impact the patient … read more