![]() Incision infection, using a skin stapler, higher BMI, and cutting off large branch vessels in the flap are risk factors for PWH. The area under the curve for risk factors for PWH on a receiver operating characteristic curve was 0.853. Multivariate logistic regression analysis suggested that incision infection ( P = 0.026, OR 12.958), using a skin stapler ( P = 0.030, OR 4.335), cutting off large branch vessels in the flap ( P = 0.009, OR 5.227), and BMI ( P = 0.027, OR 1.204) were risk factors. The standard chi-squared test showed significant differences in incision infection ( P = 0.010), suture mode ( P = 0.047), and cutting off large branch vessels in the flap ( P < 0.001). Student’s t test showed significant differences in BMI ( P = 0.040) and fever time ( P = 0.050). 5 patients (4.0%) had redness 2 patients (1.6%) had swelling 2 patients (1.6%) had fat necrosis 3 patients (2.4%) had incision infection and 3 patients (2.4%) had flap necrosis. 15 (12.0%) patients had incision complications. The mean age of these patients was 43.3 ± 10.0 years. The wounds were assessed and measured on the third and seventh days after surgery. A total of 125 patients with MMD were enrolled in this prospective observational study. We aimed to analyze risk factors for PWH in MMD with a complete Y-shaped incision. Moyamoya disease (MMD) is a chronic occlusive cerebrovascular disease that can be treated with revascularization. Surgery increases the risk of poor wound healing (PWH) due to the impact on the blood supply to the flap. ![]()
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