Decreased morbidity following long saphenous vein harvesting using a minimally invasive technique: a randomised controlled trial comparing two techniques for long saphenous vein harvest

<p>Abstract</p> <p>Objectives</p> <p>The objective of this study was to compare the morbidity associated with long saphenous vein harvesting using the traditional open technique (A) against a minimally invasive technique using the Mayo vein stripper (B) that involves mu...

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Main Authors: Nkere Udim, Al Benna Sammy, Mahmood Zahid, Murday Andrew
Format: Article
Language:English
Published: BMC 2006-06-01
Series:Journal of Cardiothoracic Surgery
Online Access:http://www.cardiothoracicsurgery.org/content/1/1/15
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author Nkere Udim
Al Benna Sammy
Mahmood Zahid
Murday Andrew
author_facet Nkere Udim
Al Benna Sammy
Mahmood Zahid
Murday Andrew
author_sort Nkere Udim
collection DOAJ
description <p>Abstract</p> <p>Objectives</p> <p>The objective of this study was to compare the morbidity associated with long saphenous vein harvesting using the traditional open technique (A) against a minimally invasive technique using the Mayo vein stripper (B) that involves multiple short incisions.</p> <p>Design</p> <p>We conducted a prospective randomized controlled study in 80 patients undergoing first time coronary artery bypass grafting. Pain and healing was assessed on each postoperative day. Rings of long saphenous vein were subjected to organ-bath evaluation of endothelium-dependent and endothelium-independent relaxation.</p> <p>Results</p> <p>Three patients were excluded from the study, leaving 38 patients in Group A and 39 in Group B. With respect to operative procedure, Group A had a greater length of vein harvested than Group B. There was no statistical difference in pain scores and endothelium-dependent or endothelium-independent relaxation between the two groups. However there were significantly more infections in Group A compared with Group B.</p> <p>Conclusion</p> <p>Harvesting vein through multiple incisions using the Mayo vein stripper is quicker, results in fewer infections and has no deleterious effect on endothelial function compared to open technique.</p>
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spelling doaj.art-f6ccfb461fd340b0903c8dffec049d962022-12-21T22:39:50ZengBMCJournal of Cardiothoracic Surgery1749-80902006-06-01111510.1186/1749-8090-1-15Decreased morbidity following long saphenous vein harvesting using a minimally invasive technique: a randomised controlled trial comparing two techniques for long saphenous vein harvestNkere UdimAl Benna SammyMahmood ZahidMurday Andrew<p>Abstract</p> <p>Objectives</p> <p>The objective of this study was to compare the morbidity associated with long saphenous vein harvesting using the traditional open technique (A) against a minimally invasive technique using the Mayo vein stripper (B) that involves multiple short incisions.</p> <p>Design</p> <p>We conducted a prospective randomized controlled study in 80 patients undergoing first time coronary artery bypass grafting. Pain and healing was assessed on each postoperative day. Rings of long saphenous vein were subjected to organ-bath evaluation of endothelium-dependent and endothelium-independent relaxation.</p> <p>Results</p> <p>Three patients were excluded from the study, leaving 38 patients in Group A and 39 in Group B. With respect to operative procedure, Group A had a greater length of vein harvested than Group B. There was no statistical difference in pain scores and endothelium-dependent or endothelium-independent relaxation between the two groups. However there were significantly more infections in Group A compared with Group B.</p> <p>Conclusion</p> <p>Harvesting vein through multiple incisions using the Mayo vein stripper is quicker, results in fewer infections and has no deleterious effect on endothelial function compared to open technique.</p>http://www.cardiothoracicsurgery.org/content/1/1/15
spellingShingle Nkere Udim
Al Benna Sammy
Mahmood Zahid
Murday Andrew
Decreased morbidity following long saphenous vein harvesting using a minimally invasive technique: a randomised controlled trial comparing two techniques for long saphenous vein harvest
Journal of Cardiothoracic Surgery
title Decreased morbidity following long saphenous vein harvesting using a minimally invasive technique: a randomised controlled trial comparing two techniques for long saphenous vein harvest
title_full Decreased morbidity following long saphenous vein harvesting using a minimally invasive technique: a randomised controlled trial comparing two techniques for long saphenous vein harvest
title_fullStr Decreased morbidity following long saphenous vein harvesting using a minimally invasive technique: a randomised controlled trial comparing two techniques for long saphenous vein harvest
title_full_unstemmed Decreased morbidity following long saphenous vein harvesting using a minimally invasive technique: a randomised controlled trial comparing two techniques for long saphenous vein harvest
title_short Decreased morbidity following long saphenous vein harvesting using a minimally invasive technique: a randomised controlled trial comparing two techniques for long saphenous vein harvest
title_sort decreased morbidity following long saphenous vein harvesting using a minimally invasive technique a randomised controlled trial comparing two techniques for long saphenous vein harvest
url http://www.cardiothoracicsurgery.org/content/1/1/15
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AT albennasammy decreasedmorbidityfollowinglongsaphenousveinharvestingusingaminimallyinvasivetechniquearandomisedcontrolledtrialcomparingtwotechniquesforlongsaphenousveinharvest
AT mahmoodzahid decreasedmorbidityfollowinglongsaphenousveinharvestingusingaminimallyinvasivetechniquearandomisedcontrolledtrialcomparingtwotechniquesforlongsaphenousveinharvest
AT murdayandrew decreasedmorbidityfollowinglongsaphenousveinharvestingusingaminimallyinvasivetechniquearandomisedcontrolledtrialcomparingtwotechniquesforlongsaphenousveinharvest