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ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
A Journal on Vascular and Endovascular Surgery
Giornale Italiano di Chirurgia Vascolare 2000 March;7(1):35-43
language: English, Italian
Harvesting the great saphenous vein using mini cutaneous incisions for coronary artery bypass
Russo D. A.
From the Specialisation School in Heart Surgery Hesperia Hospital, Modena, Italy Bologna University, Bologna, Italy
Background. The aim of harvesting the great saphenous vein using mini cutaneous incisions is to obtain the benefits of other forms of minimally invasive surgery, including endoscopic procedures, namely minimising the postoperative complications, reducing the cost of procedures and ensuring easier execution which reduces the time required for harvesting without altering the quality of the venous graft obtained.
Methods. The technique consists in making 2-cm incisions at 10-cm intervals. Using a retractor, the vein is dissected, displaying the collateral branches that are then closed using metal clips. The study aimed to compare the technique using mini incisions (Group 1, 60 patients) with the standard “open” technique (Group 2, 60 patients). All patients were randomly selected from two homogeneous populations for the variables regarded as important risk factors for postoperative complications.
Results. Reduced operative bleeding was reported in Group 1, together with correct cicatrisation (100%), no inflammation and no necrosis or wound dehiscence. Small hematomas (2%) were observed, but no cases of pain, lymphatic alterations or infection. The harvesting time and costs were comparable to the standard technique.
Conclusions. The mini incision technique outlined here offers greater advantages compared to the traditional method and endoscopic methods, and these advantages are further enhanced in patients with a high risk of postoperative complications.