Prélèvement minimal invasif de la veine saphène interne pour pontages aorto-coronariens [Minimally invasive internal saphenous vein harvesting for coronary artery bypass]

Details

Serval ID
serval:BIB_8A5F7763AFE9
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Prélèvement minimal invasif de la veine saphène interne pour pontages aorto-coronariens [Minimally invasive internal saphenous vein harvesting for coronary artery bypass]
Journal
Swiss Surgery
Author(s)
Tevaearai H.T., Mueller X.M., von Segesser L.K.
ISSN
1023-9332
Publication state
Published
Issued date
1998
Volume
Suppl 2
Pages
8-11
Language
french
Abstract
Harvesting of the great saphenous vein for coronary artery bypass grafting is usually performed through long cutaneous incisions. We report our experience of minimally invasive harvest of the saphenous vein using the "Mini Harvest System". This device is composed of a blade coupled to a light source. Through a small cutaneous incision, the blade is placed under the skin and allows progressive dissection of the vein under direct vision. We compare this technique ("minimal invasive" group, n = 48) to the conventional method in which extensive incisions are performed along the saphenous vein course ("standard", n = 54). Both groups are comparable in term of age, sex, diabetes, peripheral arterial disease or obesity. The number of bypass performed is also comparable in the two groups. The ratio of the mean length of the cutaneous incision and the mean length of the vein was 35.4 +/- 5.9% for the "minimal invasive" group and 104.5 +/- 23.3% for the "standard" group (p < 0.001). The local complication rate is significantly reduced with a reduction in local post-operative pain (2% vs. 17%, p = 0.01), a better healing (100% vs. 79%, p = 0.01), a reduction in hematoma (31% vs. 52%, p = 0.03) and in oedema (37% vs. 59%, p = 0.03). We conclude that besides the evident aesthetic benefit, minimally invasive harvest of the saphenous vein allows for a better cicatrization and reduces the post-operative discomfort without compromising the aorto-coronary bypass procedure.
Keywords
Aged, Coronary Artery Bypass/instrumentation, Equipment Design, Female, Humans, Male, Middle Aged, Saphenous Vein/transplantation, Surgical Procedures, Minimally Invasive/instrumentation
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Create date
14/02/2008 14:19
Last modification date
20/08/2019 14:49
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