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Original Article
Standard bridging versus traditional open technique for harvesting great saphenous vein in coronary artery bypass grafting: A comparative study
1 Assistant Professor of Cardiovascular and Thoracic Surgery, Department of Surgery, School of Medicine, Faculty of Medical Sciences, University of Sulaimani, Department of Thoracic and Cardiovascular Surgery Sulaimani Teaching Hospital, Iraq
2 Kurdistan Board for Medical Specialization/ Cardiothoracic and Vascular Surgery Duhok DOH, Azadi Cardiothoracic Center, Iraq
3 Assistant Professor of Cardiovascular and Thoracic Surgery, University of Duhok/ College of Medicine, Departement of Surgery/Unit of Cardiothoracic Surgery, Duhok DOH, Azadi Cardiothoracic Center., Iraq
Address correspondence to:
Aram Baram
MD, MRCSEd, FACS, Assistant Professor, University of Sulaimani Faculty of Medical Sciences, School of Medicine, Department of Thoracic and Cardiovascular Surgery, François Mitterrand Street, Sulaymaniyah 46001,
Iraq
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Article ID: 100032S05AB2018
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How to cite this article
Baram A, Sherif AM, Izac AY. Standard bridging versus traditional open technique for harvesting great saphenous vein in coronary artery bypass grafting: A comparative study. Edorium J Surg 2018;5:100032S05AB2018.ABSTRACT
Aims: Great saphenous vein harvesting by traditional open technique (TOT) is associated with several wound complications and delayed patient mobilization. Minimally invasive vein harvesting techniques such as the standard bridging technique (SBT) are developed to decrease postoperative complications. This randomized aims to compare post saphenectomy wound complications between SBT and TOT.
Methods: A total of 110 patients who underwent coronary artery bypass grafting were prospectively randomized into two groups. Group A consisted of 68 patients who had TOT, Group B consisted of 42 patients who had SBT.
Results: Dermatitis and wound infection occurred in four patients (5.88%) in group A and in two (4.76%) of group B. There was no statistical difference in the prevalence of these complications between the two groups (p> 0.80). Cellulitis most commonly encountered in both groups. Saphenous neuropathy occurred in one (1.5%) patient in group A and in one patient (2.4%) in group B. There was no statistical difference in the prevalence of saphenous neuropathy between the two groups (p>0.72).
Conclusion: Harvesting GSV by minimally invasive SBT does not reduce the incidence of complications of saphenous vein harvesting for coronary artery bypass grafting.
Keywords: Bridging technique, Coronary artery bypass grafting, Outcome, Vein harvest
SUPPORTING INFORMATION
Author Contributions:
Aram Baram - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ahmad Mohammad Sherif - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ashur YIzac - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this study.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2018 Aram Baram et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
