الفهرس | Only 14 pages are availabe for public view |
Abstract Coronary artery bypass grafting (CABG) is the most common procedure performed in adult cardiovascular operations. Despite the increased use of arterial grafts, the most frequently used conduit is the greater saphenous vein for coronary revascularization since its introduction in 1967. The long continuous incision is the traditional standard technique for harvesting the greater saphenous vein for CABG. In recent years new techniques have been developed to harvest the saphenous vein (SV). These minimally invasive surgical or skin-bridging methods are used to diminish the wound surface, and hence reduce postoperative morbidity at the site of harvesting. With the advent of Endoscopic techniques for harvesting the GSV the endoscope made a revolution in the harvesting techniques. But harvesting of the vein as any other surgical procedure produces some complications these complications may occur during harvesting like graft complications (constriction, intimal injury, etc..) or after the harvesting like wound healing disturbances, When using the traditional open technique, wound-healing disorders are common and have been reported to occur in 1.5% to 24% of patients. The prevalence of wound ¬healing disturbances varies widely and depends to some degree on the definition of these disturbances, as well as on the intensity of follow-up examinations. |