Postoperative morbidity differences between proximal and distal knee saphenous harvesting in coronary artery bypass graft surgery

Objectives. Coronary artery bypass grafting (CABG) is the most common procedure in cardiac surgery and the great saphenous vein (GSV) are the preferred conduits. The effects of saphenous vein incision (SVI) harvesting site choice on SVI wound complications, pretibial edema, and the need for compress...

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Autores principales:	Ismail Selçuk, Nehir Selçuk, Bülent Barış Güven
Formato:	article
Lenguaje:	EN
Publicado:	Digital ProScholar Media 2021
Materias:	coronary artery bypass saphenous vein graft graft incision morbidity Medicine R
Acceso en línea:	https://doaj.org/article/22d94f5ae56c48c1b1624b93869de8e7
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spelling	oai:doaj.org-article:22d94f5ae56c48c1b1624b93869de8e72021-11-23T17:23:26ZPostoperative morbidity differences between proximal and distal knee saphenous harvesting in coronary artery bypass graft surgery10.25083/2559.5555/6.2.72559-5555https://doaj.org/article/22d94f5ae56c48c1b1624b93869de8e72021-11-01T00:00:00Zhttps://www.e-repository.org/jcis/6/2/7.pdfhttps://doaj.org/toc/2559-5555Objectives. Coronary artery bypass grafting (CABG) is the most common procedure in cardiac surgery and the great saphenous vein (GSV) are the preferred conduits. The effects of saphenous vein incision (SVI) harvesting site choice on SVI wound complications, pretibial edema, and the need for compression stockings were evaluated retrospectively in patients undergoing CABG surgery. Materials and Methods. A total of 1900 patients operated for CABG between 2003 and 2021 in our clinic were included in this study, with GSV harvest performed at below-knee level (Group-A, n:841) and above-knee level (Group-B, n:1059). SVI was made 2 cm superior and 1 cm anterior to the medial malleolus in group-A; and 3 cm superior to medial epicondyle, extending to 3 cm inferior to the inguinal ligament in group-B. Examination for edema was made with 4-5 seconds of thumb pressure at the ankle level, then the depth of the pit was measured. Results. Ankle edema (Group-A n:132, Group-B n:25), the use of compression stockings (Group-A n:97, Group-B n:13), and paresthesia (Group-A n:51, Group-B n:10) were different between the two groups and the differences were statistically significant. However, prolonged wound healing (Group-A n:11, Group-B n:38), superficial wound infection (Group-A n:6, Group-B n:11), hematoma (Group-A n:4, Group-B n:9), and lymphorrhea (Group-A n:4, Group-B n:7) incidences were not statistically different between the two groups. Conclusions. Among patients with GSV extracted using the open conventional surgery technique, pretibial edema, paresthesia, and compression stocking use were observed less frequently in patients with preoperative doppler-ultrasonography evaluation and above-knee saphenous harvest.Ismail SelçukNehir SelçukBülent Barış GüvenDigital ProScholar Mediaarticlecoronary artery bypasssaphenous vein graftgraft incisionmorbidityMedicineRENJournal of Clinical and Investigative Surgery, Vol 6, Iss 2, Pp 131-135 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	coronary artery bypass saphenous vein graft graft incision morbidity Medicine R
spellingShingle	coronary artery bypass saphenous vein graft graft incision morbidity Medicine R Ismail Selçuk Nehir Selçuk Bülent Barış Güven Postoperative morbidity differences between proximal and distal knee saphenous harvesting in coronary artery bypass graft surgery
description	Objectives. Coronary artery bypass grafting (CABG) is the most common procedure in cardiac surgery and the great saphenous vein (GSV) are the preferred conduits. The effects of saphenous vein incision (SVI) harvesting site choice on SVI wound complications, pretibial edema, and the need for compression stockings were evaluated retrospectively in patients undergoing CABG surgery. Materials and Methods. A total of 1900 patients operated for CABG between 2003 and 2021 in our clinic were included in this study, with GSV harvest performed at below-knee level (Group-A, n:841) and above-knee level (Group-B, n:1059). SVI was made 2 cm superior and 1 cm anterior to the medial malleolus in group-A; and 3 cm superior to medial epicondyle, extending to 3 cm inferior to the inguinal ligament in group-B. Examination for edema was made with 4-5 seconds of thumb pressure at the ankle level, then the depth of the pit was measured. Results. Ankle edema (Group-A n:132, Group-B n:25), the use of compression stockings (Group-A n:97, Group-B n:13), and paresthesia (Group-A n:51, Group-B n:10) were different between the two groups and the differences were statistically significant. However, prolonged wound healing (Group-A n:11, Group-B n:38), superficial wound infection (Group-A n:6, Group-B n:11), hematoma (Group-A n:4, Group-B n:9), and lymphorrhea (Group-A n:4, Group-B n:7) incidences were not statistically different between the two groups. Conclusions. Among patients with GSV extracted using the open conventional surgery technique, pretibial edema, paresthesia, and compression stocking use were observed less frequently in patients with preoperative doppler-ultrasonography evaluation and above-knee saphenous harvest.
format	article
author	Ismail Selçuk Nehir Selçuk Bülent Barış Güven
author_facet	Ismail Selçuk Nehir Selçuk Bülent Barış Güven
author_sort	Ismail Selçuk
title	Postoperative morbidity differences between proximal and distal knee saphenous harvesting in coronary artery bypass graft surgery
title_short	Postoperative morbidity differences between proximal and distal knee saphenous harvesting in coronary artery bypass graft surgery
title_full	Postoperative morbidity differences between proximal and distal knee saphenous harvesting in coronary artery bypass graft surgery
title_fullStr	Postoperative morbidity differences between proximal and distal knee saphenous harvesting in coronary artery bypass graft surgery
title_full_unstemmed	Postoperative morbidity differences between proximal and distal knee saphenous harvesting in coronary artery bypass graft surgery
title_sort	postoperative morbidity differences between proximal and distal knee saphenous harvesting in coronary artery bypass graft surgery
publisher	Digital ProScholar Media
publishDate	2021
url	https://doaj.org/article/22d94f5ae56c48c1b1624b93869de8e7
work_keys_str_mv	AT ismailselcuk postoperativemorbiditydifferencesbetweenproximalanddistalkneesaphenousharvestingincoronaryarterybypassgraftsurgery AT nehirselcuk postoperativemorbiditydifferencesbetweenproximalanddistalkneesaphenousharvestingincoronaryarterybypassgraftsurgery AT bulentbarısguven postoperativemorbiditydifferencesbetweenproximalanddistalkneesaphenousharvestingincoronaryarterybypassgraftsurgery
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Postoperative morbidity differences between proximal and distal knee saphenous harvesting in coronary artery bypass graft surgery

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