COMPARISON OF SKIP INCISION SAPHENOUS VEIN HARVEST AND OPEN CONVENTIONAL VEIN HARVEST FOR CORONARY ARTERY BYPASS GRAFTING IN INDIA

Reuben Lamiaki Kynta; Sanjib Rawat; Revanth Maramreddy; Mayank Jadon; Harkant Singh; Shyam Kumar Singh Thingnam

Volume : VIII, Issue : IV, April - 2019

COMPARISON OF SKIP INCISION SAPHENOUS VEIN HARVEST AND OPEN CONVENTIONAL VEIN HARVEST FOR CORONARY ARTERY BYPASS GRAFTING IN INDIA

Reuben Lamiaki Kynta, Sanjib Rawat, Revanth Maramreddy, Mayank Jadon, Harkant Singh, Shyam Kumar Singh Thingnam

Abstract :

Objectives: Evaluation of the feasibility of saphenous vein harvest through interrupted skin incisions and the comparison of outcomes with continuous incision vein harvest technique. Materials and methods: 60 patients were randomised into two groups of 30 and underwent saphenous vein harvest either by continuous incision vein harvesting (CVH) or interrupted skin incision harvesting (IVH) for coronary artery bypass surgery. Intraoperative and post–operative outcomes were examined. Results: Mean harvesting time in for CVH group was significantly less when compared to the IVH group(p<0.05). More vein per incision length was harvested by the interrupted method as compared to the continuous method(p<0.05) when comp� the two groups. However, more time was required to harvest per centimetre vein per minute using the interrupted technique (p<0.05). Operative duration was similar in both groups. There was significantly less pain and better cosmesis scores in the interrupted skin incision group in the early postoperative period (p<0.05). Conclusions: Interrupted skin incision vein harvest is a feasible technique without increasing the duration of surgery and significantly reduces pain in the early postoperative period