ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
MODIFIED VERSUS TRADITIONAL INCISION FOR LONG SAPHENOUS VEIN HARVESTING AND THEIR COMPARED EFFECT ON LEG SWELLING AND VENOUS FUNCTION
Turhan Yavuz, *Ahmet Yeşildağ, Ahmet Öcal, Erdoğan İbrişim, *Orhan Oyar, **Ali Kutsal
Süleyman Demirel Üniversitesi Tıp Fakültesi, Kalp ve Damar Cerrahisi Ana Bilim Dalı, Isparta
*Süleyman Demirel Üniversitesi Tıp Fakültesi, Radyoloji Ana Bilim Dalı, Isparta
**Dr. Sami Ulus Çocuk Hastanesi, Kalp Damar Cerrahisi Kliniği, Ankara
Background: This prospective, randomized trial compared edema and venous functions associated with saphenous vein (SV) harvested using an modified incision versus a traditional longitudinal incision.

Methods: Patients in Group A (n = 20) underwent saphenous vein harvesting using a modified incision. Patients in Group B (n = 19) had their greater SV harvested using an traditional technique. In Group A, after usual preperation of the leg, a 2 cm transvers skin incision 5 cm above the medial ankle and length was dependent upon the number of vein grafts requered.In Group B, after usual preperation of the leg, the patients had their greater SV harvested by physician assistant using traditional longitudinal incision without skin bridges.

Results: In Group A, the mean age was 65.2 ± 3.7, 11 (60%) patients were male, 9 (40%) patients were female. In group B, the mean age was 64.6 ± 3.45 years, 13 (66%) patients were male and 6(34%) patients were females. In measurements performed at postoperative first week, first month and third month, increase in leg circumference was less in Group A than in Group B .

Conclusion: In conclusion, modified incision for saphenous vein harvesting is practical and can be performed even by unexperienced surgeons. When SV harvesting by this method, leg edema is seen with a lower frequency and there is no change in venous functions.

Keywords : Modified insizion, saphenous vein, leg edema, venous stasis
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