Endoscopic Vein Harvesting versus Open Vein Harvesting in Patients Undergoing Coronary Artery bypass Grafting

Abstract

he saphenous vein used for coronary artery bypass grafting (CABG) procedures is traditionally harvested by means of the open technique, as a consequence, lower limb wound complications are an important source of morbidity after CABG, occurring in about 15% of cases. Complications such as hematoma, dehiscence, skin necrosis, or wound infection increase the length of stay and delay rehabilitation, ambulation, and exercise training. Our study included 80 patients of IHD divided into two groups each group included 40 patients. Group I, 40 patients were subjected to undergo CABG where LSV was harvested using the endoscopic technique. Group II, 40 patients were subjected to undergo CABG where LSV was harvested using the open technique. There was no statistically significant difference as regards the age, sex, BMI, preoperative diabetes and history of smoking. Regarding intraoperative course, there was no statistically significant difference between both groups regarding number of macroscopic injuries to the vein or length of harvested vein. But, there was a highly significant statistical