使用SaphLITE牵开器系统进行微创静脉采集与伤口愈合。

Minimally invasive vein harvest and wound healing using the SaphLITE Retractor System.

作者信息

Greenfield G T, Whitworth W A, Tavares L L, Wittenbraker M T, Wallace D M, Valdivia J A, Campbell K, Williams L, Black E, Pillai R, Caskey M P, Bladergroen M R

机构信息

Cardiac & Thoracic Surgical Associates, Richmond, Virginia 23226, USA.

出版信息

Ann Thorac Surg. 2001 Sep;72(3):S1046-9. doi: 10.1016/s0003-4975(01)02944-7.

DOI:10.1016/s0003-4975(01)02944-7

PMID:11565724

Abstract

BACKGROUND

In response to reported wound complication rates of 19% to 43% for traditional saphenous vein harvest, several minimally invasive vein harvest (MIVH) techniques have been developed. The purpose of this investigation is to determine the effectiveness of one such MIVH technology, the Genzyme SaphLITE Retractor System (Genzyme Biosurgery, Cambridge, MA).

METHODS

Since May 2000, saphenectomy was undertaken in 305 coronary artery bypass graft (CABG) patients using SaphLITE in a prospective, nonrandomized trial at three centers. Patients were assessed for wound healing (ASEPSIS tool) and incisional pain (numeric scale) through the postoperative visit. Harvest times, incision lengths, and vein lengths were recorded.

RESULTS

ASEPSIS indicated satisfactory healing in 96.0%. Infection rate was 1.3% with four patients requiring antibiotics and debridement of one incision. Of hospitalized patients, 85.4% had no or minimal affected leg pain. Additional mean data include: harvest time 43.4 +/- 17.6 minutes, incision number 3.0 +/- 1.2, incision length 2.9 +/- 1.4 cm, and vein length 46.0 +/- 15.2 cm.

CONCLUSIONS

SaphLITE provides an effective alternative to traditional saphenous vein harvest, with improved wound healing, decreased pain, and acceptable harvest times.

摘要

背景

鉴于传统大隐静脉获取术的伤口并发症发生率报告为19%至43%，已开发出几种微创静脉获取（MIVH）技术。本研究的目的是确定一种此类MIVH技术，即健赞SaphLITE牵开器系统（健赞生物外科，马萨诸塞州剑桥）的有效性。

方法

自2000年5月起，在三个中心进行了一项前瞻性、非随机试验，对305例冠状动脉旁路移植术（CABG）患者使用SaphLITE进行大隐静脉切除术。通过术后随访评估患者的伤口愈合情况（ASEPSIS工具）和切口疼痛（数字评分）。记录获取时间、切口长度和静脉长度。

结果

ASEPSIS显示96.0%愈合情况良好。感染率为1.3%，4例患者需要使用抗生素，1例切口需要清创。住院患者中，85.4%的患者患侧腿部无疼痛或疼痛轻微。其他平均数据包括：获取时间43.4 +/- 17.6分钟，切口数量3.0 +/- 1.2个，切口长度2.9 +/- 1.4厘米，静脉长度46.0 +/- 15.2厘米。