Shiang See Woan, Vendargon Simon Jerome, Hamid Syed Rasul Bin Ghouse Syed
Department of Cardiothoracic Surgery, Hospital Sultanah Aminah Johar Bahru, Johor, Malaysia.
J Coll Physicians Surg Pak. 2019 Apr;29(4):371-374. doi: 10.29271/jcpsp.2019.04.371.
To determine the wound complications post coronary artery bypass graft surgery (CABG) by conventional vein harvest technique (CVH) and minimally invasive vein harvest technique (MIVH) in Hospital Sultanah Aminah Johor Bahru, Malaysia.
Clinical audit report.
Hospital Sultanah Aminah Johor Bahru, Malaysia, from March 2016 to May 2017.
Data were collected retrospectively from all 127 patients who underwent CABG with saphenous vein grafts, either with CVH technique (n=68), or MIVH technique (n=59) performed with Vasoview system. The rate of wound dehiscence was evaluated. Patients with severe wound dehiscence that required readmission and surgical intervention were identified for further evaluation.
There was total 26.8% of wound dehiscence in our study, which was not appreciably different between two groups (p=0.092). Patient with severe wound breakdown that required surgical intervention was significantly less in MIVH group (1/59, 1.7%) compared to CVH group (8/68, 11.8%, p=0.037). There was no significant difference in readmission rate between MIVH and CVH group (p=0.574).
There is significant reduction in severity of wound dehiscence post-saphenous vein harvesting among CABG patients with MIVH technique. However, there is no statistical difference in wound dehiscence and readmission rate between MIVH and CVH technique.
在马来西亚新山苏丹娜阿米娜医院，确定采用传统静脉采集技术（CVH）和微创静脉采集技术（MIVH）进行冠状动脉旁路移植术（CABG）后的伤口并发症情况。
临床审计报告。
马来西亚新山苏丹娜阿米娜医院，2016年3月至2017年5月。
回顾性收集127例行CABG并使用大隐静脉移植物的患者的数据，其中68例采用CVH技术，59例采用Vasoview系统进行MIVH技术。评估伤口裂开率。确定需要再次入院和手术干预的严重伤口裂开患者以进行进一步评估。
本研究中伤口裂开的总发生率为26.8%，两组之间无明显差异（p = 0.092）。与CVH组（8/68，11.8%，p = 0.037）相比，MIVH组中需要手术干预的严重伤口破裂患者明显较少（1/59，1.7%）。MIVH组和CVH组之间的再次入院率无显著差异（p = 0.574）。
采用MIVH技术的CABG患者在大隐静脉采集后伤口裂开的严重程度显著降低。然而，MIVH技术和CVH技术在伤口裂开率和再次入院率方面无统计学差异。
