vein harvesting; endocopic harvesting
06/23/2014
reflection on:

Endoscopic Vein Harvesting in Lower Extremity Arterial Bypass: A Systematic Review

Well; the results are certainly NOT ENCOURAGING: the endoscopic harvesting is damaging the vein and is reducing the patency, SIGNIFICANTLY!!!
Any increased effect on infection rate: nop!!

See their results:

We identified 18 cohort studies and case series, with considerable clinical heterogeneity, including 2,343 patients. Meta-analysis of six studies revealed a significantly reduced rate of primary patency after EVH (hazard ratio 1.29, 95% confidence interval [CI] 1.03–1.63), with no significant difference between EVH and OVH with respect to wound infection in 12 studies (odds ratio 0.81, 95% CI 0.61–1.08). There was a lack of strong evidence to support the secondary outcomes of EVH.


HOWEVER, I am still UNHAPPY with slicing the leg like this … Is there any thing creative, please?? 

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