Author/Authors :
Derakhshan، Pooya نويسنده Birjand University of Medical Sciences, Birjand, IR Iran , , Hosseinzadeh Maleki، Mahmood نويسنده Valiassr Hospital, Birjand University of Medical Sciences, Birjand, Iran. , , Kazemi، Tooba نويسنده Birjand Cardiovascular Research Center, Department of Cardiology, School of Medicine, Birjand University of Medical Sciences, Birjand, Iran , , Rahmanian Sharifabad، Amir نويسنده Student Research committee, Birjand University of Medical Science, Birjand, Iran , , Mashreghimoghadam، Hamid Reza نويسنده Atherosclerosis and Coronary Artery Research Center,
Birjand University of Medical Sciences, Birjand, IR
Iran ,
Abstract :
Recent evidence suggests that skeletonization of the left internal
mammary artery (LIMA) can improve the flow and length of the flow,
reduce deep sternal infections and postoperative pain. The present study
aimed to investigate the effect of two LIMA harvesting techniques
(skeletonization and pedicled) on postoperative pain and bleeding. This
randomized double blind clinical trial study on patients undergoing LIMA
harvest in Birjand was conducted during years 2012 to 2014. The patients
were divided to two (skeletonization N: 30 and pedicled N: 30) groups
according to the LIMA harvesting method. Their demographic information
and other relevant data were collected by means of a questionnaire. In
total, 60 cases, who were candidates for coronary artery bypass grafting
(CABG) at the cardiac surgery department of Valiasr hospital in Birjand,
were studied. In the skeletonized group, the conduit length was
significantly longer (17.96 vs. 17.27, P < 0.001), yet there was
no significant difference between early and mid-term pain scores (P
values: 0.32 and 1.0, respectively) and early postoperative bleeding
(782.26 vs. 903.16, P = 0.657). The IMA skeletonized collection resulted
in the reduction of postoperative pain and increased conduit length.
Skeletonization could not decrease postoperative bleeding.
