Closed Suction Drainage Improves Clinical Outcome in Patients Undergoing Endoscopic Vein Harvesting for Coronary Artery Bypass Grafting Bhuvaneswari.

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Closed Suction Drainage Improves Clinical Outcome in Patients Undergoing Endoscopic Vein Harvesting for Coronary Artery Bypass Grafting Bhuvaneswari Krishnamoorthy, BS, Othman S. Al-Fagih, MBChB, Mohammed I. Madi, MBChB, Osman Najam, MBChB, Paul D. Waterworth, MD, James E. Fildes, PhD, Nizar Yonan, MD The Annals of Thoracic Surgery Volume 93, Issue 4, Pages 1201-1205 (April 2012) DOI: 10.1016/j.athoracsur.2011.12.060 Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Representative appearance of the scar after saphenous vein harvesting at day 3 using (A) a drain, (B) without a drain, and (C) drain in situ perioperative period. The Annals of Thoracic Surgery 2012 93, 1201-1205DOI: (10.1016/j.athoracsur.2011.12.060) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Pain perception was recorded using the Likert pain score on days 1 to 7 and at 2, 4, and 6 weeks postoperatively. Patients undergoing endoscopic vein harvest (EVH) with a drain had significantly reduced pain perception compared with patients who underwent EVH without a drain at rest and on movement (Bonferroni significance p < 0.112 and p < 0.109, respectively). The Annals of Thoracic Surgery 2012 93, 1201-1205DOI: (10.1016/j.athoracsur.2011.12.060) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Patient satisfaction was recorded using the patient and observer scar assessment scale. Patient satisfaction was significantly higher for patients with a drain than for patients without one (p = 0.006). The Annals of Thoracic Surgery 2012 93, 1201-1205DOI: (10.1016/j.athoracsur.2011.12.060) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions