2009
DOI: 10.1055/s-2008-1039272 View full text |Buy / Rent full text
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Abstract: Ultrasonic harvesting of a skeletonized IMA is a non-traumatic preparatory technique that reduces the costs of surgical clips and that can be performed safely and quickly.

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“…5,17 ITA has significant benefits but after its utilization occurrence of sternal infection is documented especially in diabetic patients due to impairment in blood flow of sternum. 6 Occurrence of infection of sternal wound in post-CABG patients is influenced by the ITA harvesting technique. 5,7,18 ITA can be harvested by either using the pedicled or skeletonized technique.…”
Section: Discussionmentioning
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“…5,17 ITA has significant benefits but after its utilization occurrence of sternal infection is documented especially in diabetic patients due to impairment in blood flow of sternum. 6 Occurrence of infection of sternal wound in post-CABG patients is influenced by the ITA harvesting technique. 5,7,18 ITA can be harvested by either using the pedicled or skeletonized technique.…”
Section: Discussionmentioning
“…This may be related to improved blood flow of the sternum after utilizing the skeletonized technique. 6,9,18 Diabetes mellitus effects the immunity (both cellular and humoral) and healing of wounds and so infection risk is increased. 19,20 Skeletonized technique in the diabetics protects against deep infection of the sternal wound.…”
Section: Discussionmentioning
“…HAR has been shown in nonthoracic applications to produce lower levels of inflammation, 3 promote faster wound healing, 4 and decrease the risk of neurophysiological damage 5 compared to electrosurgery. Ultrasonic devices have become popular in thoracic applications for such uses as pulmonary dissection, [6][7][8][9][10] artery harvesting, [11][12][13] and sealing the thoracic duct. 14 However, few studies have examined the use of ultrasonically energized devices in the ligation of pulmonary vessels and evaluated the long-term durability of vessel sealing.…”
Section: Discussionmentioning