We present out technique for harvesting the gastroepiploic artery (GEA). We use a Universal Stabilizer Arm and an assistant attachment to push the liver against the diaphragm, giving en enough working space to harvest the graft. Between January and December 2007, 99 isolated coronary artery bypass grafting (CABG)s were performed, and in 36 (36.4%) patients the GEA was harvested using this technique. The mean operation time was 251.1 +/- 40.5 minutes and the mean number of distal anastomosis was 3.6 +/- 0.8. The early patency rate of the GEA graft was 95%. Combined use of a Universal Stabilizer Arm and an assistant attachment provide good exposure for harvesting the GEA.
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[Techniques of Graft Harvesting for Coronary Revascularization].
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In Japan, the vascular grafts employed in coronary artery bypass surgery comprised 69% internal thoracic artery, 35% great saphenous vein, 3% right gastroepiploic artery, and 3% radial artery. Graft harvesting for coronary artery bypass grafting is deemed the foundational skill to be mastered in cardiovascular surgery training and is frequently executed by novice surgeons. However, while redoing the anastomosis is relatively straightforward, repairing a damaged graft is exceedingly challenging.
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Objective: Vascularized lymph node transfer (VLNT) has become an important surgical technique in the treatment of lymphedema. Considering the different available regions available for flap harvest, we aimed to analyze different donor sites for VLNT with respect to donor site morbidity, impact on limb volume, and patient-reported outcome measurements (PROMs).
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