A comprehensive review on learning curve associated problems in endoscopic vein harvesting and the requirement for a standardised training programme.
Endoscopic vein harvesting is becoming one of the most favourable vein harvesting techniques in multiple bypass coronary surgery, due to its short term post-operative benefits with high patient satisfaction. However, long-term graft patency has been both supported and questioned in the literature. G...
| Published in: | Journal of Cardiothoracic Surgery Vol. 11; pp. 1 - 9 |
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| Main Authors: | , , , , , , |
| Format: | research Journal Article |
| Published: |
BioMed Central
4/8/2016
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=114451205&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 114451205 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17498090 38N0 jtl: Journal of Cardiothoracic Surgery issn: 17498090 maglogo: N pubinfo: dt: 4/8/2016 vid: 11 pid: 24147 pub: BioMed Central artinfo: ui: 114451205 114451205 NLM27059309 114451205 10.1186/s13019-016-0442-y NLM27059309 PMC4825086 114451205 ppf: 1 ppct: 8 formats: tig: atl: A comprehensive review on learning curve associated problems in endoscopic vein harvesting and the requirement for a standardised training programme. aug: au: Krishnamoorthy, Bhuvaneswari Critchley, William R. Venkateswaran, Rajamiyer V. Barnard, James Caress, Ann Fildes, James E. Yonan, Nizar affil: Department of Cardiothoracic Surgery, University Hospital of South Manchester NHS Foundation Trust, Manchester M23 9LT, UK sug: subj: Endoscopy Methods Learning Clinical Competence Saphenous Vein Transplantation Endoscopy Education Tissue and Organ Harvesting Education Middle Age Time Factors Coronary Artery Bypass Methods Graft Survival Postoperative Complications Human Funding Source Middle Aged: 45-64 years ab: Endoscopic vein harvesting is becoming one of the most favourable vein harvesting techniques in multiple bypass coronary surgery, due to its short term post-operative benefits with high patient satisfaction. However, long-term graft patency has been both supported and questioned in the literature. Graft failure can be affected by harvesting methods and operator's experience. Endoscopic vein harvesting is associated with a learning curve period, during which the incidence of vein trauma is high due to unfamiliarity with the surgical technique. There is a paucity of structured learning tools for novice practitioners, meaning that training differs significantly between hospital centres. Inconsistent training methods can lead to poor surgical technique, which can have a significant impact on vein quality and stress level of the practitioner. In turn, this can lead to increased postoperative complications and longer surgical duration. The main aim of this literature review is to understand the impact of the learning curve on the vein conduit and whether there is a requirement for a standardised training programme for the novice practitioners. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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