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Updated: Oct 9, 2026

Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg
Published on: November 19, 2019
Subatmospheric pressure dressing for saphenous vein donor-site complications
S E Greer1, E A Grossi, D Chin
1The Institute of Reconstructive Plastic Surgery and Division of Cardiothoracic Surgery, New York University School of Medicine, New York, USA. stevengreer@esurgeons.com
Abstract:
Newer endoscopic techniques have been successful at reducing saphenous vein donor-site wound complications, but not entirely eliminating them. Tissue necrosis with superimposed infection is typically treated with antibiotics and surgical debridement. Typically, primary reclosure is not possible and the open leg wound is allowed to slowly granulate with dressing changes until a skin graft can be performed. This report describes an alternative treatment using subatmospheric pressure dressing to promote granulation tissue and wound closure in saphenous vein donor-site wounds.
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