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Observational studies show endoscopic graft harvesting reduces postoperative pain and wound infection risk in CABG patients, suggesting improved satisfaction.
Endoscopic graft harvesting was first introduced clinically in the 1990s and is currently used in 80-90% of all CABG cases in the United States. Several studies have compared open and endoscopic harvesting techniques in terms of long-term clinical outcomes and major adverse events. In summary, endoscopic graft harvesting allows for reduced postoperative pain, minimization of wound infection risk and a better cosmetic result with higher patients’ satisfaction. Harvester experience guarantees a graft quality that is comparable to open harvesting techniques. Thus, American as well as European guidelines recommend endoscopic harvesting – particularly in patients at high risk of wound healing disorders.
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Assmann et al. (2026) studied this question.
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