Skin Closure After No-Touch Saphenous Vein Harvest: Strategies to Minimize Wound Complications

ABSTRACT The no-touch saphenous vein with surrounding pedicle tissue harvesting technique preserved endothelium and vessel wall integrity and demonstrated improved long-term saphenous vein conduit patency that was comparable to internal thoracic artery conduit patency. Despite improved saphenous vein conduit patency rates, there is a possibility that no-touch saphenous vein harvest may increase wound complication rates by increased tissue disruption, including venous and lymphatic channels. Comprehensive strategies to minimize leg wound complications after no-touch saphenous vein harvest are discussed.

Techniques and Outcomes of the No-Touch Vein Conduit as a Y-Composite Graft

ABSTRACT Although the saphenous vein is a widely used conduit for coronary artery bypass grafting, revascularization using the saphenous vein as an aortocoronary bypass graft has shown disadvantages of lower long-term graft patency rates and subsequently worse clinical outcomes, compared with revascularization using the internal thoracic artery. Of the various efforts to overcome the limitations of vein conduit that are resulting from structural and functional differences from arterial conduit, recent technical improvement in no-touch vein composite graft construction and outcomes of revascularization using no-touch vein composite grafts based on the left internal thoracic artery will be discussed in this topic.

Rumen fermentation and digestibility of spent mushroom ( Pleurotus ostreatus ) substrate inoculated with Lactobacillus brevis for Hanwoo steers / Fermentación ruminal y digestibilidad de la cama de champiñón (Pleurotus ostreatus) desechada inoculada con Lactobacillus brevis en novillos Hanwoo / Fermentação ruminal e digestibilidade de resíduo de substrato de cogumelo (Pleurotus ostreatus) inoculado com Lactobacillus brevis en novilhos Hanwoo

Abstract Background: Ensiling spent mushroom substrate (SMS) generally increases its nutrient digestibility and quality. Objective: To determine the feed quality and digestibility of SMS from Pleurotus ostreatus (SMSP) inoculated with lactic acid bacteria (LAB: Lactobacillus brevis) in Hanwoo steers. Methods: Ruminal disappearance of SMSP and inoculated SMSP (ISMSP) were evaluated in three rumen-fistulated Hanwoo steers (408 ± 13.0 Kg body weight). Further, three healthy Hanwoo steers (336 ± 69.0 Kg body weight) were randomly allotted to one of three dietary treatments (control: 25% straw, 75% concentrates; treatments: 25% straw, 60% concentrates, and 15% of either SMSP or ISMSP) in a 3×3 Latin square design. Results: The chemical composition of the ISMSP diet did not differ from that of the control or the SMSP diets. In the ISMSP diet, the rate of decrease of pH of ruminal fluid and the increase in storage period was greater than with the SMSP diet. Ruminal disappearance of dry matter, crude protein, neutral detergent fiber, and acid detergent fiber were slightly higher in steers fed ISMSP than those fed SMSP. Furthermore, the degradation rate and effective degradability of crude protein was greater in the ISMSP diet than in the SMSP diet. Effective ruminal fermentation characteristics and total nutrients digestibility were not affected by SMSP nor ISMSP diet. Conclusion: The SMSP and ISMSP diets could replace formulated concentrate without adverse effects and be a cost-effective feed for Hanwoo steers. Furthermore, LAB inoculation improved the SMSP preservation.

Resumen Antecedentes: El ensilado de cama de champiñón desechada (SMS) generalmente aumenta la digestibilidad y la calidad de sus nutrientes. Objetivo: Determinar la calidad del alimento y digestibilidad del SMS a partir de Pleurotus ostreatus (SMSP) inoculado con bacterias ácido-lácticas (LAB: Lactobacillus brevis) en bueyes Hanwoo. Métodos: La desaparición ruminal del SMSP y ISMSP (SMSP inoculado) fue evaluada en tres bueyes Hanwoo fistulados en el rumen (408 ± 13,0 Kg peso corporal). Igualmente, tres bueyes Hanwoo sanos (336 ± 69,0 Kg peso corporal) fueron asignados al azar a uno de los tres tratamientos dietéticos (control: 25% de heno, 75% de concentrados; tratamientos: 25% de heno, 60% de concentrados y 15% de SMSPo ISMSP) en un diseño cuadrado latino 3×3. Resultados: La composición química de la dieta ISMSP no difirió de la del control o de la dieta SMSP. En la dieta ISMSP, la tasa de disminución del pH del fluido ruminal y el incremento del tiempo de almacenamiento fueron mayores que los de la dieta SMSP. La desaparición ruminal de la materia seca, proteína cruda, fibra detergente neutra y la fibra detergente ácida fue ligeramente superior en los bueyes alimentados con el ISMSPque en aquellos alimentados con SMSP. Además, la tasa de degradación y la degradabilidad efectiva de la proteína cruda fueron mayores en la dieta ISMSPque en la dieta SMSP. Las características de la fermentación ruminal efectiva y la digestibilidad total de nutrientes no fueron afectadas por la dieta SMSP ni por la de ISMSP. Conclusión: Las dietas SMSPe ISMSP podrían reemplazar el concentrado formulado sin efectos adversos y ser una alimentación económica para los bueyes Hanwoo. Además, la inoculación con LAB mejoró la conservación del SMSP.

Resumo Antecedentes: Ensilagem de resíduo de substrato de cogumelo (SMS) geralmente aumenta a digestibilidade e a qualidade dos nutrientes. Objetivo: Determinar a qualidade da alimentação e digestibilidade do RSC apartir do Pleurotus ostreatus (SMSP) inoculado com bactérias de ácido láctico (LAB: Lactobacillus brevis) nos novilhos Hanwoo. Métodos: Desaparecimento ruminal do SMSP e ISMSP (SMSP inoculado) foram avaliados em três novilhos Hanwoo fistulados no rúmen (408 ± 13.0 Kg peso corporal). Além disso, três novilhos Hanwoo (336 ± 69.0 Kg peso corporal) foram aleatoriamente distribuídos para um dos três tratamentos dietéticos (controle: 25% palha, 75% concentrado; tratamentos: 25% palha, 60% concentrado, e 15% ambos SMSP e ISMSP) em um quadrado Latino de 3×3. Resultados: A composição química da dieta ISMSP não diferiu do controle ou das dietas SMSP. Na dieta ISMSP, a taxa de diminuição do pH do fluido ruminal e o aumento no período de armazenamento foram melhores do que com a dieta SMSP. O desaparecimento ruminal de matéria seca, proteína bruta, fibra em detergente neutro, e fibra detergente ácido foi ligeiramente superior em novilhos alimentados com ISMSP, do que aqueles alimentados com SMSP. Além disso, a taxa de degradação e degradabilidade da proteína bruta foi maior na dieta ISMSP, do que na dieta SMSP. As características efetivas de fermentação ruminal e a digestibilidade total de nutrientes não foram afetadas pela dieta SMSP, nem pela dieta ISMSP. Conclusão: Dietas com SMSP e ISMSP podem ser utilizados em substituição ao concentrado formulado sem causar efeitos adversos e ser um alimento rentável em novilhos Hanwoo. Além disso, a inoculação com LAB melhorou a qualidade conservante da SMSP.