Document Detail


Subcutaneous, video-assisted saphenous vein harvest: report of the first 30 cases.
MedLine Citation:
PMID:  9013008     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Harvest of the saphenous vein is a commonly performed procedure in cardiovascular surgery. The incision required for its removal is the longest used anywhere. In this report, the authors describe a minimally invasive technique for removal of the vein. This has been used in 30 patients undergoing peripheral arterial bypass (n = 27), venovenous bypass (n = 2), and a saphenopopliteal fistula (n = 1). There were three perioperative complications: skin necrosis over tunnel (one), bulla (one), and saphenous vein injury (one). Harvest time averaged 1.25 h. There was minimal postoperative discomfort in the harvest site and minimal scarring. Endoscopic harvest of the saphenous vein differs from most laparoscopic procedures because of its linear course. Consequently, visualization and dissection is coaxial rather than triangulation. This study demonstrates the technical feasibility of vein harvest. Development of appropriate instrumentation for opening the optical cavity and vein manipulation will reduce operative times.
Authors:
A B Lumsden; F F Eaves; J C Ofenloch; W D Jordan
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Cardiovascular surgery (London, England)     Volume:  4     ISSN:  0967-2109     ISO Abbreviation:  Cardiovasc Surg     Publication Date:  1996 Dec 
Date Detail:
Created Date:  1997-04-29     Completed Date:  1997-04-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9308765     Medline TA:  Cardiovasc Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  771-6     Citation Subset:  IM    
Affiliation:
Department of Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.
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MeSH Terms
Descriptor/Qualifier:
Endoscopes
Endoscopy / methods*
Feasibility Studies
Follow-Up Studies
Humans
Postoperative Complications
Saphenous Vein / surgery*
Skin / surgery
Surgical Procedures, Minimally Invasive
Video Recording

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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