Endoscopic versus traditional saphenous vein harvesting: a prospective, randomized trial Keith B Allen, MD, Gary L Griffith, MD, David A Heimansohn,

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Presentation transcript:

Endoscopic versus traditional saphenous vein harvesting: a prospective, randomized trial Keith B Allen, MD, Gary L Griffith, MD, David A Heimansohn, MD, Robert J Robison, MD, Robert G Matheny, MD, John J Schier, MD, Edward B Fitzgerald, MD, Carl J Shaar, PhD The Annals of Thoracic Surgery Volume 66, Issue 1, Pages 26-31 (July 1998) DOI: 10.1016/S0003-4975(98)00392-0

Fig 1 Legs photographed 6 weeks postoperatively demonstrating typical incision locations to allow endoscopic harvest of the distal two thirds (A), proximal two thirds (B), and entire saphenous vein (C) from the leg. The Annals of Thoracic Surgery 1998 66, 26-31DOI: (10.1016/S0003-4975(98)00392-0)

Fig 2 Operative photograph of a side branch (arrow) after clipping and transection. The stump on the vein side is not clipped and rarely bleeds. The Annals of Thoracic Surgery 1998 66, 26-31DOI: (10.1016/S0003-4975(98)00392-0)

Fig 3 Healed incisions 6 weeks postoperatively including an additional midthigh access incision used to divide a difficult anterior vein branch during harvesting of the entire saphenous vein from the leg. The Annals of Thoracic Surgery 1998 66, 26-31DOI: (10.1016/S0003-4975(98)00392-0)

Fig 4 Examples of wound complications after traditonal saphenous vein harvesting including abscess formation requiring debridement and dressing changes (A) and wound dehiscence with cellulitis (B). The Annals of Thoracic Surgery 1998 66, 26-31DOI: (10.1016/S0003-4975(98)00392-0)