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Published byLukas Bråten Modified over 5 years ago
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Clinical experience with the video-assisted saphenectomy procedure for coronary bypass operations
Sebastian Pagni, MD, Eduardo A Ulfe, BA, William D Montgomery, BS, Daniel J VanHimbergen, BA, Dana J Fisher, RN, Laman A Gray, MD, Paul A Spence, MD The Annals of Thoracic Surgery Volume 66, Issue 5, Pages (November 1998) DOI: /S (98)
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Fig 1 Working table with videoscopic saphenous harvest instruments. From top to bottom: subcutaneous tunneler, subcutaneous retractor, cotton tip dissector, endoscissors, endoclipapplier, and vein dissector. The Annals of Thoracic Surgery , DOI: ( /S (98) )
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Fig 2 Introduction of the endoscopic tunneling device under internal and external guidance. The Annals of Thoracic Surgery , DOI: ( /S (98) )
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Fig 3 Videoscopic view of the vein path in the working channel.
The Annals of Thoracic Surgery , DOI: ( /S (98) )
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Fig 4 Vein separated from the adjacent fat with the endodissector.
The Annals of Thoracic Surgery , DOI: ( /S (98) )
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Fig 5 After lateral clipping, the side branch is transected. Note the venospasm produced by the cut. The Annals of Thoracic Surgery , DOI: ( /S (98) )
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Fig 6 Cosmetic result obtained after a full-length harvest through three incisions. The Annals of Thoracic Surgery , DOI: ( /S (98) )
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Fig 7 Saphenous vein harvest through upper calf incision (three graft lengths). The Annals of Thoracic Surgery , DOI: ( /S (98) )
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Fig 8 Comparison of perioperative pain in video-assisted saphenectomy (VAS) versus control groups, up to 6 weeks follow-up. The Annals of Thoracic Surgery , DOI: ( /S (98) )
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Fig 9 Incidence of vein injury correlated to the learning curve in the first 50 patients. (A) Comparison of perioperative pain in video-assisted saphenectomy (VAS) legs and open harvested legs up to 6 weeks follow-up. (B) incidence of vein injury correlated to the learning curve. The Annals of Thoracic Surgery , DOI: ( /S (98) )
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