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European Journal of Cardio-Thoracic Surgery, Vol 12, 519-521, Copyright © 1997 by European Association for Cardio-thoracic Surgery


ARTICLES

Minimal-invasive, video-assisted vein harvesting for cardiac and vascular surgical procedures

CW Lutz, C Schlensak, G Lutter, J Schollhorn and F Beyersdorf
Department of Cardiovascular Surgery, Albert-Ludwigs-University Freiburg, Germany. lutzch@ruf.uni-freiburg.de

Harvesting of the saphenous vein is a routine procedure in coronary and peripheral vascular surgery. It is usually performed using a continuous long skin incision. Minor complications are reported in up to 24% (hematoma, wound dehiscence, infection, pain) and major problems necessitating surgical interventions (bleeding, abscess) in less than 1%. These complications lead to a prolonged hospital stay. To reduce these complications we have used a new endoscopic, video-assisted technique in 17 patients. Harvesting of the total length of the saphenous vein is possible with only one 2-3 cm long incision proximally the knee joint. We conclude that this technique is safe, may reduce the morbidity of saphenous vein harvesting and is associated with a perfect cosmetic result.


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Copyright © 1997 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.