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European Journal of Cardio-Thoracic Surgery, Vol 12, 519-521, Copyright © 1997 by European Association for Cardio-thoracic Surgery
CW Lutz, C Schlensak, G Lutter, J Schollhorn and F Beyersdorf
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.
ARTICLES
Minimal-invasive, video-assisted vein harvesting for cardiac and vascular surgical procedures
Department of Cardiovascular Surgery, Albert-Ludwigs-University Freiburg, Germany. lutzch@ruf.uni-freiburg.de
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