Minimally Invasive Saphenous Vein Harvest
The enthusiasm for minimally invasive procedures has extended to include the development of new techniques and instrumentation for saphenous vein harvest. The methods for subcutaneous endoscopic surgery have been widely applied in plastic surgery and the feasibility of performing such procedures through small incisions in remote subcutaneous planes has been clearly demonstrated (1). The concept of smaller, more cosmetic incisions, less subcutaneous dissection, and reduced postoperative pain has broad appeal among both patients and health care providers. Although experience with minimally invasive saphenous vein harvest is still limited and short-term reports are just beginning to appear in the literature, many centers are now utilizing these methods. The techniques and instruments share a set of basic concepts for atraumatic vein harvest and are based either on video endoscopy or direct visualization through multiple small incisions. In this chapter, we present a synopsis of the techniques and principles of minimally invasive saphenous vein harvest.
KeywordsSaphenous Vein Wound Complication Great Saphenous Vein Saphenous Nerve Coronary Bypass Grafting
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