Related Experiment Video
Updated: Dec 1, 2025
09:04
Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg
Published on: November 19, 2019
9.1K
The endoscopic no-touch saphenous vein harvesting technique
Ichiro Hayashi1, Ichiro Kashima2, Eiji Yoshikawa1
1Department of Cardiothoracic Surgery, Self-Defense Forces Central Hospital, Tokyo, Japan.
Multimedia Manual of Cardiothoracic Surgery : MMCTS
|November 6, 2020
Summary
The no-touch saphenous vein harvesting technique can lead to more leg complications. This video demonstrates an endoscopic approach without CO2 to reduce these issues, enhancing vein graft harvesting safety.
Area of Science:
- Cardiovascular Surgery
- Minimally Invasive Techniques
Background:
- The no-touch saphenous vein harvesting technique is gaining popularity but is associated with increased leg wound complications compared to conventional methods.
- Endoscopic saphenous vein harvesting is recognized for its safety and efficacy in minimizing leg complications, though its application is not widespread.
- The technique utilizes carbon dioxide (CO2) insufflation and a tip cannula for vein dissection, facilitating natural skeletonization of the graft.
Keywords:
Electrothermal bipolar vessel sealing deviceEndoscopic vein harvestingMinimally invasive saphenous vein harvestingNo-touch saphenous vein graftReusable saphenous vein retractor systemMore Related Videos
Related Concept Videos
01:26Varicose Veins II: Diagnostic Studies and Interprofessional Care
89
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
89
01:16Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
898
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
898