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Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg
Published on: November 19, 2019
Uniportal Endoscopic Vein Harvest Using the Three-Step Haemostatic Technique-A Modified Approach
Chu-Yik Tang1, Siti Shuhaida Samsudin2, Raja Amin Raja Mokhtar3
1The Division of Cardiovascular and Thoracic Surgery, Department of Surgery, University of Malaya Medical Centre, Kuala Lumpur, Malaysia.
Abstract:
Endoscopic venous harvest (EVH) has become widely adopted in routine elective coronary artery bypass graft operations given it reduces surgical-site infections and improves wound cosmesis. The conventional EVH involves a 'stab and grab' incision at the inguinal crease, which is a hard-to-reach area for routine wound care. This paper describes the steps of the uniportal EVH, which transects the venous conduit, omitting the need for a stab incision at the groin.

