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The most minimally invasive technique is known as endoscopic vessel harvesting (EVH), often described as endoscopic vein harvesting when a saphenous vein is used. This type of procedure requires a single 2 cm incision plus one or two smaller incisions of 2–3 mm in length.
Venous cutdown is an emergency procedure in which the vein is exposed surgically and then a cannula is inserted into the vein under direct vision. It is used for venous access in cases of trauma, and hypovolemic shock when the use of a peripheral venous catheter is either difficult or impossible. The great saphenous vein is most
The small saphenous vein may be harvested for transplant to elsewhere in the body, such as in coronary artery bypass surgery. [6] Endoscopic vein harvesting can be used to extract the vein from the leg minimally invasively .
Venous cutdown procedures most commonly target the great saphenous vein in the leg because it is superficial, easily accessible, and consistently in the same anatomical location. This procedure is used in certain populations such as critically ill patients or patients in hypovolemic shock or when less invasive methods such as peripheral ...
Vein stripping is a surgical procedure done under general or local anaesthetic to aid in the treatment of varicose veins and other manifestations of chronic venous disease. The vein "stripped" (pulled out from under the skin using minimal incisions) is usually the great saphenous vein. The surgery involves making incisions (usually the groin ...
The GSV, a superficial vein, is the longest vein in the body. It has its origin in the dorsal venous arch of the foot, a superficial vein which connects the small saphenous vein with the GSV. It travels up the leg and medial side of the thigh to reach the groin, where it drains into the common femoral vein. [32]
The great saphenous vein is exposed and the common femoral and subsartorial veins are identified before dividing. The vein is ligated close to the junction with of the femoral vein. [ 3 ] If the ligation is distal from the saphenofemoral junction , it will leave out small tributaries which may later cause recurrence of varicosities.
The varying wavelength each aim to maximize local damage to a component of the varicose vein or the blood contained in it while minimizing damage to adjacent tissues. During the procedure, a catheter bearing a laser fiber is inserted under ultrasound guidance into the great saphenous vein (GSV) or small saphenous vein (SSV) through a small ...