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Clinical experience with the video-assisted saphenectomy procedure for coronary bypass operations  Sebastian Pagni, MD, Eduardo A Ulfe, BA, William D.

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Presentation on theme: "Clinical experience with the video-assisted saphenectomy procedure for coronary bypass operations  Sebastian Pagni, MD, Eduardo A Ulfe, BA, William D."— Presentation transcript:

1 Clinical experience with the video-assisted saphenectomy procedure for coronary bypass operations 
Sebastian Pagni, MD, Eduardo A Ulfe, BA, William D Montgomery, BS, Daniel J VanHimbergen, BA, Dana J Fisher, RN, Laman A Gray, MD, Paul A Spence, MD  The Annals of Thoracic Surgery  Volume 66, Issue 5, Pages (November 1998) DOI: /S (98)

2 Fig 1 Working table with videoscopic saphenous harvest instruments. From top to bottom: subcutaneous tunneler, subcutaneous retractor, cotton tip dissector, endoscissors, endoclipapplier, and vein dissector. The Annals of Thoracic Surgery  , DOI: ( /S (98) )

3 Fig 2 Introduction of the endoscopic tunneling device under internal and external guidance. The Annals of Thoracic Surgery  , DOI: ( /S (98) )

4 Fig 3 Videoscopic view of the vein path in the working channel.
The Annals of Thoracic Surgery  , DOI: ( /S (98) )

5 Fig 4 Vein separated from the adjacent fat with the endodissector.
The Annals of Thoracic Surgery  , DOI: ( /S (98) )

6 Fig 5 After lateral clipping, the side branch is transected. Note the venospasm produced by the cut. The Annals of Thoracic Surgery  , DOI: ( /S (98) )

7 Fig 6 Cosmetic result obtained after a full-length harvest through three incisions. The Annals of Thoracic Surgery  , DOI: ( /S (98) )

8 Fig 7 Saphenous vein harvest through upper calf incision (three graft lengths). The Annals of Thoracic Surgery  , DOI: ( /S (98) )

9 Fig 8 Comparison of perioperative pain in video-assisted saphenectomy (VAS) versus control groups, up to 6 weeks follow-up. The Annals of Thoracic Surgery  , DOI: ( /S (98) )

10 Fig 9 Incidence of vein injury correlated to the learning curve in the first 50 patients. (A) Comparison of perioperative pain in video-assisted saphenectomy (VAS) legs and open harvested legs up to 6 weeks follow-up. (B) incidence of vein injury correlated to the learning curve. The Annals of Thoracic Surgery  , DOI: ( /S (98) )


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