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Ahmad Al Khaddour
Andrew Cohen
Uday Trivedi
Jonathan Hyde
Andrew T. Forsyth
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J Thorac Cardiovasc Surg 2008;136:1379-1380
© 2008 The American Association for Thoracic Surgery

Brief Communication

Infiltration of saline solution around the saphenous vein facilitates stripping for coronary bypass surgery

Ahmad Al Khaddour, MD, MS, FRCSa,*, Andrew Cohen, FRCS, CThb, Uday Trivedi, FRCS, CThb, Jonathan Hyde, FRCS, CThb, Andrew T. Forsyth, FRACSb

a James Cook University Hospital, Middlesbrough, United Kingdom
b Brighton and Sussex University Hospitals, Brighton, United Kingdom

Received for publication October 9, 2007; accepted for publication January 16, 2008.

* Address for reprints: Ahmad Al Khaddour, MD, MS, FRCS, 40 Linden Grove, Middlesbrough TS5 5NE, United Kingdom. (Email: ahmedal@doctors.org.uk).

The first 20% of the full text of this article appears below.

The use of the mayo stripper to harvest the long saphenous vein has been shown to improve morbidity from leg wound incisions. Many studies1,2Go have shown that this technique is easy, gives good quality veins for grafting, and is associated with minimal wound problems. We describe this maneuver of saline solution infiltration around the saphenous vein, which facilitates its stripping for coronary bypass surgery.

Technique

Administration of saline solution or anesthetic agent into a surgical wound is a well-described technique.3Go We applied this maneuver for stripping the long saphenous vein for coronary bypass surgery.

The surgeon stands on the side of the donor leg with the patient in a supine position; the patient's hip is externally rotated 150°. A 2-cm incision is made over the vein, 3 cm below and lateral to the pubic symphysis, and the . . . [Full Text of this Article]






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