Minimally Invasive In Situ Bypass
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In 1962, Hall3 reported on the first successful femoropopliteal in situ saphenous vein bypass. Since this initial report, surgeons have attempted to make the in situ saphenous vein bypass a less invasive operation while simplifying the two principal technical components of the operation: (1) rendering the saphenous vein valves incompetent and (2) occluding the venous side branches. To accomplish this, however, a long incision the length of the leg over the course of the saphenous vein is often necessary, which can be fraught with hazard, especially in patients with diabetes, in whom wound complications can be devastating.
An angioscopically assisted technique that allows the surgeon to perform valvulotomy and occlude venous side branches from within the saphenous vein—a minimally invasive in situ vein bypass—has been developed.
Martin, J. D.,
& Matsuura, J. H.
(1999). Minimally Invasive In Situ Bypass. Surgical Clinics of North America, 79 (3), 645-652.