Maquet VASOVIEW 7, Руководство по обучению, Страница: 22 / 40

| 22 | ENDOSCOPIC VESSEL HARVESTING | MAQUET Medical Systems USA |
VASOVIEW 7 | Training Manual | English | v1
Copyright MAQUET Gmbh
VEin rEMOVal and prEparaTiOn
Turn off the CO
2
insufflation. Deflate the BTT balloon, if
necessary, and remove the BTT from the incision.
Check for any branches and adherent tissue at the site of
the BTT in the tunnel. These branches may be transected
under direct vision.
Remove the saphenous vein through the incision. Note the
anatomical orientation of the vein for proper cannulation of
the vein for vessel preparation. Measure the vein to ensure
adequate length for the bypass grafting. (Figure 31) If
additional length is needed, further dissection can be
carried out through the same incision, harvesting in the
opposite direction.
Flush and prepare the vein according to standard protocol.
clOSing and drESSingS
Close incisions using hospital protocol. Apply dressings
and wrap the leg according to standard protocol or operator
preference.
Technique Tips
Using a lap sponge, gently roll along the skin over the
operative area, expressing any residual blood out through
the incision prior to closing.
Irrigate the operative tunnel, if desired. Roll out irrigant
using the above technique.
Figure 31