Endoscopic saphenous vein harvesting (EVH) is a procedure to remove part of the saphenous vein in your leg. The saphenous vein is also called the great saphenous vein or the long saphenous vein. This vein runs from the inside of your ankle, up along the inside of your knee, and up to your groin. It returns blood from your leg to your heart. This vein is used to make a detour (bypass) around a blocked heart artery. EVH is done as part of heart surgery.
Endoscopic surgery is surgery done using a thin telescope (endoscope) with a camera. The endoscope is inserted through a small incision.
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• The endoscope will be passed through the incision and up toward your groin.
• As the endoscope is passed along the vein, branches of the vein will be clipped and sealed with an electric current (electrocautery).
• A second small incision will be made in your groin. The upper part of the vein will be found through this incision. It will be divided and tied off.
• The endoscope and the vein will be removed through your knee incision.
• If more vein is needed, the same procedure will be done in your lower leg. The endoscope will be passed through your knee incision down towards your ankle. An incision will be made near the inside of your ankle to find the vein, divide it, and tie it off.
• After vein removal, the tunnel created for the endoscope will be flushed out.
• A tube will be put in place for blood and fluid to drain.
• The incisions will be closed with stitches (sutures).
• Your leg will be wrapped with a type of bandage that supports the veins and helps them pump blood (compression dressing).
• The part of the saphenous vein that was removed will be prepared for the heart bypass