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Recommended Doctors for Endo Vein Harvesting View All View All

Dr Yugal Kishore Mishra
Dr Yugal Kishore Mishra

Chief & Head - Ctvs

CONSULTS AT

Manipal Hospital, New Delhi

EXPEREIENCE :
32 years
SURGERIES :
12000+

Treatment Starting at $3,000

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Treatment Starting at $3,000

Dr Yugal Kishore Mishra
Dr Yugal Kishore Mishra

Chief & Head - Ctvs

CONSULTS AT

Manipal Hospital, New Delhi

EXPEREIENCE :
32 years
SURGERIES :
12000+
Dr. Med. Alexander Bauer
Dr. Med. Alexander Bauer

Specialist In Cardiac Surgery

CONSULTS AT

Sana Herzzentrum-Cottbus, Germany

EXPEREIENCE :
NA
SURGERIES :
NA

Treatment Price on request

Free Text Consult

Treatment Price on request

Dr. Med. Alexander Bauer
Dr. Med. Alexander Bauer

Specialist In Cardiac Surgery

CONSULTS AT

Sana Herzzentrum-Cottbus, Germany

EXPEREIENCE :
NA
SURGERIES :
NA

Introduction:

Endoscopic Vein Harvesting (EVH) is a minimally invasive surgical technique used to obtain healthy veins for coronary artery bypass grafting (CABG) and other vascular surgeries. Traditional vein harvesting involves making long incisions to access the saphenous vein, which can lead to increased pain, healing time, and the risk of complications. EVH, on the other hand, utilises specialised instruments and a tiny camera to harvest veins through small incisions, resulting in reduced surgical trauma and improved patient outcomes. In this article, we will explore the benefits, procedure, potential complications, diagnosis, treatment, cost in India, and the overall implications of Endoscopic Vein Harvesting.

Symptoms:

As EVH is not a medical condition itself, it does not cause specific symptoms. However, patients requiring coronary artery bypass grafting or other vascular surgeries may experience symptoms related to the underlying cardiovascular disease, such as chest pain (angina), shortness of breath, fatigue, and reduced exercise tolerance.

Causes:

The primary reason for requiring Endoscopic Vein Harvesting is the need for healthy veins for CABG or peripheral vascular surgeries. Coronary artery disease, characterised by the narrowing or blockage of coronary arteries, is one of the most common indications for CABG. EVH allows surgeons to obtain suitable veins while minimising the risk of complications associated with traditional vein harvesting techniques.

Procedure:

Endoscopic Vein Harvesting is typically performed under general anaesthesia, and the procedure involves the following steps:

1. Small Incisions: The surgeon creates small incisions near the area where the vein will be harvested, usually in the leg.

2. Trocar Insertion: Trocars, which are specialised instruments that provide access to the surgical site, are inserted through the incisions.

3. Endoscope Insertion: An endoscope, a thin tube with a tiny camera and light source at its tip, is introduced through one of the trocars. The endoscope allows the surgeon to visualise the surgical field on a monitor.

4. Vein Dissection: Using specially designed instruments, the surgeon carefully dissects the target vein, separating it from surrounding tissues while preserving its integrity.

5. Vein Removal: Once the vein is freed, it is removed through one of the small incisions.

6. Incision Closure: The small incisions are closed with sutures or adhesive strips, and the surgical site is dressed appropriately.

Complications:

While Endoscopic Vein Harvesting is considered safe and effective, like any surgical procedure, it may carry certain risks and complications, including:

1. Infection: Infections at the surgical site can occur, but proper surgical techniques and postoperative care can minimise this risk.

2. Bleeding: Although rare, excessive bleeding may occur during or after the procedure, necessitating appropriate management.

3. Nerve Injury: There is a slight risk of damage to nearby nerves during the harvesting process, which can lead to numbness or weakness in the affected limb.

4. Scarring: Although EVH results in smaller scars compared to traditional vein harvesting, some scarring may still occur.

5. Deep Vein Thrombosis (DVT): In rare cases, blood clots may form in the deep veins of the leg after EVH. Proper prophylaxis and early mobilisation can reduce this risk.

Diagnosis:

As EVH is a surgical technique and not a medical condition, there is no specific diagnostic process associated with it. However, patients with cardiovascular diseases requiring CABG or other vascular surgeries are evaluated by cardiologists and surgeons to determine the need for the procedure.

Treatment:

Endoscopic Vein Harvesting itself is a treatment procedure, aiming to obtain healthy veins for grafting during CABG or other vascular surgeries. The harvested veins are then used to bypass blocked or narrowed coronary arteries, restoring blood flow to the heart muscle and alleviating symptoms such as angina.

Cost of EVH in India:

The cost of Endoscopic Vein Harvesting in India can vary depending on several factors, including the complexity of the procedure, the hospital's location, the surgeon's expertise, and any potential complications that may arise. Generally, EVH is considered more expensive than traditional vein harvesting due to the specialised equipment and technology required for the procedure. However, it is essential to note that EVH's long-term benefits, such as reduced postoperative pain and faster recovery, may offset the initial costs.

Conclusion:

Endoscopic Vein Harvesting is a valuable advancement in cardiovascular surgery, offering numerous benefits compared to traditional vein harvesting techniques. With its minimally invasive approach, patients experience less pain, quicker healing, and a reduced risk of complications. EVH has revolutionised the way veins are harvested for CABG and peripheral vascular surgeries, leading to better patient outcomes and improved quality of life. As the technology continues to evolve, and more surgeons adopt EVH, it is expected to become a standard approach in vascular surgery, contributing to the advancement of cardiovascular care in India and around the world.

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FAQs

Endoscopic vein harvesting is a minimally invasive procedure used to harvest the greater saphenous vein (GSV) for coronary artery bypass grafting (CABG) surgery. The procedure is performed through two or three small incisions in the leg, and a camera is used to guide the surgeon in harvesting the vein. EVH is an alternative to open vein harvesting, which involves a longer incision and a higher risk of complications.
The benefits of EVH include: · Reduced pain · Shorter hospital stay · Faster recovery · Improved cosmetic results · Lower risk of wound complications
The risks of EVH are similar to those of open vein harvesting, but they are generally lower. The most common risks include: · Bleeding · Infection · Nerve injury · Vein damage
EVH is a good option for patients who are healthy enough to undergo surgery and who have a good-quality GSV. Patients with diabetes, peripheral vascular disease, or obesity may be at increased risk of complications from EVH
The procedure is performed under general anesthesia. The surgeon makes two or three small incisions in the leg, and a camera is inserted through one of the incisions. The surgeon uses the camera to guide a blunt dissector in harvesting the vein. The vein is then removed and sent to the operating room for use in CABG surgery.
The procedure typically takes about 1-2 hours.
The recovery time for EVH is typically shorter than the recovery time for open vein harvesting. Patients may be able to go home the same day or the day after surgery.

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