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What is the most preferred site of Venesection of great saphenous vein?

What is the most preferred site of Venesection of great saphenous vein?

Anatomic consistency and its superficial location at the ankle anterior to the medial malleolus make the GSV an ideal target vessel for cutdown allowing rapid access and minimal dissection. It is also the most commonly used conduit for cardiovascular bypass operations.

Which leg is the saphenous vein in?

We have the great saphenous vein that runs from the groin to the ankle and the short saphenous vein that runs up the back of the legs from the ankle to behind the knee. The great saphenous vein that runs from the groin to the ankle and the thigh of the leg is the most common vein that becomes insufficient.

What is a surgical cutdown?

Venous cutdown is an emergency procedure where a physician surgically exposes the vein and inserts a cannula into the vein under direct vision. It is mostly done in cases of emergency where rapid access is required for intravenous (IV) fluid therapy.

Which areas does the great saphenous vein drain?

Summary

  • The great saphenous vein is a superficial vein of the lower limb.
  • It drains the superficial structures of the medial thigh and leg.
  • It drains into the common femoral vein at the saphenofemoral junction.

Is the saphenous vein necessary?

Unfortunately, family history, pregnancy, excessive standing, and advanced age cause the saphenous vein to deteriorate. The saphenous vein is like your appendix in the sense that if it is not functioning properly then you do not need it anymore.

What nerve runs with the great saphenous vein?

The saphenous nerve is the terminal branch of the femoral nerve. The nerve becomes superficial at the medial border of the knee joint as it pierces the fascia between the gracilis and sartorius muscles. It runs distally in the cleft behind the medial border of the tibia just posterior to the great saphenous vein.

Is the saphenous vein important?

The great saphenous vein’s primary task is to drain deoxygenated blood from the foot, as well as superficial parts of the leg and knee (closer to the surface). This is taken back to the heart and lungs, where oxygen and nutrients are restored for delivery to the rest of the body.

What happens when the great saphenous vein is removed?

98% of the blood returning to the heart from your legs does so through other leg veins in the deep system – so if the saphenous vein is not functioning properly, and left untreated, the venous circulation in the legs is less efficient and can lead to bigger problems.

What is great saphenous vein?

The saphenous vein (otherwise known as the great saphenous vein or GSV) is the longest in the human body. It extends from the top of the foot to the upper thigh/groin area and like all veins, problems can occur.

Where is the great saphenous vein on the ankle?

The specific vein you are talking about just above the inside ankle bone is the great saphenous vein which may be quite prominent in some individuals and normal in most. Take a look at the ankles of most young people, they all have this vein just over the medial (inside) ankle bone.

Are there varicose veins above the ankle bone?

If you actually have varicose veins, then you should have a venous evaluation by a vein specialist. The specific vein you are talking about just above the inside ankle bone is the great saphenous vein which may be quite prominent in some individuals and normal in most.

What’s the best way to cut a venous artery?

Hold a scalpel handle fitted with the #11 B-P blade upside-down. Incise the skin 1-2 cm proximal to where the vein crosses the tibia at the far end of the vein, directly over the lateral aspect of the tibia. Do not incise the skin directly over the vein! Pierce the skin with the blade and advance it up the limb, keeping parallel to the vein.

What should I do if I have a bulging vein in my ankle?

A bulging vein around the ankle should always be investigated with a venous duplex ultrasound scan to find out exactly what is going on. However, as a general principle if the vein is horizontal and going across the ankle bone on the outer side of the leg, then it is often associated with varicose veins.