J.Jpn. Surg. Soc.. 80(11): 1130-1134, 1979
Report on the annual meeting
SURGERY FOR ARTERIOSCLEROTIC OCCLUSIVE DISEASE
-SPECIAL REFERENCE TO THE FEMORO-POPLITEAL BYPASS GRAFTS UTILIZING AUTOGENOUS VEIN-
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From the 1st Department of Surgery, Nagoya University School of Medicine, Nagoya Hiroshi Onogi |
Satisfactory improvement of the symptom was obtained by arterial reconstruction but not by sympathectomy in the patients with femoral artery occlusion as well as in those who had iliac artery occlusion. We have performed 19 reversed and 14 non-reversed (in situ) autogenous vein bypass in femoro-popliteal occlusion and concluded that the latter is the best operation in the treatment of the disease. Recently, we introduced a new instrument, an endoscopic valve stripper to destroy and to remove the venous valve under endoscopic observation. It is also useful to detect the site of the branch under direct vision and then it is able to ligate the branch of the graft by small skin incision to prevent postoperative arteriovenous fistula.
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