saphenous vein harvesting  
incision

vein from lower leg

- the initial skin incision was made anterior to the medial malleolus

 

vein from upper leg

- an incision is made one-to-two fingerbreadths from the femoral artery pulse.

- the subcutaneous tissue is dissected to expose the greater saphenous vein.

  The vein stumps in the groin and teh ankle are securely ligated with 3-0 Ethibond tie.
branch stump

The brnaches should be ligated or clamped approximately 1 mm form the vein wall.

**prevention**

++ thrombus formation

++ early graft occlusion

suture the vein wall of the site of avulsion of its branches

longitudinal bites of the vein wall with 7-0 or 8-0 Prolene