The entire SFPV was exposed from the confluence of the tibial veins to the junction with the profunda femoris vein. Large venous branches were doubly ligated with silk ties to prevent slippage, which would be associated with catastrophic bleeding once the vein has been used to replace the abdominal aorta. The saphenous nerve was carefully preserved, as were branches of the superficial femoral and popliteal arteries that represented important collateral vessels.
The distal ends of the graft were exposed in both groins through separate incisions from the SFPV harvest sites. The occluded graft in the right groin was unincorporated and surrounded by 15 cc of pus. The graft in the left groin was also surrounded by pus. An attached graft was identified as being the proximal segment of an occluded femoral-popliteal bypass.
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