View a basilic vein transposition with harmonic focus curved shears by dr. Specifically it drains blood from parts of the hand and forearm.
It originates on the medial ulnar side of the dorsal venous network of the hand and travels up the base of the forearm where its course is generally visible through the skin as it travels in the subcutaneous fat and fascia lying superficial to the muscles.
Left basilic vein transposition. Branches are ligated and divided. This case describes the first report of a dril procedure performed to preserve a radial basilic vein transposition arteriovenous fistula with steal syndrome. A tunnel is created about 2 to 3 cm anterior to the basilic vein with a sheathed tunneler.
It illustrates the fact that this fistula can be a durable hemodialysis access and the dril procedure is an effective management option for ischemic steal syndrome in forearm arteriovenous fistulas in the absence of a patent ulnar artery. The basilic vein is disconnected and dilated with heparinised solution and then transposed inside an anterolateral subcutaneous tunnel. The basilic vein is a large superficial vein of the upper limb that helps drain parts of the hand and forearm.
Since transposition of the basilic vein was described in the 1980s experience has been growing in the use of this vein. Full length of the basilic vein is transpositioned toward lateral side of the upper arm by tunneling under the skin with 6 mm tunneler and anastomosed to the brachial artery with end to side manner. It s part of the systemic circulation and originates from the hand.
The basilic vein is marked along its anterior surface transected distally gently dilated with heparinized saline and drawn through the tunnel with care taken to avoid rotation or kinking. Patient with chronic renal failure who has no other veins left for av access is best treated with basilic vein transposition. Following patient heparinisation 3000 units of unfractionated heparin intravenously the basilic vein is anastomosed to the brachial artery or proximal radial or ulnar artery with 7 0 polypropylene suture.
Leaving the arm it meets with the subclavian vein. The transposed basilic vein is reanastomosed to the distal vein. Most of the patients these veins are preserved and it has a very good.
After anastomosis skin incisions are subcuticularly approximated with vicryl 4 0. In general the basilic vein is mobilized through a long incision on the medial part of the arm from elbow to axilla the old technique. The basilic vein brings blood back to the heart from the arm.
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