To help anticipate any complications during the procedure, the surgeon, anesthesia, circulator and surgical technologist would meet to discuss any concerns. For example, the surgeon would state anything that they may need far as instrumentation, supplies, prep, and position. The anesthesiologist would voice any concerns with managing the airway, administering general anesthesia or regional anesthetic. The circulator would inform everyone of the patient’s medical history and possible complications. The surgical technologist would ensure that they have all instruments needed to prevent any delays. Some items that should be available or either open are vascular set, thoracotomy set, electrosurgical unit, defibrillation unit, fiber optic light …show more content…
Some topics that are covered are patient’s history, possible complications, medications, positioning, and instrumentation. The purpose of this procedure is due to elongated, dilated, and tortuous varicose veins. For this procedure, the patient is placed in the supine position and administered general anesthesia or regional anesthetic. The circulator would position the patient’s leg in a way to expose the saphenous vein. After positioning, they would prep the entire circumference of the leg, from thigh to toes. The surgeon with assistance from surgical technologist will drape the leg. The surgical technologist will make sure that a vascular set and vein stripper with various acorns sizes are on the field. The surgeon would use a disposable knife to make a transverse incision down above the saphenous vein. An electrosurgical pen or ties would be used to control any bleeders. The incision is retracted by skin hooks or a self-retraining retractor. The saphenous vein is dissected to the femoral artery and the branches are tied and cut. The saphenous vein is double clamped then cut but not tied. The surgeon will repeat the steps distal of the previous incision. Once the saphenous vein has been mobilized, it will be clamped and cut. The vein stripper is inserted into the distal opening and advance to the proximal end. Once the stripper has reached the proximal end, the final clamp is removed. The surgical technologist screws on the desired acorn size and the surgeon ties a tie around the vein and below the acorn. The stripper is pulled distal with applied pressure from the surgical technologist to keep the leg from moving. The incisions will be irrigated and closed with the surgeon’s preferred sutures. After closure, the wound are dressed with gauges