{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T16:42:42Z","timestamp":1791045762144,"version":"4.1.0"},"reference-count":27,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2005,4,13]],"date-time":"2005-04-13T00:00:00Z","timestamp":1113350400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2005,6]]},"abstract":"Abstract<\/jats:title>\n \n In situ<\/jats:italic>\n saphenous vein bypass, which was performed first by Rob in 1959, but introduced by Hall in. 1962, has been widely applied as an alternative to the reversed bypass. Now, forty years later, it seems appropriate to review its current place and technique. Of the presumed original benefits of the\n in situ<\/jats:italic>\n operation, it is now clear that the hemodynamic flow of converging (\n in situ<\/jats:italic>\n ) versus diverging vein (reversed) boundaries plus better vein\/artery size match are the main advantages. It is now popular belief that the reversed saphenous vein graft to the popliteal artery has no significant hemodynamic disadvantage because the vein is of comparable diameter at the knee and in the groin. In contrast, vein bypass from the groin to the ankle strongly favors the\n in situ<\/jats:italic>\n procedure because of the convergence of the walls of the vein below the knee and better vein\/artery size match. The most controversial facet of the\n in situ<\/jats:italic>\n operation has been the question of valvulotome is superior to lyse valves and whether to perform the operation open as originally described, or closed to avoid skin complications from a long groin to ankle incision. Preoperative vein mapping is advantageous for all saphenous vein conduit operations. For open leg\n in situ<\/jats:italic>\n procedures, skin bridges and incisions made directly over the vein, directed by mapping, will minimize skin complications. Use of endoscopic\n in situ<\/jats:italic>\n techniques is ideal but only with an experienced endoscopist. Valve lysis has improved but is still not foolproof.\n <\/jats:p>","DOI":"10.1007\/s00268-004-2057-z","type":"journal-article","created":{"date-parts":[[2005,4,6]],"date-time":"2005-04-06T12:19:32Z","timestamp":1112789972000},"source":"Crossref","is-referenced-by-count":6,"title":["In Situ<\/i>\n Saphenous Vein Bypass\u2014Forty Years Later"],"prefix":"10.1002","volume":"29","author":[{"given":"John E.","family":"Connolly","sequence":"first","affiliation":[{"name":"Department of Surgery University of California at Irvine 101 The City Drive Bldg. 53, Rm. 210\u2010D, RT 81 92868\u20103298 Orange CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2005,4,13]]},"reference":[{"key":"e_1_2_4_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198604000-00001"},{"key":"e_1_2_4_3_2","first-page":"371","article-title":"Le tratiement de l\u2019arterite obliteraite par la greffe veineuse","volume":"42","author":"Kunliu J","year":"1949","journal-title":"Arch. Mat. Coeur"},{"key":"e_1_2_4_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1965.01320170037006"},{"key":"e_1_2_4_5_2","first-page":"492","article-title":"The great saphenous vein used in situ as an arterial shunt after extirpation of the vein valves","volume":"51","author":"Hale KV","year":"1962","journal-title":"Surgery"},{"key":"e_1_2_4_6_2","first-page":"144","article-title":"Autogenous in situ saphenous vein for bypass of femoral\u2010popliteal obliterative disease","volume":"55","author":"Connolly JE","year":"1964","journal-title":"Surgery"},{"key":"e_1_2_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(87)90282-0"},{"key":"e_1_2_4_8_2","first-page":"366","article-title":"On the flow of water through pipes and passages having converging or diverging boundaries","volume":"83","author":"Gibson AH","year":"1910","journal-title":"Proc. R. Soc. Lond."},{"key":"e_1_2_4_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800510522"},{"key":"e_1_2_4_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800531107"},{"key":"e_1_2_4_11_2","first-page":"602","article-title":"The nonreversed saphenous vein bypass for femoral\u2010popliteal occlusive disease","volume":"68","author":"Connolly JE","year":"1970","journal-title":"Surgery"},{"key":"e_1_2_4_12_2","first-page":"453","article-title":"A reappraisal of the in situ saphenous vein arterial bypass: its use in limb salvage","volume":"86","author":"Leather RP","year":"1979","journal-title":"Surgery"},{"key":"e_1_2_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(81)90385-8"},{"key":"e_1_2_4_14_2","first-page":"288","article-title":"Present status of reversed vein bypass for lower extremity revascularization","volume":"6","author":"Taylor LM","journal-title":"J. Vasc. Surg."},{"key":"e_1_2_4_15_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1982.01380360027006"},{"key":"e_1_2_4_16_2","first-page":"756","article-title":"In situ vein bypasses to distal tibial and limited outflow tracts for limb salvage","volume":"96","author":"Corson JD","year":"1984","journal-title":"Surgery"},{"key":"e_1_2_4_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198506000-00015"},{"key":"e_1_2_4_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/0741-5214(84)90068-5"},{"key":"e_1_2_4_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02133402"},{"key":"e_1_2_4_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(00)01414-4"},{"key":"e_1_2_4_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4471-3837-2_25"},{"key":"e_1_2_4_22_2","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2002.123325"},{"key":"e_1_2_4_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02002882"},{"key":"e_1_2_4_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6109(05)70029-3"},{"key":"e_1_2_4_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(00)70068-1"},{"key":"e_1_2_4_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(03)00731-6"},{"key":"e_1_2_4_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(99)70181-3"},{"key":"e_1_2_4_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/0741-5214(87)90134-0"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-004-2057-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-004-2057-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-004-2057-z","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,24]],"date-time":"2023-12-24T04:58:32Z","timestamp":1703393912000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-004-2057-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,4,13]]},"references-count":27,"journal-issue":{"issue":"S1","published-print":{"date-parts":[[2005,6]]}},"alternative-id":["10.1007\/s00268-004-2057-z"],"URL":"https:\/\/doi.org\/10.1007\/s00268-004-2057-z","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,4,13]]}}}