[Optimization of the technique of the vascular anastomosis formation in reconstructive surgery of lower extremity arteries].

In reconstructive surgery of arteries of the femoro-popliteal-tibial segment the leading role belongs to autovenous bypass surgery. The standard kind of vascular bypass applied during this procedure is bypass "autovein end to the artery side" using the "parachute technique". The classical method means constant help of an assistant, certain inconvenience associated with inadequate fixation and positioning the autovein end, it also does not exclude risk of traumatism of the bypass posterior wall. The article presents an optimized variant of the technique of forming the "autovein end to the artery side" bypass using improved surgical instruments: atraumatic pincers and retractor and a proposed for the first time vascular dilatator.