Fem-Fem Bypass procedure

This pen and ink medical illustration meticulously depicts the tunneling step of a femoral-femoral bypass procedure, a critical phase in revascularization for patients with unilateral iliac artery occlusion. The piece combines precise line work and stippling techniques to highlight key anatomical structures and surgical technique, ensuring both clarity and depth in a monochromatic format.

Key features of the illustration include:

• Surgical exposure of the femoral arteries, with careful rendering of the inguinal ligament, saphenous opening, and surrounding musculature to provide spatial context.
• Tunneling instrument placement, illustrating the passage of a curved tunneling device or forceps through the subcutaneous plane from the donor to the recipient femoral artery.
• Graft positioning, showing the creation of a smooth, non-kinked pathway for the synthetic or autologous graft while avoiding compression points.
• Layered anatomical clarity, differentiating skin, adipose tissue, fascia, and vascular structures using hatching and stippling for textural contrast.

The high-contrast, fine-detail technique makes this illustration ideal for surgical textbooks, procedural guides, and vascular surgery training materials, offering a precise yet visually compelling representation of a critical step in the Fem-Fem Bypass procedure.