Usually means: Surgical incision into a vein.
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We found 6 dictionaries that define the word venotomy:

General (2 matching dictionaries)
  1. venotomy: Wiktionary
  2. venotomy: Dictionary.com

Medicine (4 matching dictionaries)
  1. venotomy: Merriam-Webster Medical Dictionary
  2. Dorland's Illustrated Medical Dictionary (No longer online)
  3. online medical dictionary (No longer online)
  4. venotomy: Medical dictionary

Definitions from Wiktionary (venotomy)

noun:  surgical incision into a vein

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