Principles of Microvascular Surgery.
Principles of Microvascular Surgery.
Principles of Microvascular Surgery.
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• Instruments.<br />
• Sutures.<br />
TECHNICAL FACTORS<br />
• Type <strong>of</strong> anastomoses.<br />
• Technique <strong>of</strong> anastomosis.<br />
Instruments and sutures<br />
• Loupes or operating microscope?<br />
• Loupes -<br />
» Shenaq, Klebuc and Vargo, PRS 1995 - 8 year<br />
experience. 251 free flaps with 5.5X loupes -<br />
• 97.2% successful.<br />
• Partial flap necrosis - 1.2%.<br />
• Revision 8.3%.<br />
• Free flap 98.5%, toe-to-hand 96.4%, digital replantation<br />
79.2%.<br />
• Good for vessels > 1mm.<br />
• Cost effective, portable, operator freedom.<br />
26
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