短丝线双臂显微缝线连续缝合在脑血管吻合术中的应用价值
Usefulness of continuous suture using short-thread double-armed micro-suture for cerebral vascular anastomosis.
作者信息
Haga Sei, Nagata Shinji
机构信息
Department of Neurosurgery, Clinical Research Institute, National Hospital Organization, Kyushu Medical Center, Japan.
出版信息
Surg Neurol Int. 2014 Oct 21;5:153. doi: 10.4103/2152-7806.143366. eCollection 2014.
BACKGROUND
When microvascular anastomosis is performed in a deep, narrow operating field, securing space to throw knots is difficult. To simplify the procedure and avoid obstruction of the anastomosis, we use a continuous suturing with short-thread double-armed micro-suture.
METHODS
Sixty-four patients (38 cerebral revasculazation, 16 moyamoya disease, and 10 aneurysm surgery) undergoing microvaucular anastomosis were included. During anastomosis, a continuous suture was placed with short-thread double-armed micro-suture.
RESULTS
During 64 microanastomosis procedures, 64 consecutive continuous sutures were performed with 1-year follow up. All patients showed patency of anastomosis with long-term follow up.
CONCLUSIONS
This technique is especially useful for anastomosis in a deep, narrow surgical field, such as in superior cerebellar artery anastomosis.
背景
当在深部、狭窄的手术视野中进行微血管吻合时，获得打结空间很困难。为简化操作并避免吻合口阻塞，我们采用短丝线双臂显微缝线连续缝合。
方法
纳入64例行微血管吻合术的患者（38例脑血运重建、16例烟雾病和10例动脉瘤手术）。吻合过程中，采用短丝线双臂显微缝线进行连续缝合。
结果
在64例微血管吻合手术中，连续进行了64次连续缝合，并进行了1年的随访。所有患者经长期随访显示吻合口通畅。
结论
该技术对于在深部、狭窄手术视野中的吻合，如小脑上动脉吻合特别有用。
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