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显微外科的历史。

The history of microsurgery.

作者信息

Mavrogenis Andreas F, Markatos Konstantinos, Saranteas Theodosis, Ignatiadis Ioannis, Spyridonos Sarantis, Bumbasirevic Marko, Georgescu Alexandru Valentin, Beris Alexandros, Soucacos Panayotis N

机构信息

First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, 41 Ventouri Street, 15562, Holargos, Athens, Greece.

Biomedical Research Foundation of the Academy of Athens, Athens, Greece.

出版信息

Eur J Orthop Surg Traumatol. 2019 Feb;29(2):247-254. doi: 10.1007/s00590-019-02378-7. Epub 2019 Jan 10.

Abstract

Microsurgery is a term used to describe the surgical techniques that require an operating microscope and the necessary specialized instrumentation, the three "Ms" of Microsurgery (microscope, microinstruments and microsutures). Over the years, the crucial factor that transformed the notion of microsurgery itself was the anastomosis of successively smaller blood vessels and nerves that have allowed transfer of tissue from one part of the body to another and re-attachment of severed parts. Currently, with obtained experience, microsurgical techniques are used by several surgical specialties such as general surgery, ophthalmology, orthopaedics, gynecology, otolaryngology, neurosurgery, oral and maxillofacial surgery, plastic surgery and more. This article highlights the most important innovations and milestones in the history of microsurgery through the ages that allowed the inauguration and establishment of microsurgical techniques in the field of surgery.

摘要

显微外科是一个术语,用于描述需要手术显微镜和必要的专门器械的外科技术,即显微外科的三个“M”(显微镜、显微器械和显微缝线)。多年来,改变显微外科本身概念的关键因素是相继吻合越来越小的血管和神经,这使得组织能够从身体的一个部位转移到另一个部位,并重新连接断离的部分。目前,凭借已获得的经验,显微外科技术被多个外科专科所应用,如普通外科、眼科、骨科、妇科、耳鼻喉科、神经外科、口腔颌面外科、整形外科等等。本文着重介绍了历代显微外科历史上最重要的创新和里程碑,正是这些创新和里程碑促成了外科领域显微外科技术的开创和确立。

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