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“针夹”技术:一种微血管吻合术中精确对位与外翻的方法。

The "Needle-splint" Technique: A Method of Accurate Apposition and Eversion during Microvascular Anastomosis.

作者信息

Pafitanis Georgios, Pahal Gurjinderpal Singh, Myers Simon, Ramakrishnan Venkat

机构信息

Group for Academic Plastic Surgery, The Blizard Institute, Queen Mary University of London, London, United Kingdom.

Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.

出版信息

Plast Reconstr Surg Glob Open. 2020 Jan 27;8(1):e2611. doi: 10.1097/GOX.0000000000002611. eCollection 2020 Jan.

DOI:10.1097/GOX.0000000000002611
PMID:32095413
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7015602/
Abstract

We present the "needle-splint" technique, a microsurgical suturing technique that enhances micro-suturing technique, while ensures finer apposition and vessels walls eversion during the placement of sutures in microvascular anastomosis. This report demonstrates the usefulness of this technique in simple interrupted, continuous-interrupted, or multi-loops microsurgical suturing. It further allows direct visualization of the intra-wall-edges space and intimal sutures surface and could be utilized as a safety stabilizer to errors as it allows optimal vessels alignment while the needle curvature is acting as a "pusher" to separate the posterior wall during knot tying.

摘要

我们介绍“针夹”技术,这是一种显微外科缝合技术,可增强显微缝合技术,同时在微血管吻合术中放置缝线时确保更精细的对合和血管壁外翻。本报告展示了该技术在单纯间断、连续间断或多环显微外科缝合中的实用性。它还能直接观察血管壁边缘间隙和内膜缝合表面,并且可作为一种安全稳定器以减少失误,因为它能实现最佳的血管对齐,同时针的弯曲度在打结时可作为“推动器”来分离后壁。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb1/7015602/0f333f8d0ca1/gox-8-e2611-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb1/7015602/e703a1e11af0/gox-8-e2611-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb1/7015602/0f333f8d0ca1/gox-8-e2611-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb1/7015602/e703a1e11af0/gox-8-e2611-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cb1/7015602/0f333f8d0ca1/gox-8-e2611-g002.jpg

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The "Needle-splint" Technique: A Method of Accurate Apposition and Eversion during Microvascular Anastomosis.“针夹”技术:一种微血管吻合术中精确对位与外翻的方法。
Plast Reconstr Surg Glob Open. 2020 Jan 27;8(1):e2611. doi: 10.1097/GOX.0000000000002611. eCollection 2020 Jan.
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本文引用的文献

1
"Airborne" suture tying technique: Simple steps to make it easy.“空中”打结技术:简单步骤,轻松上手。
Head Neck. 2017 Dec;39(12):2558-2561. doi: 10.1002/hed.24923. Epub 2017 Sep 30.
2
Histologic Evaluation of Lymphaticovenular Anastomosis Outcomes in the Rat Experimental Model: Comparison of Cases with Patency and Obstruction.大鼠实验模型中淋巴管静脉吻合术结果的组织学评估:通畅与阻塞病例的比较
Plast Reconstr Surg. 2016 Jan;137(1):83e-91e. doi: 10.1097/PRS.0000000000001884.
3
From simple interrupted to complex spiral: a systematic review of various suture techniques for microvascular anastomoses.
从简单的间断缝合到复杂的螺旋缝合:微血管吻合术各种缝合技术的系统评价。
Microsurgery. 2011 Jan;31(1):72-80. doi: 10.1002/micr.20813. Epub 2010 Nov 28.
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Vertical mattress suture technique: an alternative vascular anastomosis.垂直褥式缝合技术:一种替代性血管吻合术。
J Reconstr Microsurg. 2008 Aug;24(6):397-404. doi: 10.1055/s-0028-1082027. Epub 2008 Aug 1.
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Clinical and pathological assessment of different suture techniques for microvascular anastomosis in rat femoral artery.大鼠股动脉微血管吻合不同缝合技术的临床与病理评估
J Vet Sci. 2007 Sep;8(3):269-73. doi: 10.4142/jvs.2007.8.3.269.
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Small vessel anastomosis. A comparison of suture techniques.
Br J Plast Surg. 1967 Jan;20(1):16-20. doi: 10.1016/s0007-1226(67)80003-1.
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Spiral interrupted suturing technique for microvascular anastomosis: a comparative study.用于微血管吻合的螺旋间断缝合技术:一项对比研究。
Microsurgery. 1986;7(2):72-8. doi: 10.1002/micr.1920070205.
8
The interrupted-continuous microsurgical suture technique.间断连续显微外科缝合技术。
Microsurgery. 1992;13(2):103-5. doi: 10.1002/micr.1920130211.