Department of Neurosurgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, 695011, India.
Acta Neurochir (Wien). 2022 Apr;164(4):1027-1029. doi: 10.1007/s00701-022-05150-9. Epub 2022 Feb 15.
Microvascular surgery requires fine finger movements with stabilised hands for successful anastomosis. Limited space in deeper locations, such as the interhemispheric fissure, increases the difficulty in placing the knots during microvascular suturing.
This note describes a novel technique of constructing reef knots. The technique reduces the excursions of the instrument tips while knotting.
Using this knotting technique in deep microvascular suturing improves the ergonomic ease and stability of knots, while working in deep locations through narrow corridors.
微血管手术需要稳定的手部进行精细的手指运动，以实现成功的吻合。在深部位置（如大脑半球间裂），空间有限，这增加了在微血管缝合时打结的难度。
本笔记描述了一种构建 Reef 结的新技术。该技术可减少打结时器械尖端的移动。
在深部微血管缝合中使用这种打结技术，可以在通过狭窄通道在深部操作时，提高打结的舒适度和稳定性。
