Sugiura K, Nakatsuchi Y, Yagi R, Sugimoto Y
Microsurgery. 1985;6(2):125-8. doi: 10.1002/micr.1920060214.
We developed a new technique of venous interposition graft where the principle of sleeve anastomosis was applied at the proximal suture site and fibrin glue was used at both suture sites to prevent leakage. An advantage of this procedure was a reduction in the number of stitches, which reduced operative time and obtained good vascular healing. Since in an animal experiment a high patency rate of 97% was obtained, we applied the procedure to a clinical case with complete amputation at the PIP joint level of a long finger. Good recirculation was seen on angiography 6 weeks postoperatively.
我们开发了一种新的静脉移植技术,即在近端缝合部位应用套袖吻合原理,并在两个缝合部位使用纤维蛋白胶以防止渗漏。该手术的一个优点是减少了缝合针数,从而缩短了手术时间并实现了良好的血管愈合。由于在动物实验中获得了97%的高通畅率,我们将该手术应用于一例长手指近端指间关节水平完全离断的临床病例。术后6周血管造影显示有良好的再循环。