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热血管吻合术(TVA)。一种新的非缝合方法。I. 历史、器械及显微外科技术。

The thermic vascular anastomosis (TVA). A new nonsuture method. I. History, instruments, and microsurgical technique.

作者信息

Wintermantel E

出版信息

Acta Neurochir (Wien). 1981;56(1-2):5-24. doi: 10.1007/BF01400968.

DOI:10.1007/BF01400968
PMID:6166156
Abstract

In order to unite blood vessels in a split second during a total clamping time of less than three minutes a new microsurgical technique has been developed. Heat from a frequency electric current applied to calibrated metal loops unites the cuffs of the vessel ends instead of sutures. As a model for vascular anastomoses the new technique was used in an experiment with 320 rats. Two energy output adjustments of the power source combined with application of fibrin glue on the anastomosis are compared. The new instruments developed for this technique and the operation method are presented with reference to earlier vascular surgical procedures, and the results of patency controls of the anastomoses one day, 10 days, and 30 days postoperatively are listed. Preliminary findings of a long term study are added. This study shows that fully patent anastomoses can be obtained with this technique in much less time than with suturing.

摘要

为了在不到三分钟的总夹闭时间内瞬间连接血管,已开发出一种新的显微外科技术。施加于校准金属环的高频电流产生的热量连接血管断端的袖口,而非使用缝线。作为血管吻合的模型,该新技术用于320只大鼠的实验。比较了电源的两种能量输出调节方式以及在吻合处应用纤维蛋白胶的情况。结合早期血管外科手术,介绍了为此技术开发的新器械和手术方法,并列出了术后1天、10天和30天吻合口通畅性控制的结果。还增加了一项长期研究的初步结果。这项研究表明,使用该技术能在比缝合短得多的时间内获得完全通畅的吻合口。

相似文献

1
The thermic vascular anastomosis (TVA). A new nonsuture method. I. History, instruments, and microsurgical technique.热血管吻合术(TVA)。一种新的非缝合方法。I. 历史、器械及显微外科技术。
Acta Neurochir (Wien). 1981;56(1-2):5-24. doi: 10.1007/BF01400968.
2
The thermic vascular anastomosis (TVA). II. Microvascular auscultation applied to thermic vascular anastomoses.热血管吻合术(TVA)。II. 应用于热血管吻合术的微血管听诊。
Acta Neurochir (Wien). 1982;65(3-4):277-87. doi: 10.1007/BF01405852.
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Coupled suturing: a new technique for microvascular anastomosis.联合缝合:一种微血管吻合新技术。
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[VCS microclip anastomosis on blood vessels of less than 2 millimeters in diameter. Preliminary experimental study in the rat].[直径小于2毫米血管的VCS微型夹吻合术。大鼠初步实验研究]
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[From microsurgery to supermicrosurgery: Experimental feasibility study and perspectives].[从显微外科到超显微外科:实验可行性研究与展望]
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[End-to-side anastomosis made with a short circulatory interruption in the receiving vessel. Experimental model in the rat].[在受体血管中进行短循环阻断的端侧吻合术。大鼠实验模型]
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引用本文的文献

1
The History and Innovations of Blood Vessel Anastomosis.血管吻合术的历史与创新
Bioengineering (Basel). 2022 Feb 15;9(2):75. doi: 10.3390/bioengineering9020075.
2
The thermic vascular anastomosis (TVA). II. Microvascular auscultation applied to thermic vascular anastomoses.热血管吻合术(TVA)。II. 应用于热血管吻合术的微血管听诊。
Acta Neurochir (Wien). 1982;65(3-4):277-87. doi: 10.1007/BF01405852.
3
The thermic vascular anastomosis (TVA). III. Analysis by histology.热血管吻合术(TVA)。III. 组织学分析。

本文引用的文献

1
VI. An Experimental Study of Suture of Arteries, with a Description of a New Suture.六、动脉缝合的实验研究,并介绍一种新型缝合方法
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The uses of plastic tubes in the reparative surgery of battle injuries to arteries with and without intra-arterial heparin administration.塑料导管在战伤动脉修复手术中的应用,包括动脉内使用肝素与不使用肝素的情况。
Acta Neurochir (Wien). 1982;66(3-4):221-32. doi: 10.1007/BF02074509.
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The thermic vascular anastomosis (TVA). IV. Analysis by scanning electron microscopy.
Acta Neurochir (Wien). 1983;67(1-2):139-53. doi: 10.1007/BF01401674.
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Vein anastomosis by electrocoaptive union.通过电凝连接进行静脉吻合术。
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Small arterial anastomoses: II. Suture.小动脉吻合术:II. 缝合
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Small arterial anastomoses: I. Nonsuture.小动脉吻合术:I. 非缝合术。
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8
Microvascular auscultation. A new technique, using a diplo-microphone, for analysis of blood flow at suture lines in small arteries.微血管听诊法。一种使用双传声器分析小动脉缝合线处血流的新技术。
Acta Neurochir (Wien). 1980;53(1-2):25-37. doi: 10.1007/BF02074518.
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The mechanism of blood vessel closure by high frequency electrocoagulation.
Surg Gynecol Obstet. 1965 Oct;121(4):823-31.
10
Microsurgery.显微外科手术
Curr Probl Surg. 1971 Feb:3-56.