Wicky B, Largiadèr J, Pouliadis G, Zollikhofer C
Chirurg. 1984 Apr;55(4):244-8.
Eighteen patients with major vessel trauma were reviewed three years after the accident. The follow-up included clinical examination and angiography. The morphological results were compared to the applied surgical technique of vessel repair. In all of our patients the blood supply to the injured extremity was clinically sufficient. Optimal morphological results were observed in our study in patients with transverse end-to-end-anastomoses with single stitch suture. If a direct anastomosis was not possible we generally used an autologous vein graft. The simultaneous repair of concomitant vein trauma diminishes the danger of a compartment syndrome.
18例大血管创伤患者在事故发生三年后接受了复查。随访包括临床检查和血管造影。将形态学结果与应用的血管修复手术技术进行了比较。在我们所有的患者中,受伤肢体的血供在临床上是充足的。在我们的研究中,采用单针缝合的端端横向吻合患者观察到了最佳的形态学结果。如果无法进行直接吻合,我们通常使用自体静脉移植物。同时修复伴发的静脉创伤可降低骨筋膜室综合征的风险。