Tamai S, Hori Y, Tatsumi Y, Okuda H, Nakamura Y, Sakamoto H, Takita T, Fukui A
Clin Orthop Relat Res. 1978 Jun(133):106-21.
Successful microvascular anastomosis depends upon the applications of magnifications, special instruments and fine suture materials, and the surgeon's skill in the technique. The key points of one millimeter vessel anastomosis are the wall-to-wall coaptation of the vessel ends, the fewer number of interrupted stitches with relatively loose knot. To gain good coaptation, an oblique insertion of a needle through the vessel wall must be used. In a thin-walled vein repair, the lumen should always be kept open with frequent irrigations. Between July 1965 and December 1976, 150 digits out of 168 in 111 cases and 11 hands in 11 patients were successfully replanted. All tissues must be repaired primarily. The repair of artery is performed first, recirculation is allowed with systemic heparinization, followed by vein anastomosis. The rehabilitation is commenced from the first day. To gain good function, several reconstructive surgeries may be necessary on the replanted digit or hand.
成功的微血管吻合取决于放大技术的应用、特殊器械和精细缝合材料，以及外科医生的技术水平。一毫米血管吻合的关键点是血管断端的端端壁对壁贴合，间断缝合针数较少且打结相对宽松。为了实现良好的贴合，必须采用斜向进针穿过血管壁。在薄壁静脉修复中，应通过频繁冲洗始终保持管腔开放。1965年7月至1976年12月期间，111例患者的168个手指中的150个手指以及11例患者的11只手成功再植。所有组织都必须首先进行修复。先进行动脉修复，全身肝素化后恢复血流，然后进行静脉吻合。康复从第一天开始。为了获得良好的功能，可能需要对再植的手指或手进行几次重建手术。
