Meyer V E
Helv Chir Acta. 1981 Feb;47(6):781-95.
Microsurgery is an important, but purely technical advancement. It would be a serious error for medicine and patient care to accept the concept of a "microsurgeon" rather than recognizing the necessity for surgical specialists working in many anatomical regions to learn microsurgery techniques as related to comprehensive care of their area. In hand surgery it is already clear that the duration of procedures and the exhaustion associated especially with reattachment surgery demands care by a team rather than by a single individual. Decision making and over all responsibility for performance of that team must, however, rest clearly with a primary surgeon. The institution of an emergency service for microsurgical cases represents a heavy burden to the infrastructure of a hospital. Therefore it seems reasonable to institute in each country an appropriate number of replantation centers to which the cases can be referred. The indications for reattachment surgery must be carefully evaluated and well balanced against traditional possibilities of treatment. The dramatic achievements of reattachment surgery and composite tissue transfers are illustrated by a few examples.
显微外科是一项重要但纯粹属于技术层面的进步。对于医学和患者护理而言，若接受“显微外科医生”这一概念，而不认识到在许多解剖区域工作的外科专家学习与该区域综合护理相关的显微外科技术的必要性，将是一个严重的错误。在手外科领域，手术时间以及尤其是再植手术带来的疲惫，显然需要一个团队而非单个个体来进行护理，这一点已经很明确。然而，该团队的决策和整体工作责任必须明确由一名主刀医生承担。设立显微外科急诊服务对医院的基础设施来说是一项沉重负担。因此，在每个国家设立适当数量的可接收病例的再植中心似乎是合理的。必须仔细评估再植手术的指征，并与传统治疗方法进行权衡。通过几个例子说明了再植手术和复合组织移植取得的显著成就。
