O'Brien B M
Ann R Coll Surg Engl. 1976 Mar;58(2):87-103.
Although the operating microscope was introduced more than 50 years ago, its use was at first confined to otolaryngology and, later, to ophthalmology. More recently its use in the development of microvascular techniques has led to spectacular advances in the field of replantation and reconstructive surgery. The organization of microsurgical research at St Vincent's Hospital, Melbourne, is briefly described and clinical experience at this hospital over the past 10 years is reviewed. This includes 86 cases of digital replantation, with survival rates of 58% for complete and 82% for incomplete amputation, and 14 cases of major replantation (amputations proximal to the metacarpophalangeal joints) with a survival rate of 71%. In the second part of the lecture the use of microsurgery for composite tissue transfer and one-stage toe-to-hand transfer is discussed and experimental and clinical experience in microlymphatic surgery described.
尽管手术显微镜在50多年前就已问世，但它最初仅应用于耳鼻喉科，后来才应用于眼科。最近，它在微血管技术发展中的应用已在再植和重建外科领域取得了惊人的进展。本文简要介绍了墨尔本圣文森特医院的显微外科研究组织情况，并回顾了该医院过去10年的临床经验。这包括86例断指再植病例，完全离断的成活率为58%，不完全离断的成活率为82%，以及14例主要部位再植（掌指关节近端离断）病例，成活率为71%。在讲座的第二部分，讨论了显微外科在复合组织移植和一期足趾移植到手部的应用，并描述了微淋巴管外科的实验和临床经验。
