The application of interpositional microvascular vein grafting in replantation surgery, a detailed account of the technique developed and utilised in the microvascular research and training laboratory, and clinical experience with this technique are described. Vein grafting is of particular value to eliminate tension in anastomoses, bridge vascular defects, and has made feasible the salvage of severe crushing and avulsion amputation in the hand.
Get full access to this article
View all access options for this article.
References
1.
ALPERTB. S., BUNCKEH. J., and BROWNSTEINM. (1978). Replacement Of Damaged Arteries And Veins With Vein Grafts When Replanting Crushed, Amputated Fingers.Plastic and Reconstructive Surgery, 61: 17–22.
2.
BIEMERE. (1977). Vein Grafts In Microvascular Surgery.British Journal of Plastic Surgery, 30: 197–199.
3.
BUCHLERU., PHELPSD. B., WINSPURI., and BOSWICKJ. A.Jr. (1977). The irrigation jet: An aid in microvascular surgery.The Journal of Hand Surgery2: 24–28.
4.
BUNCKEH. J.Jr and McCLEANCapt. D. H. (1971). The Advantage Of A Straight Needle In Microsurgery.Plastic and Reconstructive Surgery47: 602–603.
5.
COBBETTJ. (1967). Small Vessel Anastomosis. A Comparison of Suture Techniques.British Journal of Plastic Surgery20: 16–20.
6.
COBBETTJ. R. (1967). Microvascular Surgery.Surgical Clinics of North America47: 521–542.
7.
DANIELR. K., and TERZISJ. K.Reconstructive Microsurgery, 1st Edition, Boston, Little, Brown and Company, 1977, 106–107.
8.
FUJIKAWAS., and O'BRIENB. McC. (1975). An Experimental Evaluation Of Microvenous Grafts.British Journal of Plastic Surgery28: 244–246.
9.
GOULDJ. S., HENSONP. J., and GOULDS. H. (1979). A Mechanized Microirrigation System.The Hand11: 337–340.
10.
RIJNDERSW., and DIJKSTRAR. (1976). Survival of the Thumb by a Vein Graft in a Case of a Severe Hand Lesion.The Hand8: 261–264.