Abstract
Vascular clamps are often used during microvascular repair and anastomosis. However, pressure exerted by the clamps may damage the vessels, which compromises patency of vessels. This article reports on a microsurgical suture technique performed without any clamp to avoid clamp-related problems.
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References
Ikuta Y (1984) Microvascular double clamp type A-II. J Reconstr Microsurg 1:41–43
Pederson WC (2005) Principles of microvascular surgery. In: Green DP, Hotchkiss RN, Pederson WC, Wolfe SW (eds) Green’s operative hand surgery, 5th edn. Churchill Livingstone, Philadelphia, pp 1529–1568
Margovsky AI, Chambers AJ, Lord RS (1999) The effect of increasing clamping forces on endothelial and arterial wall damage: an experimental study in the sheep. Cardiovasc Surg 7(4):457–463
Dinsmore RC (1995) Understanding surgical knot security: a proposal to standardize the literature. J Am Coll Surg 180:689–699
Alpert BS, Buncke HJ, Brownstein M (1978) Replacement of damaged arteries and veins with vein grafts when replanting crushed, amputated fingers. Plast Reconstr Surg 61:17–22
Biemer E, Duspiva W (1977) Complications in the replantation of amputated digits. Handchirurgie 9:67–70
Bunt TJ, Manship L, Moore W (1985) Iatrogenic vascular injury during peripheral revascularization. J Vasc Surg 2(3):491–498
Richling B, Griesmayr G, Lametschwandtner A, Scheiblbrandner W (1979) Endothelial lesions after temporary clipping. A comparative study. J Neurosurg 51(5):654–661
Wilber RG, Shaffer JW, Field GA (1984) The effect of redundancy and tension on microvascular vein grafts. J Hand Surg [Am] 9:649–652
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All named authors hereby declare that they have no conflicts of interest to disclose.
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Park, H.C., Bahar Moni, A.S., Chang, J. et al. A Microsurgical Suture Technique Without the Need for Vascular Clamps. J Hand Microsurg 6, 102–105 (2014). https://doi.org/10.1007/s12593-014-0126-6
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DOI: https://doi.org/10.1007/s12593-014-0126-6