A Nonanimal Model for Microsurgical Training With Adventitial Stripping

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Küçük Resim

Tarih

2000

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Lippincott Williams & Wilkins

Erişim Hakkı

info:eu-repo/semantics/openAccess

Özet

Microvascular anastomoses are increasingly used in modern surgery. Before performing a microvascular anastomosis, the adventitia and the periadventitial tissues are routinely removed from small arteries. The stripping of the adventitial layer from blood vessels is one of the most important parts of the microsurgery study. This allows for a clear delineation of the vessel ends and a more accurate suture placement. Furthermore, if left in place, strands of the adventitia near the cut ends of the vessel can become interposed into the anastomosis. Adventitia is highly thrombogenic, and the anastomosis is likely to fail if this occurs.1 This condition necessitates consecutive hard exercises for beginners, because laboratory exercise is important to mastering the microsurgical techniques. Animal models have been used successfully for this purpose, but the expense and increasingly strict regulations have prompted a search for nonanimal models.2 The nonanimal model that is commonly used in microsurgery training can involve rubber glove material,3 placenta,4 colored beads,5 microsilicone tubing,6 or leaves,7 etc. However, none of these options include an adventitial stripping procedure during the operation. The lack of this procedure is insufficient for existing nonanimal models. This study presents a nonanimal model for stripping the adventitia of a blood vessel, in a standard procedure performed before a microvascular anastomosis.

Açıklama

Anahtar Kelimeler

Kaynak

Plastic and Reconstructive Surgery

WoS Q Değeri

Q2

Scopus Q Değeri

Cilt

106

Sayı

4

Künye

Savacı, N., Tosun, Z., Hoşnuter, M., (2000). A Nonanimal Model for Microsurgical Training With Adventitial Stripping. Plastic and Reconstructive Surgery, 106(4), 958-959.