𝔖 Bobbio Scriptorium
✦   LIBER   ✦

Microvascular surgery in a bloodless field

✍ Scribed by Gregory A. Dumanian; Alexandria Chen

Publisher
John Wiley and Sons
Year
2000
Tongue
English
Weight
36 KB
Volume
20
Category
Article
ISSN
0738-1085

No coin nor oath required. For personal study only.

✦ Synopsis

Although tourniquets play an integral role in extremity surgery, no clear guidelines exist for the use of tourniquets in microsurgery. We undertook a study in 12 healthy volunteers to better understand the coagulation properties of blood distal to an inflated tourniquet. At a 15-min inflation time, blood distal to an inflated tourniquet clots faster than blood taken from the opposite arm after addition of exogenous thrombin (12.5 s vs 17.5 s, P < 0.0001). Neither fibrinopeptide A (FPA) levels nor tissue plasminogen activator (tPA) levels were different from those of controls. Tissue factor pathway inhibitor (TFPI), an endogenous local anticoagulant, was slightly but significantly elevated in tourniquet blood. Although much remains to be understood, we believe that microvascular surgery in a bloodless field is safe and efficacious. Nine patients are presented who successfully underwent microvascular surgery in a bloodless field, using various types of extremity tourniquets.

πŸ“œ SIMILAR VOLUMES

A bloodless technique for tongue surgery
A bloodless technique for tongue surgery
✍ Weitz, J. ;Hodgson, W. J. B. ;Loscalzo, L. J. ;McElhinney, A. J. πŸ“‚ Article πŸ“… 1981 πŸ› Wiley (John Wiley & Sons) βš– 790 KB

## Abstract The Cavitron Ultrasonic Surgical Aspirator (CUSA System) has been used at our institution in the resection of carcinoma of the tongue in 10 patients. This device is an ultrasonically powered aspirator that selectively fragments and aspirates tissue within a 1‐ to 2‐mm radius of its tip.

Preserved arterial grafts in microvascul
Preserved arterial grafts in microvascular surgery
✍ Dr. Norma I. Cruz; Gumersindo Blanco; Herman J. Cestero πŸ“‚ Article πŸ“… 1981 πŸ› John Wiley and Sons 🌐 English βš– 251 KB

## Abstract The patency rates of arterial grafts preserved by immersion in 70% alcohol and arterial grafts preserved by ficin digestion and dialdehyde tanning were compared with the patency rate of fresh autogenous vein grafts in 5‐mm defects in the femoral arteries of 50 rats. The overall patency

Sodium hyaluronate as an aid in microvas
Sodium hyaluronate as an aid in microvascular surgery
✍ Einar O. ArnbjΓΆrnsson πŸ“‚ Article πŸ“… 1986 πŸ› John Wiley and Sons 🌐 English βš– 195 KB

The purpose of this study was to compare the suture of a microvascular anastomosis with and without the aid of sodium hyaluronate. The divided femoral arteries of ten Sprague-Dawley rats were sutured using sodium hyaluronate on one side. Operating time, bleeding, and patency rates were studied and c

Current status of topical antithrombotic
Current status of topical antithrombotic agents in microvascular surgery
✍ Suman K. Das; John H. Miller πŸ“‚ Article πŸ“… 1994 πŸ› John Wiley and Sons 🌐 English βš– 311 KB

## Abstract Several technical advances over the years have allowed microsurgery to be successful. However, thrombosis, particularly at the anastomosis site, remains a complication of microvascular surgery. Various preventive measures, including drugs, have been used to improve microvascular surgica