✦ LIBER ✦

Microvascular synthetic grafts

✍ Scribed by Dr. H. Hollis Caffee

Publisher: John Wiley and Sons
Year: 1980
Tongue: English
Weight: 271 KB
Volume: 2
Category: Article
ISSN: 0738-1085
DOI: 10.1002/micr.1920020210

No coin nor oath required. For personal study only.

✦ Synopsis

This section will offer reprinted articles and editorial comments on topics of import and interest to microsurgeons. W e welcome sug- gestions from our readers for articles of particular historic or technical significance that might lend themselves to focus i n the field of microsurgery.

"Microvascular Synthetic Grafts" has been selected for re-publication because it demonstrates the important status synthetic grafts have attained in the field of microsurgery. This status may not seem of note to those microvascular surgeons w h o have always believed in the relative efficacy of synthetic grafts. I , however, did m y first vascular work on vessels o f 0 5 to 2.0 mm in 1958. Our initial patency rate was 12% working with silk sutures, macroinstruments, and no microscope. This rate dropped to a frank 0% when patches o f silk, cotton, or rubber were used.

The results obtained in the use of synthetic grafts as reported here, indicate that i n 1980 they are still far less reliable than autologous vein grafts in vessels o f t h i s size. However, there are two points ihat are of great importance to all microvascular surgeons: first, some synthetic grafts did remain open; second, the use of different synthetic graft materials produced different patency rates.

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