• Title/Summary/Keyword: reconstructive surgery

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Inexpensive Materials for Microsurgery in Middle- and Low-Income Countries

  • Pedro Ciudad;Joseph M. Escandon;Edgar Llanos;Juan Ludena;Oscar J. Manrique;Jorge Castro;Rafael Rossi
    • Archives of Plastic Surgery
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    • 제50권1호
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    • pp.121-124
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    • 2023

  • With the continuous incorporation of new technologies and advancements in surgical technique, microsurgical procedures around the world have generated a higher success rate and innovative procedures are now possible. In this setting, limitations regarding accessibility and acquisition of medical resources and equipment for these types of operations may be difficult in developing countries. We believe the dexterities of surgeons go beyond the surgical technique, meaning that we are able to use everyday materials to re-create affordable solutions that can be used during surgery in a safe way. This manuscript presents our experience with different surgical instruments and gadgets, developed out of necessity, to improve microsurgical interventions in developing countries.

  • https://doi.org/10.1055/s-0042-1758640 인용 PDF

미세혈관문합술의 연습 모델로서 글리세롤 처리된 위대망동맥의 활용 (Gastroepiploic Artery Preservation with Glycerol as a Training Model for Microvascular Anastomosis)

  • 박찬영;장학;정진행;허은주;민경원;유문원;양한광
    • Archives of Plastic Surgery
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    • 제35권5호
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    • pp.626-629
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    • 2008

  • Purpose: We investigate the possibility of vessel preservation with glycerol and evaluate the potential of preserved gastroepiploic artery as a tool for the microsurgical practice. Methods: In 5 early gastric cancer patients, IRB(No. C-0603-040-170), we gained gastroepiploic artery specimens(5 segments, about 10 cm) after gastrectomy. Each segment was rinsed in a normal saline and subsequently placed in a bottle, containing 50 mL anhydrous glycerol (87%). The bottles were refrigerated at $4^{\circ}C$, the longest preservation time being 5 months. Results: At first glance, no fragmentation was detected and the surface of vessel seemed mild sclerotic. In histological examination, vascular structures remained intact though preservation with glycerol led to a mild atrophy of the smooth muscle in the tunica media. Especially, we found out the elastic fibers and endothelial lining of the intima were preserved until 5 months. Adequate status for using microsurgical practice was also maintained and leakage test was performed successfully with gentian violet ink. Conclusion: Based on the results obtained in this study, the gastroepiploic artery preservation with glycerol as a training model for microvascular anastomosis is a technically very simple procedure and useful for the novice microsurgeon.

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