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DOI: 10.1055/s-0032-1315783
The Double Transverse Microvascular Clamp: A New Instrument for Microsurgical Anastomoses
Publikationsverlauf
29. Januar 2012
20. Februar 2012
Publikationsdatum:
18. Juni 2012 (online)
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Abstract
Since the introduction of microvascular surgeries, the sophisticated ideas and techniques of tissue transplantations are continually advancing and searching for the best work conditions to present the best outcomes in these critical interferences. Every tissue transplant has its donor vessels, artery and vein, which should be anastomosed to recipient vessels. A new instrument, the double transverse microvascular clamp (DTMC), has been developed to be applied simultaneously, as one clamp, to both the artery and its accompanying vein. The transverse design of this clamp keeps the artery separate from its vein, allowing each anastomosis to be performed more easily. The limited clamp surface area minimizes the glazing and blurring effects. Applying only one clamp to the two vessels presents more work space and overcomes the crowdedness caused by the use of two single clamps. Using a DTMC on both the recipient and donor vessels provides optimal suture maneuverability and ideal work situation compared with the use of two double approximating clamps. We believe this DTMC would be a valuable addition to the microsurgical instruments market.
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References
- 1 Maitz PK, Trickett RI, Dekker P , et al. Sutureless microvascular anastomoses by a biodegradable laser-activated solid protein solder. Plast Reconstr Surg 1999; 104: 1726-1731
- 2 Pickett JA, Thorniley MS, Carver N, Jones DP. Free flap monitoring in plastic and reconstructive surgery. Adv Exp Med Biol 2003; 530: 717-724
- 3 Krapohl BD, Reichert B, Machens HG, Mailänder P, Siemionow M, Zins JE. Computer-guided microsurgery: surgical evaluation of a telerobotic arm. Microsurgery 2001; 21: 22-29
- 4 Krapohl BD, Siemionow M, Zins JE. [Applicability of the robot arm for microsurgical operations]. Handchir Mikrochir Plast Chir 1999; 31: 333-338
- 5 El-Shazly MM, Kamel AH, El-Sonbaty MA, Zaki MS, Frick A, Baumeister RG. Endoscope-assisted lymphatic microanastomoses: concept, results, expectations, and applications. J Reconstr Microsurg 2003; 19: 381-384
- 6 El-Shazly MM, El-Sonbaty MA, Kamel AH, Zaki MS, Baumeister RG. Microvascular anastomosis in an optical cavity: is it possible?. Plast Reconstr Surg 2004; 113: 294-298
- 7 Haeseker B. [Microsurgery, a 'small' surgical revolution in the medical history of the 20th century]. Ned Tijdschr Geneeskd 1999; 143: 858-864
- 8 Van Twisk R. A combination of scissors and micro-forceps: a new microsurgical instrument. Br J Plast Surg 1984; 37: 631-632
- 9 Hedén P. A triangular cutting arteriotomy scissors facilitating end-to-side anastomoses. Plast Reconstr Surg 1992; 89: 353-355
- 10 Vickers DW. A new microsurgical needleholder. Aust N Z J Surg 1977; 47: 381-384
- 11 Acland RD. Microvascular anastomosis: a device for holding stay sutures and a new vascular clamp. Surgery 1974; 75: 185-187
- 12 Hendel PM, Buncke HJ. Use of a tilted double clamp in microvascular anastomosis. J Microsurg 1980; 1: 470-471