Fundamental Techniques of Vascular Anastomosis(SPECIAL ISSUES : Essential Standard Techniques of the Microsurgery)

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  • 血管吻合の基本手技(<特集>これだけはマスターしたいMicrosurgeryの基本手技)

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Vascular anastomosis is one of the most fundamental techniques in microsurgery. Therefore, technical training is essential before clinical application. This surgical procedure contains sharp dissection, hemostasis using bipolar coagulation, and anastomosis techniques, which are all basic techniques in neurosurgery. It is important to cautiously confirm the luminal surface of the anastomotic site under the operative microscope. Suturing without sufficient microscopic confirmation should be avoided. It is also important to perform anastomosis under favorable conditions, such as a shallow and bloodless operative field. The surgeon must abandon the attitude of seeking perfection of brilliant skillfulness in performing the anastomosis. Instead, steadiness, coolness and patience are all key to success in microvascular anastomosis.

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