High-quality microvascular anastomosis is the foundation of successful microsurgery and one of the most important basic skills for microsurgeons. The traditional manual suture is recognized as the “gold standard” fo...High-quality microvascular anastomosis is the foundation of successful microsurgery and one of the most important basic skills for microsurgeons. The traditional manual suture is recognized as the “gold standard” for microvascular anastomosis, but it still has problems such as long operation time and easy to cause vascular damage. In order to improve the success rate of microvascular anastomosis, reduce surgical complications and make the prognosis of patients better. In order to improve the success rate of microvascular anastomosis and reduce the surgical complications, scholars at home and abroad have developed some new vascular anastomosis techniques that are simple, fast and minimally invasive while improving the traditional surgical suturing methods. In this paper, we review the microvascular anastomosis, and its application research in two methods of traditional hand suture and non-suture anastomosis, in order to promote the application development of microvascular anastomosis.展开更多
Free tissue transfer(FTT)is a cornerstone of head and neck reconstruction.Although rare,complications of FTT surgery can be devastating,including failed flap harvest,wound breakdown,or flap loss ultimately.Thus,modern...Free tissue transfer(FTT)is a cornerstone of head and neck reconstruction.Although rare,complications of FTT surgery can be devastating,including failed flap harvest,wound breakdown,or flap loss ultimately.Thus,modern microvascular surgeons bolster surgical and clinical expertise with a growing number of technological advances to optimize patient care and outcomes.These technologies can be applied in the preoperative,intraoperative,and postoperative period.Various preoperative imaging modalities can assist in selecting the optimal donor site and advanced perforator planning.Intraoperatively,novel technologies can assist with microvascular anastomoses,operative magnification and visualization,and assess free tissue perfusion.Postoperatively,routine clinical assessment can be augmented by a variety of adjunctive monitoring techniques designed to assess tissue health,arterial inflow and venous drainage.The overall ease and success of performing FTT can be improved by employing novel technologies at every phase of the surgical process.This article will expand upon established and upcoming technological advances and the existing literatures to support their use.展开更多
文摘High-quality microvascular anastomosis is the foundation of successful microsurgery and one of the most important basic skills for microsurgeons. The traditional manual suture is recognized as the “gold standard” for microvascular anastomosis, but it still has problems such as long operation time and easy to cause vascular damage. In order to improve the success rate of microvascular anastomosis, reduce surgical complications and make the prognosis of patients better. In order to improve the success rate of microvascular anastomosis and reduce the surgical complications, scholars at home and abroad have developed some new vascular anastomosis techniques that are simple, fast and minimally invasive while improving the traditional surgical suturing methods. In this paper, we review the microvascular anastomosis, and its application research in two methods of traditional hand suture and non-suture anastomosis, in order to promote the application development of microvascular anastomosis.
文摘Free tissue transfer(FTT)is a cornerstone of head and neck reconstruction.Although rare,complications of FTT surgery can be devastating,including failed flap harvest,wound breakdown,or flap loss ultimately.Thus,modern microvascular surgeons bolster surgical and clinical expertise with a growing number of technological advances to optimize patient care and outcomes.These technologies can be applied in the preoperative,intraoperative,and postoperative period.Various preoperative imaging modalities can assist in selecting the optimal donor site and advanced perforator planning.Intraoperatively,novel technologies can assist with microvascular anastomoses,operative magnification and visualization,and assess free tissue perfusion.Postoperatively,routine clinical assessment can be augmented by a variety of adjunctive monitoring techniques designed to assess tissue health,arterial inflow and venous drainage.The overall ease and success of performing FTT can be improved by employing novel technologies at every phase of the surgical process.This article will expand upon established and upcoming technological advances and the existing literatures to support their use.
