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Microsurgical Procedures

  • Lee J. Skandalakis
  • John E. Skandalakis
Chapter

Abstract

Digital replantation, free tissue transfer, vascularized bone grafting, and other procedures have become possible with the advent of microsurgery. A basic set of instruments should include microsurgical forceps (4, 5A), vessel dilating forceps, curved scissors, straight scissors, and vascular clamps (single and double for both arteries and veins). For more advanced procedures, surgical background with color contrast, microsutures, and microirrigation syringes are needed. Surgical setup and choice of sutures are explained. The advantages, disadvantages, and procedures for magnification with operating loupes and operating microscopes are detailed. Microsurgical tools require specialized handling, care, and storage conditions. The technique of end-to-end arterial and venous repair, nerve repair, and neuroentubulation is presented.

Keywords

Operating Microscope Nerve Repair Free Tissue Transfer Optical Magnification Heparinized Saline Solution 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Lee J. Skandalakis
    • 1
  • John E. Skandalakis
    • 1
  1. 1.Centers for Surgical Anatomy and TechniqueEmory University School of Medicine Piedmont HospitalAtlantaUSA

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