Hand Transplantation as an Evolution of Microsurgery: A Logical Step Towards Better Reconstructive Options

  • Marco Lanzetta


Microsurgery was developed in the twentieth century by combining techniques of vascular surgery with an operating microscope, fine instruments, microsuture and new operative strategy and techniques. The first vascular anastomosis was performed by J.B. Murphy in 1897, but Alexis Carrel [1] originated the method for triangulation of blood vessels to perform arterial and venous repairs in 1902. He performed an end-to-end anastomosis. It was in 1960 that Jules Jacobson [2], a vascular surgeon, described microsurgical anastomoses in vessels as small as 1.4 mm using an operating microscope.


Free Flap Composite Tissue Free Fibular Flap Microsurgical Anastomosis Internal Mammary Vein 
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Copyright information

© Springer-Verlag Italia 2007

Authors and Affiliations

  • Marco Lanzetta
    • 1
    • 2
    • 3
    • 4
    • 5
  1. 1.Italian Institute of Hand SurgeryMonza, MilanItaly
  2. 2.Hand Surgery and Reconstructive, Microsurgery UnitSan Gerardo HospitalMonza, MilanItaly
  3. 3.University of Milan-BicoccaMilanItaly
  4. 4.University of CanberraAustralia
  5. 5.International Hand and CompositeTissue Allograft SocietyAustralia

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