Hand Transplantation as an Evolution of Microsurgery: A Logical Step Towards Better Reconstructive Options
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  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 , a vascular surgeon, described microsurgical anastomoses in vessels as small as 1.4 mm using an operating microscope.
KeywordsFree Flap Composite Tissue Free Fibular Flap Microsurgical Anastomosis Internal Mammary Vein
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