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篇名	A New Method of Microvascular Anastomosis for Atherosclerotic Vessel
作者	Tzong-Shiun Li, Pai-Tsung Chiang, Hsing-Guang Lai, Yi-Ten Liu, Hung-Chi Chen
卷期/出版年月	39卷5期 (2006/10)
頁次	246-249
摘要	Objective: A new technique to deal with difficult end-to-end anastomosis and for anastomosis of atherosclerotic arteries in head and neck surgery by using a selfdesigned loop holder. Methods: A C-wire is twisted to form a loop at the tip and a needle holder is used to grasp the twisted wire. The wire is then used to guide the needle through the vessel wall during anastomosis. Minimal contact of the intima with the wire occurs. This technique is specifically used to deal with difficult end-to-end anastomosis for atherosclerotic arteries in head and neck surgery. Results: The mean follow up period was 14 days after surgery. All cases with no anastomotic complications such as arterial or venous insufficiency, artery occlusion or venous thrombosis. The diagnosis is according to the appearance and capillary refilling time of the flap. One case had re-exploration because of persistent oozing from the penrose drain for 8 hours. There were no anastomotic complications found during operation. Conclusions:The new method provides better handling of the vessel and a satisfactory completion of the anastomosis in a difficult condition.
關鍵詞	diabetes mellitus, hyperlipidemia, atherosclerosis, microvascular
分類	Original Article