COMPARISON OF LASER-ASSISTED AND CONVENTIONALLY SUTURED MICROVASCULAR ANASTOMOSES BY BURSTING PRESSURE - A REANALYSIS AND FURTHER-STUDIES

被引:7
作者
FLEMMING, AFS
BOWN, SG
COLLES, MJ
BROUGH, MD
机构
[1] Plastic and Reconstructive Surgery Unit and National Medical Laser Centre, Department of Surgery, University College Hospital, London
[2] Medical Laser Unit, Heriot-Watt University, Edinburgh
关键词
D O I
10.1002/micr.1920110107
中图分类号
R61 [外科手术学];
学科分类号
摘要
Methods of testing the strength of microvascular anastomoses are reviewed historically, in the light of recent applications to laser‐assisted microvascular anastomosis techniques. The results of two experiments using hydrostatic distension to bursting point to determine the strengths of laser‐assisted and conventionally sutured anastomoses of rat arteries and veins are presented. Considerable variation of the bursting pressures was found at any given time after anastomosis, and by the third postoperative day, the sutured vessels showed a significant fall in strength to their weakest level, with not as great a fall in the laser group. The sutured vessels were stronger than were the laser‐anastomosed vessels, except at 3 days and after 6 weeks, when there were no significant differences between the two types of anastomosis. Aneurysmal vessels did not always burst at lower pressures than did nonaneurysmal vessels of comparable age. Copyright © 1990 Wiley‐Liss, Inc., A Wiley Company
引用
收藏
页码:25 / 33
页数:9
相关论文
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