Management of microanastomosis in patients affected by vessel diseases.
Management of microanastomosis in patients affected by vessel diseases.
复制标题
受血管疾病影响的患者的微吻合管理。
DOI：
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发表时间：
2014
影响因子：
3.3
通讯作者：
D. Ribuffo
中科院分区：
文献类型：
--
作者：
E. Cigna;F. Lo Torto;P. Parisi;A. Felli;D. Ribuffo
目标
在过去的十年中，随着显微外科技术和材料的进步，游离组织移植的适应症已大大增加。但是，仍然存在一些限制和缺点。在与皮瓣失败相关的危险因素中，动脉粥样硬化会影响皮瓣和游离微血管组织移植的受体血管。本文的目的是讨论蒙克伯格硬化症的发病机制，以及对这些患者进行显微手术时必须考虑的主题。
方法
使用 Mesh 搜索 PubMed 数据库。以下术语已添加到搜索生成器中：Monckeberg 硬化症、游离皮瓣。选择布尔运算符“AND”。包括“蒙克伯格硬化症”和“游离皮瓣”的所有可选网格标题。
结果
几乎所有关于蒙克伯格硬化症患者显微外科手术的文献都表明了准确的术前和术后评估以及正确的手术技术的重要性。
结论
当进行充分的术前评估、手术技术和术后监测时，即使是严重的动脉粥样硬化也不应被视为微血管手术的绝对禁忌症。
OBJECTIVE
In the last 10 years with the advances in microsurgery of techniques and materials the indications for free tissue transfer have considerably been increased. But, there are still some limitations and drawbacks. Among risk factors associated with flap failure, atherosclerosis can affect both the flap and the recipient vessels of free microvascular tissue transfers. The purpose of this paper is to discuss about the pathogenesis of Monckeberg's sclerosis, and the topics that must be taken into consideration when performing microsurgery in these patients.
METHODS
PubMed database was searched using Mesh. The following terms was added to the search builder: Monckeberg's sclerosis, free flap. The Boolean operator "AND" was selected. All the selectable Mesh headings for "Monckeberg's sclerosis" and "free flap" were included.
RESULTS
Almost all the literature works about microsurgery in Monckeberg's sclerosis patient show the importance of an accurate preoperative and postoperative evaluation and of a proper surgical technique.
CONCLUSIONS
When adequate preoperative evaluation, surgical technique and postoperative monitoring are performed, even severe atherosclerosis should not be considered an absolute contraindication for microvascular surgery.
微血管手术中的血栓形成和抗血栓治疗。
影响因子：
2.3
作者：
Johnson,PC;Barker,JH
通讯作者：
Barker,JH