c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Microsurgery: Inguinal Dissection in Rat Model: 22

A D V E R T I S E M E N T

   
 

As soon as the vessel is cut, the ends are irrigated out with heparinized saline to prevent clot from adhering to the intima. Once fibrin begins to adhere, it is impossible to remove without damaging intima and dooming the anastomosis to clotting off.      

Notes:

Link to this frame from your Personal Thumbnails page? Yes No


 

Microsurgery: Inguinal Dissection in Rat Model: 23

A D V E R T I S E M E N T

   
 

The tips of the clamp applicator approximate the clamps so that the vessel ends are one vessel diameter from each other. This is done one side at a time, with one blade outside the clamp to be moved and the other outside the bar holding the clamps. The index finger is held between the blades for fine control.      

Notes:

Link to this frame from your Personal Thumbnails page? Yes No


 

Microsurgery: Inguinal Dissection in Rat Model: 24

A D V E R T I S E M E N T

   
 

Under high power (20X) fine strands of adventitia can be seen hanging off the ends of the vessel. The adventitia is collagen which is highly thrombogenic. To prevent strands from getting into the anastomosis, it is critical to trim the ends of the vessel clean of adventitia. A wisp of adventitia is grasped with a fine forceps and pulled longitudinally. A cuff of adventitia will slip off the vessel end.     

Notes:

Link to this frame from your Personal Thumbnails page? Yes No

 

Click the "Update" button to save your Notes and Personal Thumbnails.

 

Thumbnails

This page was last modified on 11/2/1999.