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A D V E R T I S E M E N T | |||||
Microsurgery: Inguinal Dissection in Rat Model Images |
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Description / Link to Frame |
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Hind legs secured with masking tape. Forelimbs left free to avoid compromising respiration. |
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Incision made through skin and panniculus carnosus layers. Hooks made from paper clips and rubber bands are used to retract skin edges. |
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Fatpad overlying femoral vessels is lifted over adductor muscles of the thigh. Incision carried up onto the abdomen, then along the medial skin flap. |
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Fat pad dissection. |
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Retractor placed in the muscles of the abdominal wall. |
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Trifucation of the femoral artery and vein (labeled). |
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Forceps used to open the femoral sheath. |
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Sheath teased away from the vessels. |
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Profunda femoral artery is ligated. |
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Distal end of the profunda artery cauterized. |
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Rubber background material placed under the femoral artery. |
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Artery placed in Louisville double clamps. |
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Central segment excised using scissors and forceps. |
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Vessel ends irrigated with heparinized saline. |
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Fine strands of adventitia hanging from ends of vessel. |
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Adventitia trimmed from vessel ends. |
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Use of clock face to describe suture positions. |
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First stitch placed in the 11 o'clock position. |
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First stitch is completed from inside to out. |
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First stitch is tied and one end left long to wrap around the cleat farther from the vessel. |
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Second stitch placed at 7 o'clock and the long end wrapped around the near cleat. |
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The front wall is completed by placing the 9 o'clock stitch. |
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Double clamp rotated to its back side around the axis of the vessel, and 3 o'clock stitch placed and tied. |
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Triangulation of vessel circumference into three 120 degree segments and placement of remaining sutures. |
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Stay sutures unwrapped from cleats. |
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Single Kleinert guard clamps placed proximally and distally, and double clamp removed. |
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Distal vessel is elevated with a forceps, to test patency of anastomosis. |
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Strip test used to check patency of vessel. |
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This page was last modified on 11/2/1999. A D V E R T I S E M E N T
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