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Microsurgery: Inguinal Dissection in Rat Model Images

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Hind legs secured with masking tape. Forelimbs left free to avoid compromising respiration.
VID 10, frame 3

micG4061

 

Incision made through skin and panniculus carnosus layers. Hooks made from paper clips and rubber bands are used to retract skin edges.
VID 10, frame 6

micG4066

 

Fatpad overlying femoral vessels is lifted over adductor muscles of the thigh. Incision carried up onto the abdomen, then along the medial skin flap.
VID 10, frame 7

micG4067

 

Fat pad dissection.
VID 10, frame 8

micG4069

 

Retractor placed in the muscles of the abdominal wall.
VID 10, frame 9

micG4070

 

Trifucation of the femoral artery and vein (labeled).
VID 10, frame 10

micL4071

 

Forceps used to open the femoral sheath.
VID 10, frame 12

micG4073

 

Sheath teased away from the vessels.
VID 10, frame 14

micG4076

 

Profunda femoral artery is ligated.
VID 10, frame 16

micG4079

 

Distal end of the profunda artery cauterized.
VID 10, frame 17

micG4082

 

Rubber background material placed under the femoral artery.
VID 10, frame 18

micG4084

 

Artery placed in Louisville double clamps.
VID 10, frame 20

micG4088

 

Central segment excised using scissors and forceps.
VID 10, frame 21

micG4091

 

Vessel ends irrigated with heparinized saline.
VID 10, frame 22

micG4094

 

Fine strands of adventitia hanging from ends of vessel.
VID 10, frame 24

micG4099

 

Adventitia trimmed from vessel ends.
VID 10, frame 25

micG4102

 

Use of clock face to describe suture positions.
VID 10, frame 26

micG4105

 

First stitch placed in the 11 o'clock position.
VID 10, frame 27

micG4107

 

First stitch is completed from inside to out.
VID 10, frame 28

micG4110

 

First stitch is tied and one end left long to wrap around the cleat farther from the vessel.
VID 10, frame 29

micG4111

 

Second stitch placed at 7 o'clock and the long end wrapped around the near cleat.
VID 10, frame 30

micG4113

 

The front wall is completed by placing the 9 o'clock stitch.
VID 10, frame 31

micG4114

 

Double clamp rotated to its back side around the axis of the vessel, and 3 o'clock stitch placed and tied.
VID 10, frame 32

micG4115

 

Triangulation of vessel circumference into three 120 degree segments and placement of remaining sutures.
VID 10, frame 33

micG4117

 

Stay sutures unwrapped from cleats.
VID 10, frame 34

micG4119

 

Single Kleinert guard clamps placed proximally and distally, and double clamp removed.
VID 10, frame 35

micG4120

 

Distal vessel is elevated with a forceps, to test patency of anastomosis.
VID 10, frame 39

micG4126

 

Strip test used to check patency of vessel.
VID 10, frame 40

micG4128

 

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

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