ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1977.tb04288.x

出版商:Blackwell Publishing Ltd    

年代:1977

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1977.tb04289.x

出版商:Blackwell Publishing Ltd    

年代:1977

数据来源: WILEY

摘要:

The use of free vascularized tissue transfers in reconstructive surgery is an exciting new development. Such procedures require careful planning and meticulous attention to detail. Illustrative cases are described to indicate the value and scope of this concept, which has been made possible by the development of microsurgery.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1977.tb04290.x

出版商:Blackwell Publishing Ltd    

年代:1977

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1977.tb04291.x

出版商:Blackwell Publishing Ltd    

年代:1977

数据来源: WILEY

摘要:

A report on a series of 18 digital replantations is presented. The overall survival of digits was 13 (72%). All but one of the crush and avulsion amputations developed vascular complications. Venous insufficiency was much more commonly seen than arterial. Substantial blood loss was the rule in all digits which developed further vascular problems. A conservative approach is advocated for the majority of these complications.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1977.tb04292.x

出版商:Blackwell Publishing Ltd    

年代:1977

数据来源: WILEY

摘要:

A rational approach to the reconstruction of the Fallopian tube, blocked either intentionally or by disease processes, can only be made on the basis of sound anatomical and physiological understanding. It would accordingly not be logical to expect the tube to function normally again after too great a disorganization by sterilization procedures followed by traumatic restorative operations. It is therefore recommended that any sterilization should be carried out by a midtubal atraumatic Pomeroy method, tissue being conserved for possible future reconstruction, and that a proven microsurgical technique be utilized for the best results of reconstruction to be obtained. This paper briefly details the anatomy and physiology of the Fallopian tubes, evaluates a microsurgical tubal repair in the rabbit, reports a series of tubal repairs in women, and suggests a working protocol for future tubal surgery.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1977.tb04293.x

出版商:Blackwell Publishing Ltd    

年代:1977

数据来源: WILEY

摘要:

Optimal results of repair of a severed tube can be expected when a meticulous atraumatic microsurgical technique is based on a detailed knowledge of the anatomy and function of the tube. A reliable vas repair after vasectomy involves the avoidance of leakage or scarring in a tube of which the ends differ in internal diameter from 1 mm to 0.2 mm and in which the inner mucosal layer is difficult of access because of its solid muscular core surround. In addition, the healing will only occur without massive scarring and the nerve supply will only return if the blood supply can be retained as close as possible to the anastomosis. The technique described was first researched in the Macaque monkey and requires considerable microsurgical expertise. It has proved reliable in that 98% of the first 50 patients showed sperms in their ejaculates three months after operation, with a 62% pregnancy rate after an operation on one side only. The vasectomies had been performed up to 13 years before, and one can only conclude that a routine scrotal vasectomy should not be considered irreversible.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1977.tb04294.x

出版商:Blackwell Publishing Ltd    

年代:1977

数据来源: WILEY

摘要:

The introduction of microsurgical procedures to ophthalmology has resulted in an increased success rate with established operations. New operations which can only be performed with the operating microscope have also been developed. As long as certain basic principles are followed, surgery with the microscope has wide application, and lies within the expertise of all surgeons.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1977.tb04295.x

出版商:Blackwell Publishing Ltd    

年代:1977

数据来源: WILEY

摘要:

A new finding made possible by the use of the operating microscope in neurosurgery is discussed. Nineteen patients with trigeminal neuralgia have been explored, and in 14 of these vascular compression of the fifth nerve at its entry zone to the pons has been found. Relief of this vascular compression has caused cessation of pain in all these patients. In addition, one patient with hemifacial spasm, and one patient with glossopharyngeal neuralgia, are reported; each of these also had vascular compression of the appropriate nerve causing the symptoms.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1977.tb04296.x

出版商:Blackwell Publishing Ltd    

年代:1977

数据来源: WILEY

摘要:

Microsurgery presents special problems of visual information and fine manipulation, including tremor control. These problems can be studied usefully through ergonomics, the science of man at work, already used widely in industry. This paper presents factors affecting visual feedback, normal hand tremor, and instrument design, and refers to the process of skill acquisition and the care of surgical instruments.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1977.tb04297.x

出版商:Blackwell Publishing Ltd    

年代:1977

数据来源: WILEY