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KMID : 0358819820090030295
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1982 Volume.9 No. 3 p.295 ~ p.299
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THE MICROVASCULAR ANASTOMOSIS USING AMNIOTIC CUFF
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Kim Chin-Hwan
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Abstract
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Recently end-to-end anastomosis of arteries less than one mm. in diameter has been successfully accomplished. However, good results have not been obtained consistently. The complications of excessive bleeding and/or thrombosis at the site of repair have not infrequently resulted in failure and it is desirable to minimize both number of sutures in a microvascular anastomosis and the bleeding at the anastomotic site.
The Application of amniotic cuff to the anastomotic site permits fewer sutures and eliminates bleeding at the anastomotic site. a 100 percent one week patency rate in 0.8~1.0mm. rat femoral artery is achieved using only four sutures per anastomosis and patency rate is also 100 percent after two weeks. This study indicates that the number of sutures in a perfectly hemostatic anastomosis can be significantly reduced with the use of amniotic membane as a cuff.
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KEYWORD
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