动脉静脉循环,血管旁路和输入增强:通过协作和微手术创造力来增强肢体救援
Max Silverstein1, Arash Momeni1
1Division of Plastic & Reconstructive Surgery, Stanford University School of Medicine, Stanford, United States.
概括
先进的微手术技术,如动脉静脉 (AV) 循环和血管旁路,可以恢复受损血管的四肢的血液流动. 这些方法使软组织能够持续覆盖,拯救以前被认为无法挽救的肢体.
科学领域:
- 微手术 微手术是一种微手术.
- 重建性手术是一种重建性手术.
- 血管外科 血管外科
背景情况:
- 肢体威胁缺陷往往缺乏可行的血管进行标准的重建.
- 高能量的创伤,缺血,感染和癌症切除创造了具有挑战性的挑战.
研究的目的:
- 审查五十年来用于肢体重建的先进微手术策略.
- 总结复杂病例的技术发展和临床证据.
主要方法:
- 动脉静脉 (AV) 环节的使用
- 血管绕道是通过血管绕道.
- 营养片可以提供营养.
主要成果:
- 这些技术可以在局部解剖是不可能的情况下恢复血管连续性.
- 能够持续覆盖软组织和挽救四肢.
- 保持四肢长度和恢复功能.
结论:
- 精细的微手术执行对于最佳结果至关重要.
- 跨学科的合作 (塑料,骨科,血管外科医生) 是必不可少的.
- 先进的微手术策略为无法挽救的四肢提供了多功能武器库.
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