Document Detail

Acute adverse effects of blunt adventitial stripping.
MedLine Citation:
PMID:  7574289     Owner:  NLM     Status:  MEDLINE    
The adventitia is routinely removed from small arteries before the anastomosis, but the microcirculatory response to this maneuver has not been documented. We have used a rat cremaster muscle flap model for intravital microscopy to compare at the microcirculatory level the effect of blunt (n = 18) and sharp (n = 18) adventitial removal with unmanipulated control arteries (n = 18). Blunt stripping resulted in transient but significant reductions in the red cell velocity (50%, p < 0.05) and capillary perfusion (91%, p < 0.05). Sharp dissection did not affect red cell velocity; however, capillary perfusion was transiently reduced by 25% (p < 0.05). In this study, sharp adventitial dissection was found to be a less harmful method of small arteries preparation for microvascular anastomosis.
R Lohman; M Siemionow; W B Rockwell; G D Lister
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Annals of plastic surgery     Volume:  35     ISSN:  0148-7043     ISO Abbreviation:  Ann Plast Surg     Publication Date:  1995 Jul 
Date Detail:
Created Date:  1995-11-09     Completed Date:  1995-11-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7805336     Medline TA:  Ann Plast Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  60-5     Citation Subset:  IM    
Division of Plastic and Reconstructive Surgery, University of Utah Medical Center, School of Medicine, Salt Lake City.
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MeSH Terms
Anastomosis, Surgical / methods*
Arteries / pathology,  surgery
Microcirculation / pathology,  physiopathology
Microscopy, Video
Microsurgery / methods*
Muscle, Skeletal / blood supply*
Rats, Sprague-Dawley
Surgical Flaps / methods*,  pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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