| Differences between arterial and venous occlusion in microvascular surgery. | |
| | |
MedLine Citation:
|
PMID: 8493480 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Between November 1985 and November 1988 11 patients developed arterial occlusion after microvascular anastomoses, 10 patients venous occlusions and five combined arterial and venous occlusions. We undertook a retrospective study to see whether colour, capillary refill, thermometry, or laser Doppler measurements could distinguish arterial and venous occlusions. Neither skin thermometry nor total backscattered light intensity change and flow band width (laser Doppler measurements) were significantly different (p > 0.05) between arterial and venous occlusions, but there were significant differences in colour (p = 0.006), capillary refill (p = 0.007), and laser Doppler flow (p = 0.02). The values obtained from cases with combined arterial and venous occlusions were like those of a venous occlusion or of an arterial occlusion or somewhere in between. Although none of the variables was diagnostic, we advise that the suspect vascular anastomosis should first be checked during reoperation. If an occluded anastomosis is found, one should also check the other anastomosis because occlusion of both artery and vein cannot be reliably detected. |
| | |
Authors:
|
L N van Adrichem; I Gultuna; H D Mulder; S E Hovius; R van Strik; J C van der Meulen |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: Scandinavian journal of plastic and reconstructive surgery and hand surgery / Nordisk plastikkirurgisk forening [and] Nordisk klubb for handkirurgi Volume: 27 ISSN: 0284-4311 ISO Abbreviation: Scand J Plast Reconstr Surg Hand Surg Publication Date: 1993 |
Date Detail:
|
Created Date: 1993-06-11 Completed Date: 1993-06-11 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 8707869 Medline TA: Scand J Plast Reconstr Surg Hand Surg Country: SWEDEN |
Other Details:
|
Languages: eng Pagination: 23-7 Citation Subset: IM |
Affiliation:
|
Department of Plastic and Reconstructive Surgery, University Hospital Dijkzigt, Rotterdam, The Netherlands. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Anastomosis, Surgical Constriction, Pathologic / diagnosis Humans Laser-Doppler Flowmetry Postoperative Complications / diagnosis* Regional Blood Flow / physiology Reoperation Replantation* Retrospective Studies Skin Temperature Surgical Flaps* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: A comparison of the capsules around smooth and textured silicone prostheses used for breast reconstr...
Next Document: Endoscopic electrocautery of the thoracic sympathetic chain. A minimally invasive way to treat palma...