Professional Documents
Culture Documents
Microsurgery
Dr. Nyein Chan Aung
Supervised by Prof: Dr U Soe Naing
Presentation outline
Introduction
• Straight and curved scissors are available, both with blunt or sharp
tips.
1. Blunt, curved designs are most useful for dissection of vessels and nerves.
2. Straight scissors are used for circumcision of adventitia and freshening the
ends of vessels and nerves.
Clamps
• the correct clamp is important to minimize damage to the vessel wall
• Models with a mechanism for suction incorporated into the sheets have
been introduced.
Irrigations
• For irrigation of the vessel, lidocaine or other pharmacologic substances
are used to decrease spasm.
• Once the vascular anastomoses are complete, warming the digit or flap
can be helpful.
• Warm solution should never be placed on tissue without blood flow (an
amputated digit or flap), because warmth increases metabolic demand and
can decrease the tolerance to ischemia.
Sutures
Take Home Message!
Thank you!!!