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미세혈관 수술후 문합부 혈관내막 재생에 관한 조직학적 관찰 Intimal Healing of Anastomotic Site in Microvascular Surgery.

대한성형외과학회지 1979년 6권 2호 p.161 ~ 166
허은, 함기선, 조문제, 림풍,
소속 상세정보
허은 ( Huh Eun ) 
가톨릭대학교 의과대학 성형외과학교실

함기선 ( Ham Ki-Sun ) 
대구가톨릭대학교 의과대학 성형외과학교실
조문제 ( Cho Moon-Je ) 
가톨릭대학교 의과대학 성형외과학교실
림풍 ( Lim Poong ) 
가톨릭대학교 의과대학 성형외과학교실

Abstract


The microvascular surgery using operative micresope has become firmly established in clinical practice for amputated digital and limb replantation, free flap transfer, free omental transfer and many other procedures. Histological study of intimal healing after microvascular anastomosis is thought to be quite important to understand the microvascular repair and to practice the microvascular surgery clinically.

The intimal healing after microvascular repair was serially observed in femoral arteries and veins of rabbits weighing 2.5∼3.0kg.

The observation was serially performed on the 1st, 2nd, 3rd and 4th week.

The results are as follows;

1. The external diameters of femoral arteries are 0.8∼1.2mm and those of femoral veins are 0.9∼1.4mm.

2. The patency rates were 82.5% in arteries and 80% in veins respectively.

3. The complete intimal regenerations were observed at 2nd week in arteries and 3rd week in veins.

It is inferred that the prevention of thrombosis of anastomotic site by administration of anticoagulants would be needed for 2∼3 weeks after microvascular repair.

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