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Arterial microanastomosis with size mismatch : a trial of two techniques

Includes bibliographical references. / Use of perforators as recipient vessels in microvascular reconstruction has led to arterial diameter discrepancy becoming an increasingly common finding. Experimental and clinical evidence confirms that patency rates decrease with increasing diameter mismatch, but no good evidence is available to direct the choice of end-to-end microanastomotic technique where a small-to-large discrepancy exists. A programme of research has been conducted comparing two techniques of endto-end arterial microanastomoses, where a small-to-large diameter discrepancy exists of between 1:1.5 and 1:2.5. These techniques are; 45ยบ oblique section of the smaller vessel, and; invaginating the smaller vessel inside the larger.

Identiferoai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:uct/oai:localhost:11427/12777
Date January 2010
CreatorsRickard, Rory Frederick
ContributorsHudson, Donald
PublisherUniversity of Cape Town, Faculty of Health Sciences, Division of Plastic and Reconstructive Surgery
Source SetsSouth African National ETD Portal
LanguageEnglish
Detected LanguageEnglish
TypeDoctoral Thesis, Doctoral, PhD
Formatapplication/pdf

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