Vascular clamp with mononylon thread in experimental microsurgery
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.5935/2177-1235.2022RBCP0010 http://hdl.handle.net/11449/241640 |
Resumo: | Introduction: Reconstructive microsurgery is now an inseparable and essential branch of plastic surgery. The training is long, has a relatively high financial cost and requires a lot of the proponents. To improve this equation in favor of the formation of new microsurgeons in Brazil, it is essential to facilitate access to experimental training, using simple materials. Huaraca described a technique using a simple 5-0 mononylon thread to replace the vascular clamp, which is an indispensable instrument for microsurgical anastomosis and is generally expensive. The objective is to compare the Huaraca technique with mononylon thread and the traditional metal clamp during vascular microsurgical anastomosis. Methods: Six Wistar rats whose both femoral arteries were randomly selected for end-to-end suture after complete section, with one side performed with usual vascular clamp and the contralateral with Huaraca technique, at the same surgical time and by the same surgeon. Results: In both situations, the patency rate was 67% after 72 hours, with an average time of 26 minutes with the Huaraca technique and 18 minutes with the traditional clamp (p=0.001). Conclusion: Despite the longer execution time, the Huaraca technique is a simple and low-cost measure that can replace the traditional vascular clamp. |
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Vascular clamp with mononylon thread in experimental microsurgeryClamp vascular de fio de mononylon em microcirurgia experimentalAnastomosis, surgicalLearning curveMicrosurgeryModels, animalNylonsReconstructive surgical proceduresIntroduction: Reconstructive microsurgery is now an inseparable and essential branch of plastic surgery. The training is long, has a relatively high financial cost and requires a lot of the proponents. To improve this equation in favor of the formation of new microsurgeons in Brazil, it is essential to facilitate access to experimental training, using simple materials. Huaraca described a technique using a simple 5-0 mononylon thread to replace the vascular clamp, which is an indispensable instrument for microsurgical anastomosis and is generally expensive. The objective is to compare the Huaraca technique with mononylon thread and the traditional metal clamp during vascular microsurgical anastomosis. Methods: Six Wistar rats whose both femoral arteries were randomly selected for end-to-end suture after complete section, with one side performed with usual vascular clamp and the contralateral with Huaraca technique, at the same surgical time and by the same surgeon. Results: In both situations, the patency rate was 67% after 72 hours, with an average time of 26 minutes with the Huaraca technique and 18 minutes with the traditional clamp (p=0.001). Conclusion: Despite the longer execution time, the Huaraca technique is a simple and low-cost measure that can replace the traditional vascular clamp.Hospital das Clínicas Faculty of Medicine of Botucatu Department of Plastic Surgery, SPFaculty of Medicine of BotucatuDE MENEZES NETO, Balduino FerreiraSecanho, Murilo SgarbiFernandes, Matheus ScuracchioCarvalho, Laisa BrandãoViterbo, Fausto2023-03-01T21:14:24Z2023-03-01T21:14:24Z2022-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article60-65http://dx.doi.org/10.5935/2177-1235.2022RBCP0010Revista Brasileira de Cirurgia Plastica, v. 37, n. 1, p. 60-65, 2022.2177-12351983-5175http://hdl.handle.net/11449/24164010.5935/2177-1235.2022RBCP00102-s2.0-85128333474Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengporRevista Brasileira de Cirurgia Plasticainfo:eu-repo/semantics/openAccess2023-03-01T21:14:24Zoai:repositorio.unesp.br:11449/241640Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-03-01T21:14:24Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Vascular clamp with mononylon thread in experimental microsurgery Clamp vascular de fio de mononylon em microcirurgia experimental |
title |
Vascular clamp with mononylon thread in experimental microsurgery |
spellingShingle |
Vascular clamp with mononylon thread in experimental microsurgery DE MENEZES NETO, Balduino Ferreira Anastomosis, surgical Learning curve Microsurgery Models, animal Nylons Reconstructive surgical procedures |
title_short |
Vascular clamp with mononylon thread in experimental microsurgery |
title_full |
Vascular clamp with mononylon thread in experimental microsurgery |
title_fullStr |
Vascular clamp with mononylon thread in experimental microsurgery |
title_full_unstemmed |
Vascular clamp with mononylon thread in experimental microsurgery |
title_sort |
Vascular clamp with mononylon thread in experimental microsurgery |
author |
DE MENEZES NETO, Balduino Ferreira |
author_facet |
DE MENEZES NETO, Balduino Ferreira Secanho, Murilo Sgarbi Fernandes, Matheus Scuracchio Carvalho, Laisa Brandão Viterbo, Fausto |
author_role |
author |
author2 |
Secanho, Murilo Sgarbi Fernandes, Matheus Scuracchio Carvalho, Laisa Brandão Viterbo, Fausto |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Faculty of Medicine of Botucatu |
dc.contributor.author.fl_str_mv |
DE MENEZES NETO, Balduino Ferreira Secanho, Murilo Sgarbi Fernandes, Matheus Scuracchio Carvalho, Laisa Brandão Viterbo, Fausto |
dc.subject.por.fl_str_mv |
Anastomosis, surgical Learning curve Microsurgery Models, animal Nylons Reconstructive surgical procedures |
topic |
Anastomosis, surgical Learning curve Microsurgery Models, animal Nylons Reconstructive surgical procedures |
description |
Introduction: Reconstructive microsurgery is now an inseparable and essential branch of plastic surgery. The training is long, has a relatively high financial cost and requires a lot of the proponents. To improve this equation in favor of the formation of new microsurgeons in Brazil, it is essential to facilitate access to experimental training, using simple materials. Huaraca described a technique using a simple 5-0 mononylon thread to replace the vascular clamp, which is an indispensable instrument for microsurgical anastomosis and is generally expensive. The objective is to compare the Huaraca technique with mononylon thread and the traditional metal clamp during vascular microsurgical anastomosis. Methods: Six Wistar rats whose both femoral arteries were randomly selected for end-to-end suture after complete section, with one side performed with usual vascular clamp and the contralateral with Huaraca technique, at the same surgical time and by the same surgeon. Results: In both situations, the patency rate was 67% after 72 hours, with an average time of 26 minutes with the Huaraca technique and 18 minutes with the traditional clamp (p=0.001). Conclusion: Despite the longer execution time, the Huaraca technique is a simple and low-cost measure that can replace the traditional vascular clamp. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-01 2023-03-01T21:14:24Z 2023-03-01T21:14:24Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.5935/2177-1235.2022RBCP0010 Revista Brasileira de Cirurgia Plastica, v. 37, n. 1, p. 60-65, 2022. 2177-1235 1983-5175 http://hdl.handle.net/11449/241640 10.5935/2177-1235.2022RBCP0010 2-s2.0-85128333474 |
url |
http://dx.doi.org/10.5935/2177-1235.2022RBCP0010 http://hdl.handle.net/11449/241640 |
identifier_str_mv |
Revista Brasileira de Cirurgia Plastica, v. 37, n. 1, p. 60-65, 2022. 2177-1235 1983-5175 10.5935/2177-1235.2022RBCP0010 2-s2.0-85128333474 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
Revista Brasileira de Cirurgia Plastica |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
60-65 |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1799965344580763648 |