Lesson 12: Small Vessel End to End Anastomosis (D=1mm) скачать в хорошем качестве

Lesson 12: Small Vessel End to End Anastomosis (D=1mm)

Course Description – Use femoral A/V branches to Perform ETE anastomosis (D=1mm). Models: Blue-blood chicken thigh model Hours: 2 hours Topics: 1. Microdissection (preserve the muscle and the branches) 2. Small branches ligation 3. Vessel end preparation (Strip the adventitia, dilate the vessel, place the double-opposing vascular clamp across the vessel) 4. The sequence of placing stitches for two-stay method 5. How to judge the number of necessary stitches and place stitches evenly 6. Skill of placing the first and 2nd entry bite and exist bite 7. Skill to avoid hooking the back wall 8. Method to pull/manipulate the suture precisely and without tearing the vessel 9. Understand how large the bite should be. 10. Method of making the stitch loop. 11. Skill to avoid overlap the vessel wall 12. Tie surgeon’s knot while there is tension 13. Skill to place stitch when there is no enough space (2 way) 14. Non-crossing knot tying technique Milestones: 1. Respect the tissue 2. Placing stitch dexterously 3. Placing stitches evenly 4. Biting the vessel wall demonstrating good judgement of distance 5. Demonstrating good judgement and skill to avoid “hooking” the back wall 6. Perform THREE patent anastomoses