Microsurgical basics and bypass techniques

Microsurgical Basics and Bypass Techniques
Title Page
Copyright
Dedication
Contents
Video
Foreword
Preface
Acknowledgments
Contributors
1 The Philosophy of Microsurgical Practice: Four Founding Principles Inherited from the Great Thinkers
	1.1 Introduction
	1.2 Principle One: The Terrain
	1.3 Principle Two: The Movement
	1.4 Principle Three: The Preparation
	1.5 Principle Four: Complete the 揊our Stages of the Fighting Rooster?
	References
2 Day 1: The Organization of the Microsurgical Laboratory: Necessary Tools and Equipment
	2.1 Organization of the Microsurgical Training Laboratory
	2.2 Laboratory Setup
	2.3 Materials and Equipment
	2.4 Devices for Simulation of a Deep Operative Field
	2.5 Costs of Instruments and Alternatives to Purchasing
	2.6 Conclusion
	References
3 Day 2: Dry-Laboratory Microsurgical Training: Techniques and Manual Skills
	3.1 Techniques and Manual Skills
	3.2 Mental Concentration
	3.3 Position of the Operator
	3.4 Managing Tremor
	3.5 Techniques for Holding Microsurgical Instruments
	3.6 Mastering Dissection with Bayonet Scissors
	3.7 Warm-up Exercises
	3.8 Anastomosis on a 揇ry? Model
	References
4 Day 3:Wet-Laboratory Microsurgical Training: Basic Principles forWorking with Laboratory Animals
	4.1 Basic Principles ofWorking with Laboratory Animals
	4.2 The Three 揜? Principles
	4.3 Symptoms of Pain and Distress in Laboratory Animals
	4.4 Anesthesia
	4.5 Blood Loss
	4.6 Euthanasia
	4.7 Hazards in Animal Research
	4.8 Microneurosurgical Training in aWet Laboratory
	References
5 Day 4: Exercise Set 1: Basic Arterial Anastomoses
	5.1 Vascular Suturing
	5.2 Exercise: End-to-End Anastomosis on Rat Carotid Arteries
	5.3 Exercise: End-to-Side Anastomosis on Rat Carotid Arteries桟ontinuous Suture
	5.4 Exercise: Double End-to-Side Anastomosis on Carotid Arteries?  Arterial Loop
	5.5 Exercise: End-to-Side Anastomosis Between Carotid Artery and Jugular Vein?  Interrupted Suture
	5.6 Exercise: Side-to-Side Anastomosis on a Femoral Artery and Vein桟ontinuous Suture
	5.7 Tests for Patency of the Anastomosis
	5.8 Hemostasis
	References
6 Day 5: Exercise Set 2: Deep Field Anastomoses and Complex Vascular Reconstructions
	6.1 Microsurgical Training in a Deep Surgical Field
	6.2 Exercise: Deep Operative Field Dissection
	6.3 Exercise: Anastomosis in a Deep Operative Field
	6.4 Complex Microvascular Reconstruction
	6.5 Exercise: Mismatched Orifices 梀enous Interposition Graft onto the Carotid Artery
	6.6 Exercise: Epineural Suture
	6.7 Exercise: Fascicular Suture
	Reference
7 Day 6: Exercises: Kidney Autotransplantation, Supermicrosurgery, and Aneurysm Clipping
	7.1 Exercise: Kidney Autotransplantation
	7.2 Exercise: Supermicrosurgery to Create a Free Groin Flap with the Vascular Pedicle
	7.3 Exercise: Aneurysm Dissection and Clipping in a Human Placenta Model
	References
8 Day 7: Models for Microneurosurgical Training and Schedules for Training
	8.1 Models for Microneurosurgical Training
	8.2 Practice Schedule
	8.3 Assessment of Microsurgical Performance and Skills
	References
9 Possible Bypass Errors
	9.1 Possible Bypass Errors
	9.2 Patient朤reatment Mismatch
	9.3 Operating Room Environment and Operative Team
	9.4 Anesthesia-Related Issues
	9.5 Donor Vessel
	9.6 Craniotomy
	9.7 Choosing a Recipient Vessel
	9.8 Operative Field
	9.9 Instruments
	9.10 Vessel Preparation
	9.11 Running Suture
	9.12 Knots and Thread
	9.13 Interrupted Suture
	9.14 Grabbing the Vessel
	9.15 Bleeding
	9.16 Assessing Flow
	9.17 Wound Closure
	9.18 Postoperative Period
	9.19 Conclusion
	References
10 Translation of Laboratory Skills: Indications for Bypass in Neurosurgery
	10.1 Introduction
	10.2 Types of Bypass
	10.3 Operative Techniques for Direct Bypass Procedures
	References
11 Case Examples of Cerebrovascular Bypass
	11.1 Bypass Indication for Atherosclerotic Occlusive Diseases
	11.2 Illustrative Case 1: Atherosclerotic Internal Carotid Artery Occlusion
	11.3 Indications of Bypass for Moyamoya Disease and Moyamoya Syndrome
	11.4 Illustrative Case 2: Moyamoya Disease
	11.5 Indications for Bypass in Complex and Giant Aneurysms
	11.6 Illustrative Case 3: Giant Arterial Aneurysm
	11.7 Indications for Bypass Skull Base Tumors
	11.8 Illustrative Case 4: Bypass in the Setting of Skull Base Tumor
	11.9 Discussion
	11.10 Conclusion
	References
12 Postscript
	12.1
	References
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Index