Experimental Transplantation of Composite Grafts by Microsurgical Vascular Anastomoses

The histopathology of small vessels following microvascular repair

“…Early work in this field was performed using relatively simple techniques and unsophisticated equipment (Seidenberg, Hurwitt, and Carton, 1958;Jacobson and Suarez, 1960). More recently a number of workers have become keenly interested in microvascular surgery because of the wide range of surgical applications which are made possible by the development of successful techniques (Krizek, Tani, Desprez, and Kiehn, 1965;Buncke, Daniller, Schulz, and Chase, 1967). More sophisticated equipment has been developed to provide for better magnification (O'Brien, 1970), suture material (O'Brien, Henderson, and Crock, 1970), and operative aids (Henderson, O'Brien, and Parel, 1970;Henderson, Pericic, and O'Brien, 1970).…”

Editorial

“…The clear and favorable achievements in cardiovas cular surgery were followed by attempts to operate on smallcaliber vessels for free transplants and the repair of small arteries. 31,53,85,141 In the latter years of the 1950s, 5 competing techniques had been investigated and were available for constructive and reconstructive vascular sur gery: 16,18,82 staples, adhesives, microlaser, electrocoapta tion, and suturing. The principles of suturing techniques for macro and mesiovascular surgery were pioneered by Alexis Carrel from 1900 to 1940.…”

“…[10][11][12] In 1958 Jacobson and Suarez transferred Carrel's techniques to micro vascular surgery (vessel diameter < 3.0 mm). [37][38][39][40][41] This achievement, in particular, drew the attention of plas tic, reconstructive, vascular, and neurological surgeons Buncke, 6-9 Smith, 92 Cobbett, 15 Krizek, 53 Seidenberg 85 and others as well as neurosurgeons such as Donaghy, 21,25,26 Lougheed, 63 and his assistant Khodadad.…”

“…7,8,14,[16][17][18]21,26,31,[37][38][39][40][41]43,44,53,85,87,88,141 After 6 months of laboratory work in Burlington, I was curious to explore the current state of laboratory and clinical work at other centers. Corresponding with authors who had published articles in this particular field, I organized a schedule to undertake a roundtrip in the summer of 1966 to visit lab oratories and institutions of general, vascular, and plastic surgery as well as neurosurgery.…”

Microsurgery: Renewed Sensation

“…Goldwyn et al (1963) studied the transfer of island flaps in the experimental situation (although these workers may have hindered development since they suggested that the epigastric vessels were the only suitable recipient vessels in man). Krizek et al (1965) reported experimental work concerning composite free grafts from the lower abdomen to the neck in dogs and rats, whilst and Smith et al (1972) Over the last decade microsurgical techniques have been gradually introduced into a number of other surgical specialties, often involving more than one area in the same field. A good example of this is in genitourinary surgery where procedures include testicular transposition (Silber & Kelly 1976) and the surgery of infertility and impotence (Winston 1977, Casey 1979.…”