Gastroepiploic Artery Preservation with Glycerol as a Training Model for Microvascular Anastomosis
Journal of the Korean Society of Plastic and Reconstructive Surgeons
;
: 626-629, 2008.
Article
in Korean
| WPRIM
| ID: wpr-168690
ABSTRACT
PURPOSE:
We investigate the possibility of vessel preservation with glycerol and evaluate the potential of preserved gastroepiploic artery as a tool for the microsurgical practice.METHODS:
In 5 early gastric cancer patients, IRB(No. C-0603-040-170), we gained gastroepiploic artery specimens(5 segments, about 10cm) after gastrectomy. Each segment was rinsed in a normal saline and subsequently placed in a bottle, containing 50mL anhydrous glycerol (87%). The bottles were refrigerated at 4degrees C, the longest preservation time being 5 months.RESULTS:
At first glance, no fragmentation was detected and the surface of vessel seemed mild sclerotic. In histological examination, vascular structures remained intact though preservation with glycerol led to a mild atrophy of the smooth muscle in the tunica media. Especially, we found out the elastic fibers and endothelial lining of the intima were preserved until 5 months. Adequate status for using microsurgical practice was also maintained and leakage test was performed successfully with gentian violet ink.CONCLUSION:
Based on the results obtained in this study, the gastroepiploic artery preservation with glycerol as a training model for microvascular anastomosis is a technically very simple procedure and useful for the novice microsurgeon.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Atrophy
/
Stomach Neoplasms
/
Tunica Media
/
Gastroepiploic Artery
/
Elastic Tissue
/
Gastrectomy
/
Gentian Violet
/
Glycerol
/
Glycosaminoglycans
/
Muscle, Smooth
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Society of Plastic and Reconstructive Surgeons
Year:
2008
Type:
Article
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