Orthopaedic Jobs

Venous Repair


- Venous Anastomosis:
- Discussion:
  - thickest layer in the vein is the adventitia and cannot be stripped away from vessel as it can in the artery & therefore need to use gentle 
        technique in teasing away the excess adventia and trimming it with scissors;
  - vessel walls are not as self supporting as is the artery;
       - consequently, in order to avoid suturing the front wall to the back wall, tips of needle and vessel wall should be visualized at all times;
       - vessel walls may be kept separated by stream of irrigation fluid;
       - frequently more sutures are required in the venous repair than in the arterial repair as a result of greater distensibility



  Venous injuries of the lower extremities and pelvis: repair versus ligation.

  Results of venous reconstruction after civilian vascular trauma.

  Year Book: Venous Injury: To Repair or Ligate, the Dilemma.

  The early fate of venous repair after civilian vascular trauma. A clinical, hemodynamic, and venographic assessment.

  Repair of lower extremity venous trauma: a more aggressive approach required

  Femoral vein occlusion during hip arthroplasty.



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Wednesday, April 11, 2012 10:14 am