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Wheeless' Textbook of Orthopaedics
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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;

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  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.

  Results of venous   reconstruction after civilian vascular trauma.

    Rich, N. M., Hobson, R. W., and Wright, C. B.: Repair of
    lower extremity venous trauma: A more aggressive approach required.
    J. Trauma 14:639, 1974.

  Femoral vein occlusion during hip arthroplasty.





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