Microsurgical suture

Upon dissection of the nervus ischiadicus of the rat and subsequent reconnection by a typical microsurgical suture, a protective cover (cuff) of BASYC prevents connective tissue from growing into the nerve gap and favors the ad-... 

Fig. 28 Training of different microsurgical suture techniques with the help of BASYC . a end-to-end anastomosis (single knot suture), b end-in-end anastomosis, c end-to-end anastomosis (continuous suture), d end-to-side anastomosis. Reprinted with permission from [65]...

Upon dissection of the nervus ischiadicus and subsequent reconnection by a microsurgical suture, a protective cover (cuff) of BASYC prevents coimective tissue from growing into the nerve gap, and favors the adhesion of the fascicles, which facilitates early regeneration of the nerve and a rapid retimi of muscle function. The good incorporation of bacterial cellulose-forming crmnective tissue and new blood vessels on the smface of the protective cover is worthy of particular emphasis (Klemm et al. 2005). 

Kuhbier, J.W., Reimers, K., Kasper, C., Allmeling, C., Hillmer, A., Menger, B., Vogt, P.M., Radtke, C. First investigation of spider silk as a braided microsurgical suture. J. Biomed. Mater. Res. B Appl. Biomater. 97, 381-387 (2011)... 

The application is derived from new microsurgical techniques that can repair small blood vessels and nerves by sutures with optical equipment. The well-known synthetic implant materials for conduits of larger vessels (in-... 

The problems described above may represent a microsurgical challenge, but do not call for a tissue engineering approach. This is the case, however, when the injury causes larger gaps in the nerve, where end-to-end suturing would lead to excessive tension, impair microvascular blood flow, and result in scarring [2]. Any... 

G. Zong, Y. Hu, D. Li, and X. Sun, "Visually servoed suturing for robotic microsurgical keratoplasty," 2006 lEEE/RS Int. Conf. Intelligent Robots Syst. (IROS 2006), pp. 2358-2363, October 2006. 

Immediate treatment begins by placement of a tourniquet around the proximal shaft of the penis to avoid important hemorrhage. Then clots are removed, and the different structures are identified. Microsurgical approach is required for vascular and neural structures (Heymann et al. 1977 Carroll et al. 1985). The urethra is reapproximated, and end-to-end spatulated anastomosis is performed using a 4-0 Monocryl suture for the mucosa followed by a second layer suture of the spongiosa. 

Pham H N, Padilla J A, Nguyen K D and Rosen J M, Comparison of nerve repair techniques sutures vs. avitene-polyglycolic acid tube , J. Reconstr. Microsurg., 1991,1, 31-6. 

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