Hydrodissection of the neurovascular pedicle with lignocaine

Hydrodissection of the neurovascular pedicle with lignocaine Eur J Plast Surg (2006) 29:201–202 DOI 10.1007/s00238-006-0086-6 IDEAS AND INNOVATIONS V. Rose & T. C. Teo Received: 1 November 2005 /Accepted: 14 July 2006 / Published online: 7 October 2006 Springer-Verlag 2006 Technical Note The solution is then gently injected into the sheath. It insufflates the entire sheath (Fig. 3). With a pair of non- The technique of hydrodissection is not new. It is toothed forceps and tenotomy scissors, the sheath can be commonly used to aid surgical dissection. It involves easily split (Fig. 4). The nerve is then delivered effortlessly pressure insufflation of fluid into an anatomical space with away from the vascular pedicle (Fig. 5). The dissection a consequent increase in hydrostatic pressure that separates proceeds from distal to proximal until the entire nerve is the tissue planes. released. Recently, hydrodissection has been proposed as a This technique has the added advantage of sparing the method for harvesting the internal thoracic artery [2]. vasa nervosum from trauma, as it is easily visualized We have been using a similar method at our institution adherent to the nerve. The nerve therefore remains for a number of years when harvesting free flaps for vascularized throughout its length. microsurgical reconstruction. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Hydrodissection of the neurovascular pedicle with lignocaine

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Publisher
Springer-Verlag
Copyright
Copyright © 2006 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-006-0086-6
Publisher site
See Article on Publisher Site

Abstract

Eur J Plast Surg (2006) 29:201–202 DOI 10.1007/s00238-006-0086-6 IDEAS AND INNOVATIONS V. Rose & T. C. Teo Received: 1 November 2005 /Accepted: 14 July 2006 / Published online: 7 October 2006 Springer-Verlag 2006 Technical Note The solution is then gently injected into the sheath. It insufflates the entire sheath (Fig. 3). With a pair of non- The technique of hydrodissection is not new. It is toothed forceps and tenotomy scissors, the sheath can be commonly used to aid surgical dissection. It involves easily split (Fig. 4). The nerve is then delivered effortlessly pressure insufflation of fluid into an anatomical space with away from the vascular pedicle (Fig. 5). The dissection a consequent increase in hydrostatic pressure that separates proceeds from distal to proximal until the entire nerve is the tissue planes. released. Recently, hydrodissection has been proposed as a This technique has the added advantage of sparing the method for harvesting the internal thoracic artery [2]. vasa nervosum from trauma, as it is easily visualized We have been using a similar method at our institution adherent to the nerve. The nerve therefore remains for a number of years when harvesting free flaps for vascularized throughout its length. microsurgical reconstruction.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Dec 1, 2006

References

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