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The ideal method of stopping bleeding - angiorrhaphy. This maintains the blood
flow.Vascular atraumatic suture needles impose. At both ends of the wound, exposing the
vessel, pinched them with rubber turnstiles or vascular clamps. Depending on the nature of
the injury of the vessel can be made circular or lateral vascular suture. A significantdefect
in vascular graft substitute made of teflon or outs, that is sewn into the central orthe
peripheral end. Vascular suture is contraindicated in contaminated wounds. To connect
the vessels used both manual and mechanical suture. The use of broad-spectrum
antibiotics can expand the indications for the imposition of vascular suture in
gunshot wounds and infections

. . .
. Vascular suture. The seam of Carrel. Vascular suture in
the modification of Carrel Morozova. Stages of the vascular suture

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Circular encircling stitch of Carrel is a prototype of the numerous modifications of the vascular
suture. If the damage arteries if there is an opportunity to bring together the ends, place vascular
clamps above and below the seam of the future. After excision of the damaged areas and removal
of the adventitia (2-3 mm on each side) bring together the ends of the artery and put them on the
three U-shaped seam-racks with atraumatic needles. In this region of the vessel torn out, and here
the intima tightly adherent to the intima. The plot of the vessel between the two nearest taped
seams sewn obvivnym, holding the needle from the outside inward.Typically, sew the top down,
that is "over." When you have finished stitching one face, tie a ligature to one end of the racks,
making sure that if this had not been pulled or corrugated continuous seam is imposed. Then stitch
the same way the other two faces. Before tying the last stitch gently reveal! distal vascular clamp
imposed by the blood forced out the air. Tying the last knot, fully open distalpy vascular clamp,
bleeding sites of vascular suture pressed with your finger for a few minutes, after which the
bleeding usually stops. If the bleeding does not stop, impose additional interrupted sutures (Fig.
2.30).
Currently, surgeons are increasingly using a vascular suture Carrel in the modification
Morozova. In this modification imposes two joint-racks, using a third ligature with a needle, which
begin to sew the vessel.

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30


http://mnogoboleznei.ru/index.php/krovotechenieiegostanovk/sosudistsho
http://meduniver.com/Medical/Xirurgia/514.html
http://www.laparoscopy.ru/article/01216-suturs2.html#vascular
http://nursingcrib.com/nursing-notes-reviewer/sutures/
http://www.primary-surgery.org/ps/vol2/html/sect0054.html
http://www.medicum.nnov.ru/nmj/2004/1/23.php
http://travmaorto.ru/229.html

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