[Reimplantation of amputated arms and fingers].
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Biomedical subjects
Publications and source records attributed to Y Ikuta.
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The abdominal aortas of 30 rats were sutured under an operating microscope. The results were studied under a scanning electron microscope at 8 different periods after operation, ranging from 3 minutes to one month. The observations are presented.
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In a free muscle transfer, great care must be taken in selecting the muscle to be grafted. We have found the pectoralis major to be a good donor muscle. Although most muscles are not nourished by a single artery and a few veins, the vessels which enter the pectoralis major muscle with the nerves are the main nutrient vessels, and these vessels alone can adequately nourish this muscle. Neurorrhaphy should be performed at a site as close as possible to the muscle. Good indications for free muscle transfer are cases in which a flexor muscle has become necrotic, while the extensor muscle is viable--for example, if the flexor muscle has sustained traumatic crushing injury or if there is a Volkmann's contracture.
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Omentum was transplanted and covered with a split-skin graft, for repair of a denuding injury of the scalp in a 5-year-old girl. With the many successful recent reports of free skin flaps, the indications for omental transplantation have decreased somewhat, but some peculiar situations may require it.
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