Abstract:
Harvesting the superficial temporal artery (STA) is the first difficult step in extracranial-intracranial bypass surgery. There are various methods and instruments for harvesting the STA. We used the Lone Star (LS) retractor system for harvesting the STA. The LS retractor system is used in other surgical specialties. The LS retractor system consists of the retractor ring (14.1 cm × 14.1 cm) and elastic stays (5-mm sharp hook). The retractor ring can be used to adjust to the operative field. Retracting the loose connective tissue around the STA by the elastic stays can make harvesting the STA easy and safe. After harvesting the STA, retracting the skin and muscle by the elastic stays is useful for hemostasis during intracranial surgery and anastomosis. We used the LS retractor system in 26 consecutive patients to perform STA-MCA anastomosis between November 2015 and August 2018. All STAs were harvested without complications or injuries. The LS retractor system is a safe and useful method for harvesting the STA.
摘要:
获取颞浅动脉(STA)是颅内外-颅内旁路手术的第一步。存在用于收获STA的各种方法和仪器。我们使用孤星(LS)牵开器系统收获STA。LS牵开器系统用于其他外科专业。LS牵开器系统由牵开器环(14.1cm×14.1cm)和弹性撑杆(5毫米锋利钩)组成。卷收器环可用于调整到手术区域。通过弹性撑条收回STA周围的疏松结缔组织可以使收获STA容易和安全。收获STA后,在颅内手术和吻合术期间,通过弹性停留收缩皮肤和肌肉对于止血是有用的。我们在2015年11月至2018年8月期间,连续26例患者使用LS牵开器系统进行STA-MCA吻合术。收获所有STA,无并发症或损伤。LS牵开器系统是收获STA的一种安全而有用的方法。