Abstract

This conference brought together for the first time surgeons with a common interest in small vessel surgery. Authors of original contributions include pioneers in the application of stapling devices, adhesives, prosthetic connectors, electrocoaptation, and laser for nonocclusive anastomosis. Suture repair of small arteries involves three problems: adequate magnification, proper instruments, and suitable suture material. Jacobson defines these problems and describes his important contributions to their solution. The introduction of pneumatically operated instruments for suturing 1-mm vessels approaches the ultimate in surgical precision by any technique. Staple anastomosis allows more rapid restoration of blood flow but, like prosthetic connectors, has the disadvantage of shortening the vessel. Vascular electrocoaptation and the use of liquid plastic adhesives are treated in detail, and Swedish workers report their experience with two vascular suture machines. Donaghy describes the evolution of an in-lying T-tube bypass and the application of vein patch grafts. The longest section describes the

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