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  • Title: [Microsurgical methods in pediatric surgery].
    Author: Zakharov NL.
    Journal: Khirurgiia (Mosk); 1990 Aug; (8):12-6. PubMed ID: 1979641.
    Abstract:
    The paper deals with the results of treatment of 32 children aged from 2 to 12 years with injuries to the arteries (n = 7), tendons of the hand and fingers (n = 9), nerves of the fingers (n = 3), cryptorchidism (n = 6), tumour of a finger (n = 1), and traumatic amputation of a finger (n = 1). Drainage of a lymph vessel in the foot for lymph infusion in +suppurative conditions was carried out in 8 patients. Optic magnification, inert suture material, and microsurgical instruments were used in the operations. The anatomical and functional results were excellent and good in 30 patients. In an 8-year-old girl, the results of a restorative operation on the flexor tendons of the ring finger of the left hand were satisfactory. In a boy two and a half years of age, replantation of the index finger of the left hand proved a failure. Microsurgical methods make it possible to attain utmost precision in forming vascular anastomoses, applying sutures to the nerves of the fingers and tendons, and in other operations. Microsurgery holds much promise in pediatric surgery.
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