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Microsurgical anatomy in China

L'anatomie microchirurgicale en Chine

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Summary

This is a general review on the recent advances made in China of microsurgical anatomy. In recent years, more than 300 research papers and a number of monographs on microsurgical anatomy have been published in China. In the research of skin and musculocutaneous flaps, much applied anatomical data about more than 30 new donor areas have been collected and the investigations on the patterns of the blood supply of the flaps are instructively significant to clinical practice. New donor areas have also been introduced for scapular, radial, tibial and other bone flaps, and the range of indications for using the periosteal and cartilaginous flaps has been broadened. On the basis of the technique of superficial lymphaticovenous anastomosis, new information for deep typhaticovenous anastomosis has been provided by clinical anatomists. Through experimental research, the anatomists pointed out that lymphatic vessels with contracting ability should be selected for anastomosis in order to enhance the long term effect of the operation. The successful experiment of bridging the peripheral nerve gap with skeletal muscle, which has been clinically used, has opened up a hopeful prospect for solving the problem of the unavailability of autogenous nerve donors. The identification of nerve fascicles in the nerve trunk provides a morphological basis for the selection of different suture patterns. In addition, much research work has been done on the tranplantation of the suprarenal gland, pancreas, parathyroid gland, testis, kidney of foetus and other small organs.

Résumé

Les auteurs font une revue générale des progrès récents réalisés en anatomie microchirurgicale en Chine. Ces dernières années, plus de 300 publications concernant l'anatomie microchirurgicale ont été publiées en Chine. Dans le cadre de la recherche de lambeaux cutanés et musculo-cutanés, de nombreuses caractéristiques anatomiques concernant plus de 30 nouveaux sites donneurs ont été réunies. Les investigations concernant les modes de vascularisation des lambeaux sont des données fondamentales pour la pratique clinique. De nouveaux sites donneurs ont été découverts pour les cancers osseux à partir de l'omoplate, du radius, du tibia et d'autres os et les indications d'utilisation de lambeaux périostés et cartilagineux ont été élargies. A partir des techniques d'anastomoses lymphatico-veineuses superficielles, de nouvelles données pour les anastomoses lymphatico-veineuses profondes ont été apportées par les anatomistes cliniciens. A travers la recherche expérimentale, les anatomistes ont insisté sur l'utilisation de vaisseaux lymphatiques contractiles pour accroître les effets de l'intervention. La réparation d'une perte de substance nerveuse par un pontage musculaire a été cliniquement utilisée avec succès, et a ouvert un champ important de possibilités permettant de résoudre les problèmes de réparation nerveuse en l'absence de greffe nerveuse antogène disponible. L'identification des fascicules nerveux dans le tronc nerveux fournit une base morphologique au choix entre différents types de sutures. En outre, de nombreuses recherches ont été réalisées sur les transplantations de glande surrénale, de pancréas, de glande thyroïde, de testicule, de rein, de fœtus et d'autres organes de petites dimensions.

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  1. Department of Anatomy, The First Military Medical University Guangzhou, The People's Republic of China

    S. -Z. Zhong & J. -M. Kong

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Zhong, S.Z., Kong, J.M. Microsurgical anatomy in China. Surg Radiol Anat 11, 115–122 (1989). https://doi.org/10.1007/BF02096466

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