Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_3600_Библиотеки_им_академика_М_И_Перельмана

The development of reconstructive microsurgery was pri­marily inuenced by advances in vascular surgery. The main vascular anastomosis techniques were not described until the beginning of the twentieth century until the experimental work of Carrel and Guthrie [1]. Later, in 1921, the micro­scope was introduced for the rst time in surgery by the oto­laryngologist Nylen [2]. Then, the progressive improvement of microscopes, together with the synthesis of anticoagulants and antibiotics, laid the necessary foundations for surgeons Julius H.Jacobson and Ernesto L.Suárez to perform the rst vascular anastomoses in vessels of 1 mm diameter in the 1960s [3]. Subsequently, rst successes were obtained in replantation of severed body parts during the following years [4]. During that period, Harry J.Buncke and other pioneers carried out innovative studies on replantation and tissue transplants in animals, developing many of the basic princi­ples of this discipline [5]. After years of research, the rst free tissue transfer was performed on a patient in 1972 [6]. Since then, a multitude of designs and techniques have been described for performing free tissue transfers and microsur­gical repairs which are used in countless procedures: replan­tation, transplantation, neurosurgery, limb reconstruction,