Intraoperative Vascular Repair
Intraoperative Vascular Repair - Related Videos
05:22
Intraoperative Strategy under Complex Vascular Adhesion for Laparoscopic Radical Resection of Bismuth-Corlette Type IIIb Perihilar Cholangiocarcinoma
0 Views •
2026
The protocol presents a step-by-step laparoscopic protocol for radical resection of Bismuth-Corlette type IIIb perihilar cholangiocarcinoma. The procedure integrates preoperative PTCD, complex vascular dissection and repair, and biliary reconstruction for application in high-volume hepatobiliary centers.
07:48
Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
0 Views •
2026
Intraoperative video consultation expedites and improves surgical care. Here, we present a case where intraoperative video consultation between a rural hospital and an academic hepatobiliary surgeon facilitated immediate diagnosis of bile duct transection during laparoscopic cholecystectomy, direct to operating room transfer between centers, and injury repair with robotic-assisted Roux-en-Y hepaticojejunostomy.
10:31
Intraoperative Gastroscopy for Tumor Localization in Laparoscopic Surgery for Gastric Adenocarcinoma
0 Views •
Cited by 12 •
2016
In early gastric cancer, the aim of surgery is to precisely remove the distal stomach including the primary tumor. To do this, accurate localization of the tumor is crucial, especially in totally laparoscopic surgery. This protocol describes a procedure for intraoperative gastroscopy in totally laparoscopic subtotal gastrectomy.
02:25
Overview of DNA Repair
0 Views •
2020
In order to be passed through generations, genomic DNA must be undamaged and error-free. However, every day, DNA in a cell undergoes several thousand to a million damaging events by natural causes and external factors. Ionizing radiation such as UV rays, free radicals produced during cellular respiration, and hydrolytic damage from metabolic reactions can alter the structure of DNA. Damages caused include single-base alteration, base dimerization, chain breaks, and cross-linkage. Chemically...
01:54
Base Excision Repair
0 Views •
2020
One of the common DNA damages is the chemical alteration of single bases by alkylation, oxidation, or deamination. The altered bases cause mispairing and strand breakage during replication. This type of damage causes minimal change to the DNA double helix structure and can be repaired by the base excision repair (BER) pathways. BER corrects damaged DNA sequences by removing the damaged base and restoring the original base sequence using the complementary strand as a template. The first step of...
FAQs
Blood-flow control limits hemorrhage while surgeons work on the injured or compromised vessel. It creates the conditions needed for precise repair and helps protect surrounding tissues from inadequate circulation during the operation. Once the vessel is restored, effective flow supports oxygen delivery and lowers the risk of ischemic complications caused by insufficient perfusion.
These approaches restore vessel function in different ways. Suturing can directly close or reconnect damaged tissue, while patching reinforces or enlarges a repaired segment. Grafting introduces replacement material, and bypass routes blood around a segment that cannot be repaired directly. Removing an injured portion may also be necessary before continuity is reestablished.
Vessel continuity allows blood to reach tissues beyond the damaged area and helps preserve normal perfusion. When continuity is not adequately restored, oxygen delivery can fall and ischemic complications may develop. For this reason, repair aims not only to control bleeding but also to reestablish a functioning pathway through the affected artery or vein.
The operative workflow includes controlling blood flow, addressing the damaged or compromised segment, and selecting a means of restoring continuity. Surgeons may remove the injured portion, bypass it, or repair it with suturing, patching, grafting, or vascular anastomosis. The intended outcome is simultaneous hemorrhage control and preservation of tissue perfusion.
The technique may become necessary after traumatic vessel injury or when a procedure affects a major artery or vein. The overview specifically identifies cancer and orthopedic operations as settings in which vascular repair may be required. In these situations, repair supports the larger operation by limiting blood loss and maintaining circulation to tissues.
Advances in microsurgery, graft materials, and image-guided techniques are expanding the tools available for complex vascular operations. Microsurgery supports precise work, graft materials provide options when direct repair is inadequate, and image guidance can assist technically demanding procedures. Together, these developments are described as contributing to improved outcomes in complex cases.