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Skull Base. 2005 Aug;15(3):229-40.

Learning to perform microvascular anastomosis.

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Department of Neurosurgery, University of Utah, Salt Lake City 84132, USA.


The skills necessary to connect ultrasmall vessels and neural structures successfully require commitment and practice to refine. The techniques require only a few specialized instruments and a high-quality microscope. Several exercises can simulate real-life anatomical situations using a rubber sheet, chicken vessels, or the rat femoral artery model. A series of graduated drills can help develop proficiency and confidence.

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