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So he had one repair and one ligation. Would it have mattered what order?

Sent from my iPad.

On Jan 9, 2012, at 11:49, "Leo Beilin <leo.beilin at pobox.com>" <leo.beilin at pobox.com> wrote:

> I didn't see him on 2nd ER visit. I heard it simply got ligated and did
> fine.
> 
> On Mon, Jan 9, 2012 at 5:19 AM, Miranda Voss <mvossak at yahoo.co.uk> wrote:
> 
>> So, what did you do with the ulnar artery second time around?
>> 
>> Miranda
>> Worcester SA.
>> 
>> 
>> I second that opinion.
>> Anecdotal experience: I repaired a radial artery in the OR in a teenager as
>> a resident and confirmed patency later in outpatient clinic by occluding
>> ulnar artery and demonstrating continued strong pulsation of repaired
>> radial. One month later,came back to ER with a lacerated ULNAR artery!
>> Wonder what would have happened to his hand if I had simply ligated the
>> radial earlier?
>> 
>> 
>> On Fri, Dec 30, 2011 at 2:42 PM, Sohail Muzammil
>> <sohailmuzammil at gmail.com>wrote:
>> 
>>> I'm a bit late entering this thread but I wonder if one can be so
>>> cavalier.
>>> in ligating the radial artery. The plastic surgery literature has shown
>>> early fatigue and effects on grip strength after the radial forearm flap.
>>> Ergo, this is not a disposable vessel.
>>> 
>>> Therefore in a clean cut I would explore in the OR and would repair the
>>> artery if cut. Also I don't buy the "it'll thrombose anyway" defence. We
>> do
>>> repair much smaller brachial arteries in kids' nasty supracondylars and
>>> they do just fine (well.. mostly). Of course a badly chewed up artery or
>> a
>>> segmental loss would be another story.
>>> 
>>> My 2 Rupees.
>>> 
>>> And of course best wishes for a very happy, healthy and prosperous New
>> Year
>>> to all my colleagues.
>>> 
>>> Regards
>>> Sohail Muzammil
>>> --
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