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Leo Beilin leo.beilin at pobox.com
Mon Jan 9 20:36:22 GMT 2012


Possibly no difference what order but if I had ligated the first time and
he wound up at a different hospital with an unclear history and got ligated
a second time,,,,,,

On Mon, Jan 9, 2012 at 9:13 AM, William Bromberg <
brombwi1 at memorialhealth.com> wrote:

> 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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