title: [Distal femoro-popliteal bypass using Esmarch tourniquet ischemia].
abstract: The Esmarch bandage is an effective substitute for vascular clamps in distal femoro-popliteal or tibial bypass surgery. Intimal trauma caused by clamping is avoided, vasa vasorum are preserved due to only semicircumferential dissection of vessels. This method is particularly suitable for heavy calcified rigid vessel walls. We demonstrate this technique, which was employed in 8 patients (10 bypasses). The use of this technique requires neither a longer operation- nor clamping time. The postoperative course of all but one patients develops normally and the technique does not provoke any pathological results in the area of operation. Advantages of the procedure compared to conventional techniques will be discussed.
authors.affiliation: Klinik für Allgemein- und Gefässchirurgie, Krankenanstalten Gilead, Bielefeld.
authors.forename: P
authors.initials: P
authors.lastname: Schroeder
authors.forename: J
authors.initials: J
authors.lastname: Busse
authors.forename: B
authors.initials: B
authors.lastname: Feidicker
authors.forename: M
authors.initials: M
authors.lastname: Pflüger
authors.forename: P A
authors.initials: PA
authors.lastname: Lear
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000601:surgery; D014111:Tourniquets; D014680:Veins / Q000637:transplantation
vernacular_title: Der distale femoro-popliteale Bypass unter Verwendung der Esmarchschen Blutleere.