Table Of ContentCRC Handbook
of
Microsurgery
Volume II
Editor
Waldemar L. Olszewski, M.D., Ph.D.
Professor of Surgery
Department of Surgical Research
and Transplantology
Polish Academy of Sciences
Medical Research Center
Warsaw, Poland
Boca Raton London New York
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THE EDITOR
Waldemar L. Olszewski, M.D., Ph.D., is Professor of Surgery and Director of the
Department of Surgical Research and Transplantology Medical Research Center, Polish
Academy of Sciences in Warsaw, Poland. Dr. Olszewski graduated from the Medical Faculty,
Medical Academy in Warsaw, receiving the M.D. degree in 1954 and the Ph.D. degree in
1962. He obtained his surgical training in the Surgical Division, Warsaw City Hospital and
then the Department of Surgery, Medical Academy, Warsaw. He served as an Assistant
Professor at the Medical Academy and the Medical Research Center from 1962 to 1968 and
Associate Professor from 1968 to 1978. In 1978 he became Professor of Surgery. From
1962 to 1965 he was Deputy Director of the Department of Surgical Research, Medical
Research Center and it was in 1975 that he assumed the position of Director. Since 1974
he is associated with the laboratory of Hematology and Lymphology, Norwegian Radium
Hospital in Oslo, Norway.
Dr. Olszewski was a Research Fellow at the Royal Postgraduate Medical School in London
from 1962 to 1963 and at the Peter Bent Brigham Hospital, Harvard Medical School, Boston
in 1968 and 1969. Dr. Olszewski is a member of the European Society for Surgical Research,
International Lymphological Society, International Microsurgical Society, and the Interna
tional Transplantation Society. He served as President of the European Society for Surgical
Research from 1977 to 1978 and as a member of its Executive Committee until 1982. He
is a member of the Executive Committee of the International Lymphological Society, National
Delegate to the International Microsurgical Society, Associate Editor of Lymphology, Zeit-
schrift fiir Experimented Chirurgie, and the Journal of Microsurgery. He has received
awards from the Polish Society of Surgeons, Polish Academy of Sciences, International
Lymphological Society, and the Purkynje Medical Society.
Dr. Olszewski is the author of more than 150 papers and has been the author or co-author
of 5 books. His major clinical interest relate to vascular and lymphatic surgery, and research
interests to the physiology of the lymphoid organs and immunoregulation.
ADVISORY BOARD
Sven-Erik Bergentz, M.D. Erminio Cariati, Prof. Dr.
Chairman Cátedra di Chirurgia Torácica
Department of Surgery Universita di Genova
Malrno General Hospital Ospedale S. Martino
and Genova, Italy
Professor of Surgery
University of Lund
Malrno, Sweden
Walter Brendel, Prof. Dr. Med., Dr. S. Karacsonyi, M.D., Ph.D.
Med. h. c. Professor of Surgery
Ludwig-Maximilians-Universitat München Semmelweis Orvostudomanyi Egyetem
Klinikum Grosshardern I. SZ. Sebészeti Klinika
Institut für Chirurgische Forschung Budapest, Hungary
München, West Germany
T. S. Lie, Prof. Dr. Dr. h. c.
Chief and Professor
Section of Transplantation
Surgical University Clinic
University of Bonn
Bonn, West Germany
CONTRIBUTORS
Magnus Âberg, Ph.D. Jacqueline Blanchard, Ph.D.
Associate Professor Research Assistant Professor
Department of Plastic Surgery Department of Surgery
University of Lund University of Illinois at the Medical
Malmõ General Hospital Center
Malmõ, Sweden Chicago, Illinois
Stani$Taw Adamski, M.D. Inge B. Brekke, M.D., Ph.D.
Professor and Head Assistant Professor
Thoracic-Cardio-Vascular Department Transplant Unit
Medical Academy Surgical Department B
Bialystok, Poland Rikshospitalet
The National Hospital
Marco Baccarini, M.D. Oslo, Norway
Assistant
Institute of Surgical Pathology
Hans Brynger, M.D., Ph.D.
University of Ferrara
Head of Transplant Unit
Ferrara, Italy
and
Associate Professor of Surgery
Carys M. Bannister, M.B., B.S.,
Department of Surgery I
F.R.C.S. (E), B.Sc. (Oxon)
Sahlgren's Hospital
Consultant Neurological Surgeon
Gothenburg, Sweden
Department of Neurological Surgery
North Manchester General Hospital
Jurjen E. G. de Boer
Manchester, England
Department of Biochemistry
Biomedical Center
Lynn H. Banowsky, M.D.
University of Limburg
Chief, Section of Renal Transplantation
Maastricht, The Netherlands
and
Professor of Surgery/Urology
Department of Surgery/Urology Salvatore De Franco, M.D.
University of Texas Health Science Fellow in Microsurgery
Center Experimental Research Unit
San Antonio, Texas University of Parma
Parma, Italy
Carlo Battistini, M.D.
Professor of Experimental Surgery Enrico De Grazia, M.D.
Istituto di Clinica Chirurgica e Terapia Associate Professor of Neonatal Surgery
Chirurgica 2 Department of Pediatric Surgery
University of Parma University of Palermo
Parma, Italy Palermo, Italy
Riidiger G. H. Baumeister, Priv.-Doz. Eberhard Deltz, Priv.-Doz. Dr. Med.
Dr. Dr. med. habil. Oberarzt der Abteilung
Oberarzt Allgemeinchirurgie
Chirurgische Klinik und Polilinik der Zentrum Operative Medizin I
Universitát München University of Kiel
München, West Germany Kiel, West Germany
Johan J. van Dongen Susanne Hoick, M.D.
Ergonomist Chief Pathologist
Laboratory for Experimental Department of Pathology
Microsurgery Rigshospitalet
Biomedical Center University of Copenhagen
University of Limburg Copenhagen, Denmark
Maastricht, The Netherlands
K. Jaeger, M.D.
Umberto Fox, M.D.
Consultant Surgeon
Assistant Professor
Department of Surgery
Department of Surgery
University of Bonn
3rd Surgical Clinic
Bonn, West Germany
University of Milan
Milano, Italy
Gauke Kootstra, M.D., Ph.D.
Professor of Surgery
Akihiro Fukui, M.D.
Department of Surgery
Clinical Assistant
University of Limburg
Department of Orthopedic Surgery
Maastricht, The Netherlands
Nara Medical University
Nara, Japan
Will J. Kort, M.D.
Head, Microsurgical Unit
Hans J. Gerhardt, Professor, Dr. Sc.
Laboratory of Experimental Surgery
Med.
Medical Faculty
Klinik Direktor
Erasmus University
HNO-Klinik Bereich Medizin (Charité)
Rotterdam, Holland
Humboldt Universitát
Berlin, German Democratic Republik
Christen Krag, M.D.
Roman Goral, M.D. Plastic Surgeon
Director and Professor Department of Plastic Surgery
Institute of Surgery Rigshospitalet
Medical Academy — Poznan University of Copenhagen
Poznan, Poland Copenhagen, Denmark
Harry Heiner, Prof. Dr., Dr. Sc. Med. Velta A. Lazda, Ph.D.
(Deceased) Director of Tissue Typing Laboratory
Head and
Clinic of Maxillo-Facial Surgery and Research Assistant Professor
Plastic Surgery Department of Surgery
Friedrich-Schiller-University University of Illinois at Chicago
Jena, German Democratic Republic Chicago, Illinois
F. Hess, M.D. T. S. Lie, Prof. Dr. Dr.h.c.
Scientific Investigator Chief and Professor
Microsurgical Department Section of Transplantation
Laboratory for Cytology and Histology Surgical University Clinic
University of Nijmegen University of Bonn
Nijmegen, The Netherlands Bonn, West Germany
Arthur S. M. Lim, F.R.C.S., Henri Martin, M.D.
F.R.A.C.S., F.R.A.C.O. Professeur de Clinique
Visiting Consultant d'Oto-Rhino-Laryngologie et
Ministry of Health d'Audiophonologie
and Hôpital Edouard Herriot
Ophthalmic Surgeon Lyon, France
Mt. Elizabeth Hospital
Lars Mjornstedt, M.D.
Mt. Elizabeth Medical Center
The Transplant Unit
Singapore
Department of Surgery I
University of Gothenburg
J. Limmer, M.D.
Gothenburg, Sweden
Department of Surgery
University of Ulm Marco Montorsi, M.D.
Ulm, Federal Republic of Germany Assistant
Department of Surgery
Giuseppe Li Voti, M.D. 2nd Surgical Clinic
Associate Professor of Microsurgery University of Milan
Department of Pediatric Surgery Milano, Italy
University of Palermo
Palermo, Italy Eugenio Morsiani, M.D.
Assistant
D. Louis, M.D. Institute of Surgical Pathology
Director University of Ferrara
Centre de Chirurgie Expérimentale et de Ferrara, Italy
Microchirurgie
K. J. Niehaus, M.D.
Institut Pasteur de Lyon
Fellow of Section of Transplantation
Lyon, France
Department of Surgery
University of Bonn
Jos M. Maessen
Bonn, West Germany
Medical Student
University of Limburg
L. Nieuborg, M.D.
Maastricht, The Netherlands
Surgeon
Department of General Surgery
Klaas W. Marck, M.D.
Zuiderziekenhuis
Resident in Plastic Surgery
Consultant Lymphologist Radiotherapy
Department of Plastic Surgery
Institute
University Hospital
Rotterdam, The Netherlands
Groningen, The Netherlands
Minoru Numata, M.D., Ph.D.
R. L. Marquet, M.D., Ph.D. Lecturing Professor of Surgery
Immunologist Department of Surgery
Laboratory for Experimental Surgery Shinshu University
Erasmus University School of Medicine
Rotterdam, Holland Nagano-ken, Japan
Christian Martin, M.D. Michael Olausson, M.D.
Professor The Transplant Unit
Impasse Benoit Chazvet Department of Surgery I
Hôpital Bellevue Sahlgren's Hospital
St. Etienne, France Gothenburg, Sweden
Waldemar L. Olszewski, Ph.D. Jürgen Seifert, M.D.
Professor of Surgery Professor for Experimental Surgery
Department of Surgical Research and Institut für Chirurgische Forschung
Transplantology Universitàt München
Polish Academy of Sciences München, West Germany
Warsaw, Poland
Alvin M. Siegler, M.D., D.Sc.
Clinical Professor
Robert J. Oostenbroek, M.D.
State University of New York
Department of Surgery
Downstate Medical Center
University of Limburg
Brooklyn, New York
Maastricht, The Netherlands
Monika Skibbe, Dr. Med.
Jochum Prop, M.D.
Assistant
Research Fellow
Clinic of Maxillo-Facial Surgery and
Department of Experimental Surgery
Plastic Surgery
State University
Friedrich-Schiller University
Groningen, The Netherlands
Jena, German Democratic Republic
Betty Riehl Peter B. Soeters, M.D., Ph.D.
Laboratory Technical Assistant IV Staff Surgeon
Division of Urology Department of Surgery
University of Texas Health Science University of Limburg
Center Maastricht, The Netherlands
San Antonio, Texas
Aristotelis C. Stavropoulos, M.D.
Giuliano Romagnoli, M.D. Doctor of Medicine
Assistant University of Athens
Department of Surgery and
3rd Surgical Clinic Head, Division of Endoscopy and
University of Milan Microsurgery LITO
Milano, Italy Maternity Hospital
Athens, Greece
Thomas Ryffa, M.D.
Grzegorz A. Szymczynski, M.D.
Chief Technician
Head, Department of Andrology
Department of Surgical Research and
Medical School of Poznan
Transplantology
Poznan, Poland
Polish Academy of Sciences
Warsaw, Poland
Susumu Tamai, M.D.
Associate Professor
John R. Salaman, M.Chir. Department of Orthopedic Surgery
Professor of Transplantation Surgery Nara Medical University
The Royal Infirmary Nara, Japan
Cardiff, Great Britain
Jürg W. Tauber, M.D., Ph.D.
Andrea San tini, M.D. Clinical Fellow
Associate Professor of Surgery Transplantation Surgery
Institute of Surgical Pathology Department of Surgery
University of Ferrara University of Chicago
Ferrara, Italy Chicago, Illinois
Arnulf Thiede, Prof. Dr. Med. Jan B. Wieslander, M.D.
O. A. der Abteilung für Allgemeine Resident in Plastic Surgery
Chirurgie Department of Plastic Surgery
Zentrum für Operative Medizin I University of Lund
Kiel, West Germany Malrno General Hospital
Malmõ, Sweden
Anneliese Tilgner, Dr. rer. nat.
Scientific Assistant Kazimierz Wojcicki, M.D., Doz. Dr.
Clinic of Maxillo-Facial Surgery and habil.
Plastic Surgery Institute of Surgery
Friedrich-Schiller University Medical Academy — Poznan
Jena, German Democratic Republic Poznan, Poland
J. S. Valla, M.D. Oskar Zelder, Priv.-Doz. Dr. Med.
Assistant Chef de Clinique Zentrum für Operative Medizin I
Service de Chirurgie Pédiatrique Chirurgische Klinik
Hôpital Debrousse Universitàt Marburg
Lyon, France Marburg, West Germany
Franz A. Zimmermann, Priv.-Dr. med.
Dr. habil.
Department of General and Abdominal
Surgery
University of Homburg/Saar
Federal Republic of Germany
