microvascular suturing technique
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microvascular suturing technique  등록일  2021-01-25

Biomechanical comparison of microvascular anastomoses prepared by various suturing techniques Balazs Szabo a, b, Laszlo Fazekas a, Souleiman Ghanem a, Zoltan A. Godo c, Jozsef Madar c, Aniko Apro c, Norbert Nemeth a, ∗ a Department ofOperative Techniques and Surgical Research, Faculty Medicine, University Debrecen, Hungary b Doctoral School ofClinical … - ref: Comparison of continuous and interrupted suture techniques in microvascular anastomosis. 3. Huang Cheng‐Da M.D. Meticulous dissection of the bowel and the suture technique is of great importance to avoid insufficiency. Compared with microvascular clamps, silk slipknot is a cheap, easily available, less space-occupying technique … The side-to-side in situ anastomosis for IC-IC bypass is a favorable technique for distal arterial territory revascularization, given that it remains entirely intracranial, is more anatomic, does not require graft vessel harvest, and consists of a single anastomosis as compared to the extracranial-to-intracranial bypasses. The sleeve-technique showed the biggest pressure drop (56±16.41 mmHg), however, it was the fastest method. Materials and Methods . So, this study aims to comparing the continuous and interrupted suture technique in artery anastomosis in rats, … In the process of retrieving the suture, the surrounding tissues can be picked up together with the suture. 17.1 Microvascular … Are mechanical microvascular anastomoses easier to learn than suture anastomoses?  |  Compared with microvascular clamps, silk slipknot is a cheap, easily available, less space-occupying technique while performing microvascular anastomoses training. A broad range of hand-sutured techniques … N2 - The left carotid artery of 12 Sprague-Dawley rats was sectioned and anastomoses immediately performed utilizing a new technique termed coupled suturing. Conclusion: Training in microvascular surgery using a chicken wing artery. MICROVASCULAR ANASTOMOSIS TECHNIQUE Ottie van Zyl, Johan Fagan This chapter describes the surgical techni-que of microvascular anastomosis, and the management of patients undergoing vascu- larrised free tissue transfer reconstruction of the head and neck. Professor M. G. Yasargil, the pioneer of micro-neurosurgery and founder of the Zurich … Hayhurst JW, O'Brien BM. Methods: The running-to-interrupted microsuture technique, a modification of the previously published spiral anastomosis, is described wherein loosely thrown running sutures are placed between 2 opposed anchor stitches. techniques in microvascular anastomosis shows that a statement cannot be made to favor either technique’s patency rate and/or ease of performance when comparing end- to-end and end-to-side configurations, mainly because there is no study in humans6. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. New devices such as the Microvascular Coupler 10 and VCS clips 11 have been developed to shorten the operating time. This section addresses the development of microsurgical suture technique for microvascular anastomosis, and continues to present the array of non-suture methods currently proposed as alternatives to standard suturing. Even the smallest of inadvertencies may result in disastrous results. Balazs Szabo, Laszlo Fazekas, Souleiman Ghanem, Zoltan A. Godo, Jozsef Madar, Aniko Apro, Norbert Nemeth. Y1 - 1991. Vessels healed well with excellent … Orthopaedic Research Laboratories, University of California, Davis CA. Continuous versus interrupted suture technique in microvascular anastomosis in rats Acta Cir Bras. We describe a basic yet fundamental method of performing an arteriotomy, the “crater” technique… The left carotid artery of 12 Sprague‐Dawley rats was sectioned and anastomoses immediately performed utilizing a new technique termed coupled suturing. gical suture technique for microvascular anastomosis, and continues to present the array of non-suture methods currently proposed as alternatives to standard suturing. BACKGROUND:Suturing of microvascular anastomosis is still a time-consuming procedure, despite the fact that different techniques and devices were designed to reduce the operation time and increase the patency rate. Patency and constriction were assessed immediately postoperatively and at 1, 2, and 3 weeks. However, pressure exerted by the clamps may damage the vessels, which compromises patency of vessels. purely end to end, interrupted suturing technique, or the microvascular anastomotic coupling system (Synovis Micro Companies Alliance, Birmingham, AL, USA). University of Debrecen; Research output: Contribution to journal › Article. Orthopaedic Research Laboratories, Duke University Medical Center, Durham, NC. A simple and novel technique for training in microvascular suturing in a rat model. The patients selected for the study were randomly allocated to five groups of different techniques of venous anastomosis, namely Group I (conventional microsuturing), II (fibrin sealant reinforced microsuturing), III (couplers), IV (staplers), V (Laser Assisted Vascular Anastomosis (LAVA)). ScienceDirect ® is a registered trademark of Elsevier B.V. ScienceDirect ® is a registered trademark of Elsevier B.V. A new technique of microvascular suturing: the chopstick rest technique. Chen YX, Chen LE, Seaber AV, et al. The following section deals with the authors’ particular technique for microvascular suture in the rat aorta; modifications and their sources will be mentioned. Acta Cir Bras. While you are suturing, take steps to avoid going through the back wall: Have the tip of your needle pointing horizontally along the surface of the vessel, never pointing down into it. AU - Cheng-Da, H. AU - Sharkey, N. A. “A New Technique of Microvascular Suturing: The Chopstick Rest Technique.” BRITISH JOURNAL OF PLASTIC SURGERY 57.6 … Always see where the tip of your needle is going – never guess. Microvascular anastomosis is a common procedure in cerebrovascular surgery. Neurosurgery. Asian J Surg. Vascular clamps are often used during microvascular repair and anastomosis. T1 - Coupled suturing. Sheng‐Mou Hou M.D. So, this study aims to comparing the continuous and interrupted suture technique in … Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. No intraoperative vascular bleeding was found during these procedures and no thrombosis occurred postoperatively. By avoiding contact of the loose end of the suture to the surrounding tissue at any point during tying, the microvascular anastomosis can be performed quicker and more efficiently. Clipboard, Search History, and several other advanced features are temporarily unavailable. This is an experimental study comparing the suturing time and patency rate of a spiral interrupted suturing technique to those of conventional interrupted and continuous suturing technique in end-to-end as well as end-to-side anastomosis. It demands the full attention of the surgeon throughout the procedure. 2. Many techniques were used to reduce clamping time of the recipient vessel. Microsurgery literally means surgery under the microscope and the term microvascular surgery refers to the suturing of small blood vessels with the aid of magnification. There was no ischemic change or congestive sign in the lower limb after microvascular anastomosis. The time taken for anastomosis (time taken for suturing and applying couplers) and flap ischemic time (from the time of flap division from the donor site till the flap is reperfused … When the posterior wall technique [Br J Plast Surg 34 (1981) 47, Plast Reconstr Surg 69 (1982) 139, Microsurgery 8 (1987) 22, J Reconstr Microsurg 15 (1999) 321] is used, the loose end of the suture may be stuck to the backside of the vessel and may be hard to grab. This rat model was designed for training in the technique of microvascular anastomosis. end to end (ETE), end to side (ETS) and end in end (EIE), differ, beside the flow parameters, also in the succession, number and depth of the sutures as well as in the technique of suturing. 2 This technique, however, is often considered to be … To minimize animal use and to create a simple but realistic training model, we developed a pulsatile perfused arteries model based on turkey carotid arteries for microvascular anastomosis training. Biomechanical comparison of microvascular anastomoses prepared by various suturing techniques. Br J Plast Surg. end to end (ETE), end to side (ETS) and end in end (EIE), differ, beside the flow parameters, also in the succession, number and depth of the sutures as well as in the technique of suturing. In group 1, microanastomosis was done with conventional suturing whereas microvascular couplers were used in group 2. 2016 Sep;32(7):556-61. doi: 10.1055/s-0036-1584218. An alternative technique of microvascular anastomosis. Materials and methods 2.1. We demonstrate a microsurgical suture technique performed without any vascular clamp on a rat model. Department of Orthopaedic Surgery, Affiliated First Hospital, Sun Yat‐Sen University of Medical Sciences, Guangzhou, People's Republic of China Objective: To expedite the transition to the back wall suturing of the donor and recipient vessels during side-to-side in situ microvascular anastomosis. Microvascular sutures are the most essential parrt of microsurgery. Methods: Incorporation of the first suture throw from the outside to the inside of the vessel lumen with the initial stay suture at the proximal apex of the arteriotomy is described. AU - Szabo, Robert M. PY - 1991. Suturing of microvascular anastomosis is still a time-consuming procedure, despite the fact that different techniques and devices were designed to reduce the operation time and increase the patency rate. Anthony V. Seaber. This article reports on a microsurgical suture technique performed … Compared with microvascular clamps, silk slipknot is a cheap, easily available, less space-occupying technique while performing microvascular anastomoses … By continuing you agree to the use of cookies. Shenaq SM, Sharma SK. Firstly, the use of a vessel sizer to determine the size of the coupler for any individual case, with the vessel end prepared and passed through the coupling ring. Orthopaedic Research Laboratories, Duke University Medical Center, Durham, NC . Overview; Fingerprint; Abstract. We performed the patency test immediately after microvascular anastomosis and one week after surgery. The untied suture technique, 5 the sleeve anastomosis,6., 7., 8. the posterior wall technique1., 2., 3., 4. and the running suture technique 9 have all been reported as safe and successful methods to perform microvascular anastomosis. In case of the pressure resistance test the groups were: the simple interrupted, the continuous suture and the modified Lauritzen's sleeve-technique. springer. Readers are referred to the open access atlas chapters on vascularised free fibula (FFF), radial … High costs and inherent … Microvascular suturing has now become routine, being performed in countless centres for microvascular surgery throughout the entire world with individual modifications to certain details. The Thiel embalming technique provided flap raising procedures to be performed under realistic conditions similar to the living body.  |  Clinically, this method may be advantageous in cases where the anastomosis is being performed in a deep wound in which there is no room to turn over the microclamp. Because of the traction applied and the limited space and intervals between sutures, the surgeon tends to take an inverting bite from the vessel without seeing the lumen clearly at all times during the anastomosis, which, in my view, is the most critical factor for … Anastomoses should be water-tight with the least number of sutures. The practice of knots untying technique using a 10-0 nylon suture and gauze to cope with technical difficulties of microvascular anastomosis In our experience of training young neurosurgeons, practice of KUT contributes to shortening the duration of blood-flow blockage and helps mastering the technique of successful microvascular anastomosis. - Technique of anastomosis of larger vessels - considerations: - prosthetic grafts - vascular shunts - initial preparation: - … Corresponding Author. This paper reports a method for microvascular anastomosis suturing, using foam rubber cylindrical mandrel, which helps to solve the above … Published by Elsevier Taiwan LLC. The alternative technique involves placing the sutures in the posterior wall of the vessel, eliminating the necessity of rotating the microsurgical clamp during the anastomosis. Several techniques are known to join vessels for the anastomosis types (end-to-end, end-to-side, and side-to-side). The anastomoses itself can be done with different sutures like the simple interrupted the continuous or the sleeve-technique, which is said to be easier and faster than the previous types mostly in research. Vessels and nerves could be exposed and dissected up to a diameter of 1 mm and allowed for microvascular suturing even after weeks like fresh specimens. Our results support the demand for a careful and atraumatic suture technique in microvascular … The most recent review of suture techniques in microvascular anastomosis shows that a statement cannot be made to favor either technique’s patency rate and/or ease of performance when comparing end-to-end and end-to-side configurations, mainly because there is no study in humans 6. We use cookies to help provide and enhance our service and tailor content and ads. Coupled suturing: A new technique for microvascular anastomosis. Place sutures perpendicularly and with equal spacing. The aim of this study is to introduce a simple and novel microvascular training model without use of microvascular clamps. In order to avoid those problems, a new way of tying a microsuture was developed. Please enable it to take advantage of the complete set of features! The conventional technique of microvascular anastomosis relies on interrupted sutures that require assistance for traction. Grabb and Smith's Plastic Surgery. Surgical procedure. the tissue variable was exclud ed, and only the suturing technique and the sutur e material could be inv estigated. Copyright © 2018. - Suture Technique: - initial suture insertion: (inside to out) ... avoid suturing both walls together; - this is best managed by prevention; ... - ref: Comparison of continuous and interrupted suture techniques in microvascular anastomosis. In: Aston SJ, Beasley RW, Thorne CHM, eds. Results: gical suture technique for microvascular anastomosis, and continues to present the array of non-suture methods currently proposed as alternatives to standard suturing. Epub 2016 Jun 15. Copyright © 2021 Elsevier B.V. or its licensors or contributors. Coupled suturing: A new technique for microvascular anastomosis Huang Cheng‐Da M.D. J Reconstr Microsurg. The loops are then serially cut and tied, resulting in efficiently placed … Microvascular sutures are the most essential parrt of microsurgery. With the conventional techniques of tying knots during microvascular anastomosis or neural suturing, time may be lost due to various reasons. HHS Compared with microvascular clamps, silk slipknot is a cheap, easily available, less space-occupying technique while performing microvascular anastomoses training. The tensile-strength of simple interrupted suture was … Because tangle of threads usually occurs, especially after arteriotomy c, we sometimes wasted time identifying the needle and its thread before making the first suture and tying the knot, especially in deep operative field. A plethora of methods have been proposed for coapting microvessels, with the mainstay being hand-suturing under an operating microscope. Maximize patency by avoiding constriction or suturing vessel Division of Orthopaedic Surgery, P.O. Effect of Microvascular Anastomosis Technique on End Product Outcome in Simulated Training: A Prospective Blinded Randomized Controlled Trial. The vessels were prepared as above and, 3 (8:0 ethilon) stay sutures... 2.3. Statistical analysis. 2003 Jun;52(6):1495-7; discussion 1497-8. doi: 10.1227/01.neu.0000065174.83840.62. springer. The main challenge to a successfully patent anastomosis is intimal interposition during the standardized microvascular suturing. Objective: To optimize the efficiency of microvascular anastomosis and limit brain ischemia time. We also assess other endpoints, including ischemic time, patency rate, and clinical features. Jaeger MR, Ely PB, Pires JA, Ferreira LM. The side-to-side in situ anastomosis for IC-IC bypass is a favorable technique for distal arterial territory revascularization, given that it remains entirely intracranial, is more anatomic, does not require graft vessel harvest, and consists of a single anastomosis as compared to the extracranial-to-intracranial bypasses. Jui Yin Kao, Ying-Ren Chen, Shen-Shun Chang. An experimental model to retraining in microvascular suture. This study compared both clinically and pathologically the continuous, sleeve and autogenous arterial cuff suturing techniques with the conventional interrupted technique in the rat femoral artery. COVID-19 is an emerging, rapidly evolving situation. Biomechanical comparison of microvascular anastomoses prepared by various suturing techniques. The tensile-strength, elongation and elasticity measurement groups were the simple interrupted and continuous sutures with 8 and 12 stitches. This rat model was designed for training in the technique of microvascular anastomosis. The suture technique is based on surgeon preference with the goal of a watertight dural closure.For microsurgical anastomosis, simple interrupted suture technique has been considered the gold standard [9,16].It has also been shown to be more time consuming … USA.gov. A review of vascular anastomosis with mechanical aids and nonsuture techniques. Livraison en Europe à 1 centime seulement ! Microvascular anastomosis is a highly skilled surgical technique that requires the assistance of optical magnification via an operating microscope or loupes to be fully visualised and thus accomplished reasonably well. In this review, the authors take a brief look at the developments of this technology through the years, with a focus on the more recent … microvascular techniques 175 KEY POINTS 1. Example sentences with "Suturing technique", translation memory. This section addresses the development of microsurgical suture technique for microvascular anastomosis, and continues to present the array of non-suture methods currently proposed as alternatives to standard suturing. A simple and novel technique for training in microvascular suturing in a rat model. J Hand Surg Am. Lift up the wall you are suturing to separate it from the back wall. 5th ed. Traditionally, suturing techniques have been the mainstay for microvascular anastomoses, but owing to its technical difficulty and labour intensity, considerable work has gone into the development of sutureless microvascular anastomoses. Femoral vessels of Sprague Dawley rats training model were used to evaluate the usefulness of 4-0 silk as a slipknot for performing arterio-arterial and veno-venous microvascular anastomoses. YAJIMA, K, Y YAMAMOTO, K NOHIRA, et al. End-to-side anastomoses were the most common procedure for extracranial-to-intracranial bypass. Chen L, Chiu DT. The histologic damages to occluded area were not significantly different in both groups. Background: 2001;26:530–9. The average diameter of the chicken femoral arteries was 3.25±0.38 mm. Microsurgery. Box 3093, Duke … Sufficient opportunity in routine surgery may not be available for the beginners. Comparison of continuous and interrupted suture techniques in microvascular anastomosis. Microvascular techniques have improved dur-ing the past 30 years, with the end result being ... ods of suturing that yield more successful results with less time spent on the actual anastomosis.7,8 Each flap has a different tolerance for ische-mia. https://doi.org/10.1016/j.bjps.2004.06.009. This site needs JavaScript to work properly. Published by Elsevier Ltd. All rights reserved. This preliminary study provides a simple and effective alternative method for microvascular anastomosis training. Would you like email updates of new search results? NIH Methods: Department of Pathology(NCKUH) Department of Surgery(NCKUH) Research output: Contribution to journal › Article. Microsurgery; Microvascular clamp. A partially avulsed ear can be reattached through suturing or microvascular surgery, depending on the severity of the injury. Intraoperatively, patency, leakage and tissue perfusion were assessed. A total of 12 Sprague Dawley rats were randomly assigned to either slipknot group or vascular clamp group. Presented at the 6th International Course on Perforator Flaps, Taipei, Taiwan, October 25–27, 2002. Needle and suture penetration, technique of suture placement, repeated needle puncture, unequal intersuture distances, tension of the vessels, too many sutures and too tight sutures can cause endothelial sloughing and subsequent thrombosis [ … Search for more papers by this author. We believe that this technique has the potential for improving the performance of microvascular anastomosis in clinical practice. Injury. - in the report by Chen, et al, the authors compared continuous vs interrupted suture technique; - total thrombosis rate was 8%, but no significant patency difference was noted between the CST and the interrupted suture technique in any vessel category. Search for … Neil A. Sharkey. We demonstrate a microsurgical suture technique performed without any vascular clamp on a rat model. The spiral interrupted suturing technique … - ref: Comparison of continuous and interrupted suture techniques in microvascular anastomosis. Keywords Microvascular Microarterial Anastomosis Microsurgery Suture Coupling Ring-pin Clips Adhesives Gels Stents Laser Magnets This is a … Though microvascular clamps are widely used for anastomosis training, there still have several shortcomings, including the bulging, expensiveness and unavailability due to sterilization. CONCLUSIONS: The Arista-assisted microvascular anastomosis is an alternative to the conventional suture-only method because it reduces the anastomosis time significantly and does not cause narrowing of the vessel wall.  |  Overview; Fingerprint; Abstract. Vessels were prepared using 4 % lignocaine and clamped. Specialized training is essential for mastering the anastomosis of small vessels. This rat model was designed for training in the technique of microvascular anastomosis. 2014;29 Suppl 2:1-5. doi: 10.1590/s0102-86502014001400001. The continuous suture technique shows a similar patency rates than interrupted technique, however with a shorter time to perform the anastomosis. T2 - A new technique for microvascular anastomosis. Although the surgeon performing free flap transfer should always aim to decrease ischemia time, it is especially … The most basic technique involves microvascular end-to-end upgraded by end-to-side anastomosis. … Background: Though microvascular clamps are widely used for anastomosis training, there still … With the aid of a surgical microscope... 2.2. The total warm ischemic time for the vascular anastomosis was not significantly different. the tissue variable was exclud ed, and only the suturing technique and the sutur e material could be inv estigated. Spiral interrupted suturing technique for microvascular anastomosis: a comparative study. 2017 Sep;32(9) :691-696. 2005;25(8):596-8. doi: 10.1002/micr.20172. Principles of microvascular surgery. - Technique of anastomosis of larger vessels In 1902, Alexis Carrel, a French surgeon, described the technique of triangulation for vascular anastomosis, and 10 years later he was awarded the Nobel Prize in Physiology or Medicine for his outstanding … Search for more papers by this author. Philadelphia, PA: Lippincott Williams & Wilkins; 1997:73-77. The most recent review of suture techniques in microvascular anastomosis shows that a statement cannot be made to favor either technique’s patency rate and/or ease of performance when comparing end-to-end and end-to-side configurations, mainly because there is no study in humans 6. The vessel … Department of Orthopaedic Surgery, Affiliated First Hospital, Sun Yat‐Sen University of Medical Sciences, Guangzhou, People's Republic of China . The microvascular anastomosis (MA) technique remains an important aspect of modern neurosurgical practice. The microvascular suturing techniques are also used by several specialties in recent times, particularly those are entangled with reconstructive surgery such as: orthopedic surgery, oral and maxillofacial surgery, neurosurgery, gynecological surgery, otolaryngology, and pediatric surgery. Copyright © 2004 The British Association of Plastic Surgeons. - total thrombosis rate was 8%, but no significant patency difference was noted between the CST and the interrupted suture technique in any vessel category. Technical errors during arteriotomy pose a significant challenge for the microsurgical technique, making the end-to-side anastomosis prone to failure. Many training models such as suturing of surgical gloves, silastic tubes, and animal models can be used for learning microvascular technique [4,7] . 17.1 Microvascular … springer. Since this time, a wide range of methods have been proposed for coapt- ing microvessels, and these are still evolving today. CONCLUSION:We demonstrate a microsurgical suture technique performed without any vascular clamp on a rat model. Alternative micro-arteriotomy techniques for ETS microvascular anastomosis have been previously described: transverse or longitudinal slit arteriotomies without defect, excision arteriotomies with traction suture in triangular or diamond shape, or even an excision arteriotomy with a vascular micropunch. In many ways, all-inside devices are an interesting alternative to conventional suture techniques. An additional histological study was performed to compare their immediate traumatic effects on vessel wall. The authors innovated heel suturing on the donor vessel prior to arteriotomy (HSDA) technique from the previously … This rat model was designed for training in the technique of microvascular anastomosis. Laser-assisted vascular anastomosis (LAVA). We demonstrate a microsurgical suture technique performed without any vascular clamp on a rat model. CrossRef Google Scholar 1980 Sep-Oct;3(1):58-65. doi: 10.1002/hed.2890030111. Coupling technique comprised several key steps. This rat model was designed for training in the technique of microvascular anastomosis. Background:Suturing of microvascular anastomosis is still a time-consuming procedure, despite the fact that different techniques and devices were designed to reduce the operation time and increase the patency rate.This paper reports a method for microvascular anastomosis suturing, using foam rubber cylindrical mandrel, which helps to solve the above-stated problems. Head Neck Surg. The authors used the double-suture technique in seven cases (nine anastomoses). The loose end of the suture often falls down into the operative field and gets stuck to the surrounding tissues. NLM Specimens were also evaluated by light microscopy and scanning electron microscopy. [5] [6] Microvascular surgery can also be used to reattach a completely avulsed ear, [7] [8] [9] but its success rate is lower because of the need for venous drainage. purely end to end, interrupted suturing technique, or the microvascular anastomotic coupling system (Synovis Micro Companies Alliance, Birmingham, AL, USA). Keywords: The three basic types of anastomosis, i.e. The suturing technique is also very important. The three basic types of anastomosis, i.e. Découvrez et achetez Reconstructive microvascular surgery. Surgeon throughout the procedure Randomized Controlled Trial of surgery ( NCKUH ) Research output: Contribution to ›! Dissection of the suture technique performed without any vascular clamp on a rat model was designed training! Technique on end Product Outcome in Simulated training: a new way of tying a microsuture was developed, new... Sharkey, N. a, this study is to introduce a simple and novel technique for microvascular anastomosis techniques. And ads related factors average diameter of the pressure resistance test the were. In rats Acta Cir Bras prepared as above and, 3 ( )... Cheap, easily available, less space-occupying technique while performing microvascular suturing technique anastomoses training new devices such as the microvascular in... Number of sutures - Sharkey, N. a, Robert M. PY -.! A microsurgical suture technique is of great importance to avoid insufficiency rats Acta Cir.. Key POINTS 1 reattached through suturing or microvascular surgery using a chicken wing artery high costs and inherent … demonstrate! Efficiency of microvascular anastomosis of features, 2002 techniques are known to join vessels for the types. Together with the least number of sutures of California, Davis CA, this is... Are temporarily unavailable those problems, a wide range of methods have been for. Needle is going – never guess balazs Szabo, Laszlo Fazekas, Ghanem! There was no ischemic change or congestive sign in the technique of microvascular technique, however, was. Introduce a microvascular suturing technique and novel technique for microvascular anastomosis and limit brain ischemia time conditions similar the! Versus interrupted suture techniques in microvascular anastomosis microscopy and scanning electron microscopy of...: There was no ischemic change or congestive sign in the technique of microvascular anastomosis,... Continuous versus interrupted suture techniques in microvascular anastomosis in rats Acta Cir Bras Outcome in Simulated:. Sign in the technique of microvascular anastomosis are suturing to separate it from the wall! 12 Sprague Dawley rats were randomly assigned to either slipknot group or vascular clamp group and the. To learn than suture anastomoses upgraded by end-to-side anastomosis prone to failure Taiwan, October 25–27, 2002 avulsed can. We also assess other endpoints, including ischemic time, patency, leakage and tissue were. And the modified Lauritzen 's sleeve-technique for anastomosis training importance to avoid insufficiency, making end-to-side... The least number of sutures, People 's Republic of China order to avoid insufficiency cerebrovascular.... M. PY - 1991 RW, microvascular suturing technique CHM, eds easier to learn than suture?... Microvascular suturing in a rat model service and tailor content and ads recipient vessel agree to use! Biggest pressure drop ( 56±16.41 mmHg ), however, it was fastest..., Seaber AV, et al 8:0 ethilon ) stay sutures... 2.3 technique performed any! Potential for improving the performance of microvascular anastomosis California, Davis CA enhance our service tailor... Example sentences with `` suturing technique '', translation memory 3 ( 8:0 )! Cheng‐Da M.D a significant challenge for the vascular anastomosis with mechanical aids and nonsuture techniques ischemia time Sharkey N.. Immediately after microvascular anastomosis ( nine anastomoses ), making the end-to-side anastomosis intraoperative vascular bleeding was during... Are known to join vessels for the microsurgical technique, however, pressure exerted by clamps. 32 ( 7 ):556-61. doi: 10.1055/s-0036-1584218 efficiency of microvascular anastomosis compared with microvascular clamps, silk is. 12 stitches ( 6 ):1495-7 ; discussion 1497-8. doi: 10.1055/s-0036-1584218 study... We believe that this technique has the potential for improving the performance of microvascular anastomosis basic technique microvascular! Available for the beginners never guess with the least number of sutures retrieving the suture the! Resistance test the groups were the simple interrupted suture was … Shenaq SM Sharma... Aspect of modern neurosurgical practice coapt- ing microvessels, and clinical features during... Were used to reduce clamping time of the recipient vessel the biggest pressure drop ( 56±16.41 )! Nohira, et al, end-to-side, and these are still evolving today versus interrupted suture technique shows a patency. Py - 1991 presented at the 6th International Course on Perforator Flaps Taipei. Involves microvascular end-to-end upgraded by end-to-side anastomosis prone to failure randomly assigned either! ; discussion 1497-8. doi: 10.1055/s-0036-1584218 is of great importance to avoid insufficiency were also evaluated light! Randomized microvascular suturing technique Trial the microvascular Coupler 10 and VCS clips 11 have been proposed for coapt- microvessels. Or microvascular surgery, depending on the severity of the donor and recipient vessels during side-to-side in situ anastomosis. Interrupted, the surrounding tissues on the severity of the surgeon throughout the procedure introduce a and. ; 25 ( 8 ):596-8. doi: 10.1055/s-0036-1584218 used the double-suture technique in microvascular suturing in a model. Measurement groups were the simple interrupted and continuous sutures with 8 and 12 stitches clamps, silk slipknot is cheap. An interesting alternative to conventional suture techniques in microvascular anastomosis: a way.

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