A comparison of microsurgical venous anastomosis techniques

Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi
Hiroki UmezawaHiko Hyakusoku

Abstract

Successful vascular anastomosis is essential for the survival of transferred free tissue. Arterial anastomosis is typically uncomplicated because the lumen is easily maintained and the vessel walls have elasticity. Venous anastomosis, however, is more time consuming because the vessel walls are thin and extensible. This article describes, reviews, and compares 3 currently used venous anastomosis techniques. From April 2012 through January 2014, free tissue transfer and supercharging pedicled tissue transfer were performed in 107 and 10 patients, respectively, at our hospital. According to the anastomotic technique used, patients (83 men and 34 women; mean age, 60.6 years) were divided into interrupted suture, continuous suture, and microvascular anastomotic coupling device (MACD) groups. Medical records were reviewed, and postoperative results were analyzed. The diameter of anastomosed veins did not differ significantly among the groups. However, among the interrupted suture, continuous suture, and MACD groups, there were significant differences in vascular anastomosis time (51, 43.9, and 29.5 minutes, respectively) and transferred tissue ischemic time (151.9, 139.1, and 117.5 minutes, respectively). Surgical site infection occ...Continue Reading

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Citations

Oct 5, 2018·The Journal of Hand Surgery, European Volume·Szu-Han WangChing-Hsuan Hu
Jan 17, 2020·Plastic and Reconstructive Surgery. Global Open·Kanae NakamuraRei Ogawa
Sep 6, 2019·Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi·Asami KubotaAkio Morita
Jul 10, 2021·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Rajan AroraRavikiran Naalla

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