Historical review and future orientations of the conventional vascular microanastomoses

Annales de chirurgie plastique et esthétique
F M P LeclèreS Mordon

Abstract

Microvascular surgery has become an important method for reconstructing surgical defects due to trauma, tumors or after burn. The most important factor for successful free flap transfer is a well-executed anastomosis. The time needed to perform the anastomosis and the failure rate are not negligible despite the high level of operator's experience. During the history, many alternatives were tried to help the microsurgeon and to reduce the complications. A Medline literature search was performed to find articles dealing with non-suture methods of microvascular anastomosis. Many historical books were also included. The non-suture techniques can be divided into four groups based on the used mechanism of sutures: double intubation including tubes and stents, intubation-eversion including simple rings, double eversion including staples and double rings, and wall adjustement with adhesives or laser. All these techniques were able to produce a faster and easier microvascular anastomosis. Nevertheless, disadvantages of the suturless techniques include toxicity, high cost, leakage or aneurysm formation. More refinement is needed before their widespread adoption. Thus, laser-assisted microvascular anastomosis using 1,9 μm diode laser appe...Continue Reading

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Citations

Feb 12, 2013·Aesthetic Plastic Surgery·Franck Marie P LeclèreEsther Vögelin
Jun 30, 2012·Annales de chirurgie plastique et esthétique·F BodinC Bruant-Rodier
Jul 22, 2010·Annales de chirurgie plastique et esthétique·Franck M P LeclèreSerge Mordon
Apr 30, 2013·Journal of Neurosurgery·Manish N ShahRalph G Dacey
Apr 3, 2012·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Franck Marie LeclèreEsther Vögelin
Jan 7, 2016·Journal of Cosmetic and Laser Therapy : Official Publication of the European Society for Laser Dermatology·Franck Marie LeclèreSerge Mordon
Jan 2, 2015·Archives of Orthopaedic and Trauma Surgery·Anaïs DelgoveVincent Casoli

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