Document Detail


Experimental evaluation and clinical use in the head and neck of a 3M/Precise microvascular anastomotic device.
MedLine Citation:
PMID:  8530706     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Microvascular reconstructions in the head and neck are usually long operating time procedures. Mechanical anastomotic devices help to reduce operating time and can reduce anastomotic failures avoiding foreign bodies in the lumen of the vessel. One of these systems is the 3M/Precise microvascular anastomotic device, it is a non-absorbable device, however, criticisms of this system have been directed to the fact that pulsation of the vessel wall against a rigid structure could lead to thinning of the vessel wall and aneurysm formation. No aneurysms have been found previously in other experimental models. Our experimental study on the aorta and vena cava of the rat comprises 25 arterial and 25 venous anastomoses. In the arteries, four proximal aneurysms were found, two of these were failures. In the venous anastomoses, no failures were found nor aneurysm formation. The system is very useful for performing clinical end to end venous anastomosis helping to reduce anastomotic failures. Aneurysms have been found in arteries although four different ring sizes were available. The device is less easy to use in them than in veins and sometimes can be difficult to apply, making manual suturing a better choice for clinical arterial anastomosis.
Authors:
A Borja-Morant; C Navarro-Vila; M Cuesta-Gil; R Martin-Sastre
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery     Volume:  23     ISSN:  1010-5182     ISO Abbreviation:  J Craniomaxillofac Surg     Publication Date:  1995 Oct 
Date Detail:
Created Date:  1996-01-31     Completed Date:  1996-01-31     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8704309     Medline TA:  J Craniomaxillofac Surg     Country:  SCOTLAND    
Other Details:
Languages:  eng     Pagination:  305-11     Citation Subset:  D; IM    
Affiliation:
General Hospital Gregorio Marañon, Maxillofacial Surgery Department, Madrid, Spain.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Ameloblastoma / surgery
Anastomosis, Surgical / adverse effects,  instrumentation*
Animals
Aorta / surgery
Aortic Aneurysm / etiology
Carcinoma, Squamous Cell / surgery
Child
Female
Head and Neck Neoplasms / surgery*
Humans
Male
Mandible / blood supply
Mandibular Neoplasms / surgery
Middle Aged
Osteosarcoma / surgery
Rats
Rats, Wistar
Surgical Flaps / instrumentation*,  physiology
Thyroid Gland / blood supply
Tongue / blood supply
Tongue Neoplasms / surgery
Vascular Surgical Procedures / adverse effects,  instrumentation*
Venae Cavae / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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