Document Detail


Two-Suture Fish-Mouth End-to-Side Microvascular Anastomosis With Fibrin Glue.
MedLine Citation:
PMID:  22777439     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
ABSTRACT: The most decisive step during free tissue transfers and replantation surgery may be respected as microvascular anastomosis. The conventional end-to-side anastomosis technique with simple interrupted sutures is well established and proven to be successful. On the other hand, conventional technique can be time consuming and can cause vascular thrombosis, vessel narrowing, and foreign-body reactions. Search for a more rapid and secure alternative to conventional technique is carried on. In this study, we defined a new technique for end-to-side anastomosis with fish-mouth incisions and application of fibrin glue and compared our results with those we obtained with conventional end-to-side anastomosis. We evaluated end-to-side anastomosis of carotid arteries of a total number of 64 Wistar-Albino rats. In control group (n = 32), conventional anastomoses with 8 to 10 sutures were performed. In experimental group (n = 32), fish-mouth incisions were applied first on the recipient artery, followed by performing anastomosis with only 2 corner sutures and applying commercially available fibrin glue. Time taken to perform the anastomosis was significantly shorter with the experimental group (P = 0.001), whereas early and late patency and aneurysm rates were comparable to those achieved with control group. Histological evaluation did not point out any significant differences between the groups. We have defined a rapid and safe alternative technique of end-to-side anastomosis with the use of fibrin glue. This method may be an alternative especially where multiple anastomoses are required or where it is difficult to approach anastomotic line, as it is easily performed, rapid, safe, and not involving any complex equipments.
Authors:
Bulent Sacak; Ugur Tosun; Onur Egemen; Deniz Ozgur Sucu; Ismail Bulent Ozcelik; Kemal Ugurlu
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-7-6
Journal Detail:
Title:  The Journal of craniofacial surgery     Volume:  -     ISSN:  1536-3732     ISO Abbreviation:  -     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-7-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9010410     Medline TA:  J Craniofac Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
From the *Department of Plastic, Reconstructive and Aesthetic Surgery, Bagcilar Training and Research Hospital, Bagcilar, Istanbul; †Department of Plastic, Reconstructive and Aesthetic Surgery, Tekirdag State Hospital, Tekirdag; ‡Department of Plastic, Reconstructive and Aesthetic Surgery, Okmeydani State Hospital, Istanbul; §Department of Plastic, Reconstructive and Aesthetic Surgery, Sisli Training and Research Hospital, Sisli, Istanbul; ∥Microsurgery and Rehabilitation Group, IST-EL Hand Surgery, Gaziosmanpasa, Istanbul; and #Department of Plastic, Reconstructive and Aesthetic Surgery, Sisli Training and Research Hospital, Sisli, Istanbul, Turkey.
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