| Vertical mattress suture technique: an alternative vascular anastomosis. | |
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MedLine Citation:
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PMID: 18677683 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The objective of this study was to introduce the vertical mattress (VM) suture technique and compare its patency and postoperative healing with other commonly used suture techniques. Thirty-two Sprague-Dawley rats were randomly assigned to one of four suture techniques to be applied to both femoral arteries: continuous (C), interrupted (I), VM, and VM with flap (VMF) sutures. The operating time and the degree of postanastomotic leakage were recorded. The milking test was employed 5 and 15 minutes and 14 days after the operation to attain patency. Blood flow velocity was determined using ultrasonography at 1 hour and on days 1 and 14 postoperation. Rats then were sacrificed, and anastomotic lining tissues were harvested for histopathologic examination. Anastomoses by C and I were executed in 12.06 and 18.31 minutes. Modified suture techniques took longer to execute anastomosis (23.09 minutes for VM and 32.44 minutes for VMF). VM suture technique was superior to other suture techniques in terms of anastomotic leakage, quality of filling, and blood flow velocity. Also, absence of the luminal closure or constriction, intimal injury and hyperplasia, foreign body inflammation, and inversion were noted in histopathology. In conclusion, the VM suture technique could be considered for microvascular surgery. |
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Authors:
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Hayati Aygün; Omer Selim Yildirim |
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Publication Detail:
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Type: Journal Article Date: 2008-08-01 |
Journal Detail:
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Title: Journal of reconstructive microsurgery Volume: 24 ISSN: 0743-684X ISO Abbreviation: J Reconstr Microsurg Publication Date: 2008 Aug |
Date Detail:
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Created Date: 2008-08-26 Completed Date: 2009-01-06 Revised Date: 2011-02-16 |
Medline Journal Info:
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Nlm Unique ID: 8502670 Medline TA: J Reconstr Microsurg Country: United States |
Other Details:
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Languages: eng Pagination: 397-404 Citation Subset: IM |
Affiliation:
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Department of Orthopedics and Traumatology, Faculty of Medicine, Atatürk University, Erzurum, Turkey. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anastomosis, Surgical Animals Blood Flow Velocity Femoral Artery / pathology, surgery* Male Rats Rats, Sprague-Dawley Suture Techniques* Vascular Surgical Procedures / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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