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DOI: 10.1055/s-2006-956237
Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.
End-to-End Microvascular Anastomosis in the Rat Carotid Artery Using Continuous Horizontal Mattress Sutures
Publication History
Accepted: June 9, 2006
Publication Date:
30 November 2006 (online)
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ABSTRACT
This paper reports a continuous horizontal mattress suture technique with advantages such as decreased time for anastomosis, minimized anastomotic leakage, eversion around the vessel edges, and other advantages which the continuous anastomosis technique has. This technique was compared with the classical interrupted and classical continuous suture techniques on a total of 59 Sprague-Dawley rat common carotid arteries: Group 1 (n = 19), interrupted suture technique; Group 2 (n = 20), standard continuous technique, and Group 3 (n = 20), continuous horizontal mattress technique. Early (30 min) and late (21 days) patency rates, anastomosis time, leakage on clamp release, oozing duration, additional sutures needed, and total number of sutures placed were statistically compared between groups. Specimens were taken at the 21st day randomly, and light microscopy (LM), scanning electron microscopy (SEM), and angiographic studies were performed. Results revealed that the continuous mattress suture technique has the advantages of providing a water-tight anastomosis with less suture materials in a shorter time, and minimal intraluminal suture material which can incite thrombosis. On the other hand, a tendency to anastomotic stricture was found to be the sole disadvantage of this technique.
KEYWORDS
End-to-end anastomosis - continuous horizontal mattress suture technique - microvascular surgery
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Tekin ŞimşekM.D.
Gülhane Askeri Tip Akademisi, Plastik ve Rekonstrüktif Cerrahi A.D.
06018 Etlik, Ankara, Turkey