IN SEARCH OF THE PERFECT ANASTOMOSIS

被引：32

作者：

GUITY, A ^{[1
]}

YOUNG, PH ^{[1
]}

FISCHER, VW ^{[1
]}

机构：

[1] ST LOUIS UNIV,MICROSURG & BRAIN RES INST,ST LOUIS,MO 63103

来源：

MICROSURGERY | 1990年 / 11卷 / 01期

关键词：

D O I：

10.1002/micr.1920110104

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Forty‐five end‐to‐side microvascular anastomoses were completed in rat carotid arteries of 0.7–0.8 mm diameter (anastomosing the distal end of the left common carotid to the side of the right common carotid). For comparison both 10‐0 and 11‐0 sutures were utilized in different anastomotic techniques: interrupted, direct‐continuous, and diagonal‐continuous sutures, plus total mural thickness vs. partial mural thickness (piercing only the adventitia and outer media, excluding the intima). Anastomoses were evaluated for patency and scanning electron microscopic appearance after 10 to 12 weeks. The results indicate complete patency in all anastomoses. Ultrastructural observations revealed nearly normal intimal appearance in the partial medial technique and only minimal evidence of intimal injury in the other techniques. It is concluded that 100% patency can be obtained regardless of suture size or anastomotic technique. The most important factor in anastomotic patency is the operator's technical skill. Copyright © 1990 Wiley‐Liss, Inc., A Wiley Company

引用

页码：5 / 11

页数：7

共 14 条

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