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J Reconstr Microsurg 2006; 22(8): 617-623
DOI: 10.1055/s-2006-956235
TECHNICAL INNOVATION

Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Posterior-Wall-First Continuous Suturing Combined with Conventional Interrupted Suturing for Microvascular Anastomosis

Hideaki Watanabe1 , Kazuki Ueda1 , Masayuki Ohkouchi1 , Akiyoshi Kajikawa1 , Yasutoshi Suzuki1
  • 1Department of Plastic and Reconstructive Surgery, Fukushima Medical University, Fukushima, Japan
Further Information

Publication History

Accepted: May 1, 2006

Publication Date:
30 November 2006 (online)

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ABSTRACT

Vascular anastomosis with conventional interrupted suturing is often difficult to perform when the vascular clamp is not reversed, because of a narrow operative field or a short vascular pedicle. A posterior-wall-first continuous suture technique combined with the standard interrupted suture technique is one method of solving this problem. The authors conducted a comparative study of posterior-wall-first continuous suturing combined with standard interrupted suturing and conventional interrupted suturing in rat vessels. There was no statistically significant difference in patency rates or suturing times. Electron microscopy demonstrated no significant difference in recoverability of the intima. The posterior-wall-first continuous suture technique combined with the standard interrupted suture technique is a useful alternative to the conventional interrupted suture technique.

KEYWORDS

Posterior-wall-first continuous suture - microvascular anastomosis - electron microscopy

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Hideaki WatanabeM.D. 

Department of Plastic and Reconstructive Surgery, Fukushima Medical University

1 Hikarigaoka, Fukushima 960-1295, Japan