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DOI: 10.1055/s-2006-956235
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
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