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J Reconstr Microsurg 2012; 28(08): 501-508
DOI: 10.1055/s-0032-1315768
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

A New Microvascular Anastomosis Technique Using Muscle Graft

Haldun O. Kamburoğlu
1   Department of Plastic Reconstructive and Aesthetic Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey
,
Hakan Uzun
1   Department of Plastic Reconstructive and Aesthetic Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey
,
Ozan Bitik
1   Department of Plastic Reconstructive and Aesthetic Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey
,
Erhan Sönmez
1   Department of Plastic Reconstructive and Aesthetic Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey
,
Tunç Şafak
1   Department of Plastic Reconstructive and Aesthetic Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey
,
Pergin Atilla
2   Department of Histology and Embryology, Hacettepe University Faculty of Medicine, Ankara, Turkey
,
Ayşe N. Çakar
2   Department of Histology and Embryology, Hacettepe University Faculty of Medicine, Ankara, Turkey
› Author Affiliations
Further Information

Publication History

27 November 2011

21 March 2012

Publication Date:
18 June 2012 (online)

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Abstract

A novel microvascular anastomosis technique is described. Forty-five male Sprague-Dawley rats were divided equally into three groups before undergoing femoral artery anastomosis. The first group received standard eight-suture anastomotic repair. Group 2 (muscle group) received three sutures plus autogenous muscle graft wrapped around the anastomosis. In group 3 (fascial surface group), a muscle graft was wrapped around the anastomosis with the fascial side of the graft facing the anastomosis. Significantly less time and suture usage were noted using both fascial surface and muscle groups compared with controls (p < 0.05). No significant difference regarding patency rates or aneurysm formation existed among the three groups (p > 0.05). Additionally, grade 2 anastomotic leakage was less frequent in the study groups compared with the control group (p < 0.05). This new microvascular anastomosis technique took less time and achieved better performance than standard anastomotic repair.

Keywords

microvascular anastomosis - muscle graft - three-suture technique
 

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