Geometrical approach to the end-to-side anastomosis.
We analyzed the procedure of performing an arterio- or venotomy in rats and changed it from parallel to the long axis to perpendicular to the long axis. Simultaneously, geometrical analysis of the shape of an arterio- or venotomy led to a new approach for the end-to-side anastomosis in experimental free flap transplantation. This new method was applied in 268 anastomoses. It necessitated only six sutures and resulted in 100% arterial early and late patency and in 99% venous early and late patency.
Werker
P M
PM
Department of Plastic, Reconstructive and Handsurgery, University Hospital, Utrecht, The Netherlands.
Kon
M
M
Green
C J
CJ
D000714:Anastomosis, Surgical / Q000379:methods; D000818:Animals; D008297:Male; D008866:Microsurgery / Q000379:methods; D051381:Rats; D011919:Rats, Inbred Strains; D013536:Suture Techniques; D014656:Vascular Surgical Procedures / Q000379:methods*