title: Poor surgical technique produces more emboli after arterial anastomosis of an island flap.
abstract: To answer the question "Are more emboli produced after a small artery anastomosis has been performed poorly?", we used the isolated rat cremaster muscle. The number of emboli seen downstream from a small artery anastomosis were counted after using two anastomotic techniques. Direct observations using intravital microscopy of emboli passing through the principal arteriole of the cremaster revealed that surgical technique using a large needle (poor execution) caused a significantly higher number of emboli to be produced at the site of small artery anastomosis than was noted after a fine needle technique.
authors.affiliation: Department of Surgery (Plastic and Reconstructive Division), University of Louisville School of Medicine, Kentucky.
authors.forename: J M
authors.initials: JM
authors.lastname: Gu
authors.forename: R D
authors.initials: RD
authors.lastname: Acland
authors.forename: G L
authors.initials: GL
authors.lastname: Anderson
authors.forename: F
authors.initials: F
authors.lastname: Wyllie
authors.forename: J H
authors.initials: JH
authors.lastname: Barker
mesh_terms: D000714:Anastomosis, Surgical / Q000009:adverse effects; D000818:Animals; D007083:Iliac Artery / Q000601:surgery*; D008297:Male; D008833:Microcirculation; D008954:Models, Biological; D051381:Rats; D011919:Rats, Inbred Strains; D013524:Surgical Flaps / Q000379:methods*; D013536:Suture Techniques / Q000009:adverse effects*; D013923:Thromboembolism / Q000209:etiology*; D013997:Time Factors