[Intraluminal absorbable device to assist in vascular microanastomosis. Experimental study on 20 rat aortas].
The subject of this experimental study is a cylindrical device, with a gauge adjusted to the vessel lumen, which disintegrates in a few minutes. The goal of this device is to increase the reliability of vascular microanastomosis. This study was designed to assess the efficacy and drawbacks of the device. The device is a cylindrical sugar stick, 5 mm long and with a gauge of 1 mm. Ten Wistar rats underwent a standard end-to-end aortic anastomosis with interrupted sutures and ten underwent the same anastomosis with the device placed in the lumen of the proximal and distal vessel. The same surgeon performed all anastomoses. Clamp application time was recorded and anastomotic patency was tested in each case; the vessels were also examined histologically. The clamp application time was significantly lower (p < 0.01), and the patency rate significantly higher (p < 0.01) in the group in which the device was used. There was no histologic sign of intima injury in either group. This very simple device facilitates microanastomosis. It reduces the ischemia time and increases the reliability of the anastomosis, avoiding transfixing sutures. These results suggest that clinical trials are warranted.
Laboratoire de Microchirurgie, Hôpital Boucicaut, Paris, France.
G
G
Franchi
M
M
Mitrofanoff
D
D
Maladry
P
P
Seknadje
V
V
Mitz
D000714:Anastomosis, Surgical / Q000295:instrumentation / Q000379:methods; D000818:Animals; D001011:Aorta / Q000601:surgery; D008297:Male; D008833:Microcirculation / Q000601:surgery*; D008866:Microsurgery / Q000295:instrumentation* / Q000379:methods; D051381:Rats; D017208:Rats, Wistar; D014654:Vascular Patency; D014656:Vascular Surgical Procedures / Q000295:instrumentation
Dispositif résorbable endoluminal d'aide à la micro-anastomose vasculaire. Etude expérimentale sur vingt aortes de rats.