title: Use of triangulation method in end-to-side arterial microvascular anastomosis.
abstract: In this article, we present the use of triangulation for end-to-side microvascular arterial anastomosis. The classic end-to-side anastomosis starts by putting 2 sutures 180 degrees apart to the lateral arteriotomy aperture that is parallel to the longitudinal axis. We are performing triangulation in end-to-side microvascular artery anastomoses by putting 3 stay sutures, securing 2 of them to visualize vascular lumen and reduce the risk of passing suture from the back wall. We have been using this method for the last 5 years and found that triangulation seems to be a safer technique to teach and practice end-to-side microvascular anastomosis.
authors.affiliation: Department of Plastic Reconstructive and Aesthetic Surgery, School of Medicine, Kirikkale University, Kirikkale, Turkey. ilkeryazici@gmail.com
authors.forename: Ilker
authors.initials: I
authors.lastname: Yazici
authors.forename: Tarik
authors.initials: T
authors.lastname: Cavusoglu
authors.forename: Ayhan
authors.initials: A
authors.lastname: Comert
authors.forename: Altughan Cahit
authors.initials: AC
authors.lastname: Vural
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods*; D001158:Arteries / Q000601:surgery*; D006801:Humans; D008866:Microsurgery; D055806:Microvessels / Q000601:surgery*; D013536:Suture Techniques; D014656:Vascular Surgical Procedures / Q000379:methods*