The "push-down" technique using a novel micro-forceps for microvascular venous coupling.
A microvascular coupling system was developed and introduced for clinical application to facilitate fast and safe anastomosis of small vessels. However, operators often encounter some difficulty, particularly in pinning the vascular wall onto the ring-pins. To overcome the difficulty, the authors developed the "push down" technique and made newly-designed micro-forceps. These forceps have been used in 111 venous couplings involving 96 critical anastomoses. This study reports herein the patency results showing effectiveness and safety of the "push down" technique using a prototype micro-forceps in the pinning procedure in a microvascular coupling system.
Department of Dermatology and Plastic Surgery, Graduate School of Medicine, Akita University , Akita , Japan.
Hiromasa
H
Koyano
Masahiko
M
Wako
Masakazu
M
Hasegawa
Motomu
M
Manabe
Kaneshige
K
Sato
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000295:instrumentation / Q000379:methods; D015331:Cohort Studies; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D055806:Microvessels / Q000601:surgery*; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods*; D012189:Retrospective Studies; D013525:Surgical Instruments; D013536:Suture Techniques / Q000295:instrumentation*; D016896:Treatment Outcome; D014654:Vascular Patency / Q000502:physiology; D014656:Vascular Surgical Procedures / Q000295:instrumentation* / Q000379:methods; D014680:Veins / Q000601:surgery
Microvascular venous coupling; micro-forceps; microvascular anastomosis