title: Multiple adjustable vascular clamp prototype: feasibility study on an experimental model of end-to-side microsurgical vascular anastomosis.
abstract: The aim of this study was to establish the feasibility of microsurgical end-to-side vascular anastomosis with a multiclamp adjustable vascular clamp prototype in an inert experimental model. Our method consisted of performing an end-to-side microsurgical anastomosis with 10/0 suture on a 2-mm diameter segment. In group 1, the end-to-side segment was held in place by a double clamp and a single end clamp. In group 2, the segment was held in place with a single multiclamp adjustable clamp. The average time for performing the anastomosis was shorter in group 2. The average number of sutures was the same in both groups. No leak was found and permeability was always positive in both groups. Our results show that performing end-to-side anastomosis with a multiclamp adjustable vascular clamp is feasible in an inert experimental model. Feasibility in a live animal model has to be demonstrated before clinical use.
authors.affiliation: Department of Hand Surgery, Strasbourg University Hospital, FMTS, University of Strasbourg, Icube CNRS UMR7357, 10, avenue Baumann, 67403 Illkirch, France.
authors.forename: A
authors.initials: A
authors.lastname: Pereira
authors.affiliation: Department of Hand Surgery, Strasbourg University Hospital, FMTS, University of Strasbourg, Icube CNRS UMR7357, 10, avenue Baumann, 67403 Illkirch, France; Department of Orthopaedic Surgery, Juntendo University, Tokyo, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Ichihara
authors.affiliation: Department of Orthopaedic Surgery, Caen University Hospital, 14000 Caen, France.
authors.forename: S
authors.initials: S
authors.lastname: Collon
authors.affiliation: Department of Plastic Surgery, Strasbourg University Hospital, FMTS, University of Strasbourg, 67000 Strasbourg, France.
authors.forename: F
authors.initials: F
authors.lastname: Bodin
authors.affiliation: Department of Hand Surgery, La Timone Teaching Hospital, Aix Marseille University, 13000 Marseille, France.
authors.forename: A
authors.initials: A
authors.lastname: Gay
authors.affiliation: Department of Hand Surgery, Strasbourg University Hospital, FMTS, University of Strasbourg, Icube CNRS UMR7357, 10, avenue Baumann, 67403 Illkirch, France.
authors.forename: S
authors.initials: S
authors.lastname: Facca
authors.affiliation: Department of Hand Surgery, Strasbourg University Hospital, FMTS, University of Strasbourg, Icube CNRS UMR7357, 10, avenue Baumann, 67403 Illkirch, France. Electronic address: philippe.liverneaux@chru-strasbourg.fr.
authors.forename: P
authors.initials: P
authors.lastname: Liverneaux
mesh_terms: D000714:Anastomosis, Surgical / Q000295:instrumentation* / Q000379:methods; D001808:Blood Vessels; D005240:Feasibility Studies; D006801:Humans; D008866:Microsurgery / Q000295:instrumentation*; D008954:Models, Biological; D014656:Vascular Surgical Procedures / Q000295:instrumentation*
keywords: Anastomose termino-latérale; Clamp vasculaire; End-to-side anastomosis; Microchirurgie; Microsurgery; Vascular clamp