title: The effects of limited adventitiectomy on vascular anastomosis: An experimental study in rats.
abstract: OBJECTIVE
  Blockages in anastomotic vessels cause complete loss of free tissue transfer and replanted limb. Many studies have been conducted in the last 30 years to solve this problem. There are insufficient studies dealing with the effects of the limited adventitiectomy done before surgery for sympathetic overactivity leading situations. The aim of this experimental study is to reveal the effects of limited adventitiectomy.
  
  
  METHODS
  In this study, limited adventitiectomy was performed in a wide area before surgery, and the effect of this practice on the vessel diameter and anastomosis was investigated.
  
  
  RESULTS
  Rapidly growing dilatation and increase in vessel diameter was observed, and dilatation continued in the limited adventitiectomy group.
  
  
  CONCLUSIONS
  The preoperative performed limited adventitiectomy is a useful preparation for super microsurgery. Especially in clinical practice before the free flap surgery, limited adventitiectomy can be applied if the recipient site is expected to have vascular problems.
authors.affiliation: a Department of Plastic, Reconstructive and Aesthetic Surgery , Haseki Training and Research Hospital , Istanbul , Turkey.
authors.forename: Alper Mete
authors.initials: AM
authors.lastname: Ugurlu
authors.affiliation: b Department of Plastic, Reconstructive and Aesthetic Surgery , Bagcilar Training and Research Hospital , Istanbul , Turkey.
authors.forename: Salih Onur
authors.initials: SO
authors.lastname: Basat
authors.affiliation: b Department of Plastic, Reconstructive and Aesthetic Surgery , Bagcilar Training and Research Hospital , Istanbul , Turkey.
authors.forename: Fatih
authors.initials: F
authors.lastname: Ceran
authors.affiliation: c Department of Plastic, Reconstructive and Aesthetic Surgery , Dicle University Medical Faculty , Diyarbakir , Turkey.
authors.forename: Burhan
authors.initials: B
authors.lastname: Ozalp
authors.affiliation: a Department of Plastic, Reconstructive and Aesthetic Surgery , Haseki Training and Research Hospital , Istanbul , Turkey.|d Department of Hand Surgery , Istanbul University Medical Faculty , Istanbul , Turkey.
authors.forename: Omer
authors.initials: O
authors.lastname: Berkoz
mesh_terms: D063194:Adventitia / Q000601:surgery*; D000714:Anastomosis, Surgical; D000818:Animals; D005263:Femoral Artery / Q000601:surgery*; D058752:Free Tissue Flaps / Q000098:blood supply*; D008866:Microsurgery; D011300:Preoperative Care; D017207:Rats, Sprague-Dawley; D013562:Sympathectomy
keywords: Limited adventitiectomy; sympathectomy; vascular anastomosis