Microvascular Anastomosis Using Only 2-Throw Reef-Knots: A Technical Note

Özet

In macrosurgery creating a knot with at least three throws is an established practice. The potential disadvantages of this practice inmicrosurgery include the following: the direction of the cut ends interfere with the suture line, unbalanced nature of knot disturbs theapposition of delicate vessel ends and the excessive knot weight. A reef knot with only 2 throws may thus be a better alternative.We have described our technique of end to end anastomosis with 2-throw reef knots in a rat femoral artery model using one way upmethod. Judging from the surgical outcome the practice of two throw reef knot seems feasible and appealing.