The Practical Value of Microvascular Anastomosis Techniques

Abstract

Introduction: In surgical applications requiring vascular anastomosis, the success of the operation depends on the anastomosis stay open. In this case, the surgical technique that can be applied is of great importance. The fact that too many surgical techniques have been described in microvascular anastomoses shows that the search continues in this area. Our aim in this study was to examine the effectiveness of existing methods. Methods: In this study, known methods of microvascular anastomosis were reviewed in chronological order. Results: In our study, microvascular suture techniques used in end-to-end and end-to-side anastomoses since 1978 were examined and compared with conventional suture technique combined with interrupted eversion suture. Although the important point is that the surgeon knows which technique and applies that technique well, conventional suture combined with interrupted eversion suture was superior to other available techniques in our practice. Discussion and Conclusion: Many microvascular suture techniques have been described and applied for microsurgical anastomoses, including both end-to-end and end-to-side anastomoses. Research has shown that regardless of the method, techniques which work in order and can provide anastomoses with good long-term results, are successful.