Mengen L, Horch RE, Arkudas A (2024)
Publication Type: Journal article
Publication year: 2024
DOI: 10.1007/s00064-024-00869-3
Objective: Anastomosis of two vessels by end-to-end or end-to-side suturing to create an uninterrupted blood flow between the two vessels. Indications: Transplantations; replantations; vascular trauma. Contraindications: Active infections in the area to be vascularized or surgical site; large differences in caliber between the vessels; hypercoagulability; extensive tissue damage. Surgical technique: First, clamping, cleaning and flushing of the vessel ends; adaptation of the vessel ends using end-to-end or end-to-side anastomosis, using an end-to-side anastomosis if an existing vessel axis should not be interrupted; creation of the anastomosis using a single button suture or continuous suture technique; careful avoidance of puncturing the posterior wall and exact adaptation of the vessel ends without leaks; release of the blood flow and examination of the anastomosis. Postoperative management: Postoperative avoidance of traction, tension, pressure and shear forces on the anastomosis; regular blood flow checks of the revascularized tissue or flap; sufficient anticoagulation. Results: An atraumatic and gentle suturing technique is a basic requirement for a successful anastomosis. Special suturing techniques can improve the anastomosis of fragile vessels.
APA:
Mengen, L., Horch, R.E., & Arkudas, A. (2024). Mikrochirurgische Gefäßnaht. Operative Orthopadie und Traumatologie. https://doi.org/10.1007/s00064-024-00869-3
MLA:
Mengen, Lilly, Raymund E. Horch, and Andreas Arkudas. "Mikrochirurgische Gefäßnaht." Operative Orthopadie und Traumatologie (2024).
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