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Horizontal mattress technique for anastomosis of size-mismatched vessels.

ABSTRACT:

Objective

To evaluate the horizontal mattress technique in microvascular anastomosis for size-mismatched vessels.

Methods

The present study involved cadaveric simulation using size-mismatched (1.5:1) Thiel-embalmed cadaveric arteries. The authors performed horizontal mattress anastomoses using 9-0 nylon suture and recorded the procedure. Vessel patency was evaluated by saline infusion. Vessels were cut open and photographed; histological slides were prepared and stained with hematoxylin and eosin.

Results

Four anastomoses were performed. Vessels were found to be patent in all cases, with grade 0 leaks. Intima-on-intima apposition with no intraluminal exposure of muscularis nor adventitia were observed.

Conclusion

The present cadaveric study supports the technical feasibility of using horizontal mattress sutures in size-mismatched end-toend anastomoses.

SUBMITTER: Odobescu A

PROVIDER: S-EPMC4459403 | biostudies-literature | 2015

REPOSITORIES: biostudies-literature

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Horizontal mattress technique for anastomosis of size-mismatched vessels.

Odobescu Andrei A Moubayed Sami P SP Daniels Eugene E Danino Michel Alain MA

Plastic surgery (Oakville, Ont.) 20150101 2

<h4>Objective</h4>To evaluate the horizontal mattress technique in microvascular anastomosis for size-mismatched vessels.<h4>Methods</h4>The present study involved cadaveric simulation using size-mismatched (1.5:1) Thiel-embalmed cadaveric arteries. The authors performed horizontal mattress anastomoses using 9-0 nylon suture and recorded the procedure. Vessel patency was evaluated by saline infusion. Vessels were cut open and photographed; histological slides were prepared and stained with hemat ...[more]

PMID: 26090351

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