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Are mechanical microvascular anastomoses easier to learn than suture anastomoses?
Linköping University, Faculty of Health Sciences. Linköping University, Department of Medicine and Care, Anaesthesiology.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Biomedicine and Surgery, Division of surgery. Östergötlands Läns Landsting, Reconstruction Centre, Department of Plastic Surgery, Hand surgery UHL.
2005 (English)In: Microsurgery, ISSN 0738-1085, E-ISSN 1098-2752, Vol. 25, no 8, 596-598 p.Article in journal (Refereed) Published
Abstract [en]

Sutured anastomoses of small vessels are considered difficult to learn. Mechanical anastomosis systems allow a more rapidly performed anastomosis. In order to compare the process of learning to perform sutured and mechanical microvascular anastomoses, two surgeons, with limited microvascular experience, performed 30 aortic and 30 femoral vein anastomoses in 30 Wistar rats. The methods compared were conventional suture, vascular closure system (VCS), and microvascular anastomotic coupler system (MAC). There were no intersurgeon differences regarding patency or time to perform anastomoses. The average time to perform a suture anastomosis was 39 min (patency 80%). Anastomoses with the VCS system took 24 min (patency 25%), whereas the MAC couplers took 13 min to perform (patency 95%). There was a significant learning effect with sutures, but no obvious reduction in time to perform MAC coupler or VCS clip anastomoses was seen. MAC couplers were easiest to use, and allowed us to perform rapid anastomoses with high patency. © 2005 Wiley-Liss, Inc.

Place, publisher, year, edition, pages
2005. Vol. 25, no 8, 596-598 p.
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Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-31654DOI: 10.1002/micr.20172Local ID: 17463OAI: oai:DiVA.org:liu-31654DiVA: diva2:252477
Available from: 2009-10-09 Created: 2009-10-09 Last updated: 2017-12-13

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Zdolsek, JohannLidman, Disa

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Faculty of Health SciencesAnaesthesiologyDivision of surgeryDepartment of Plastic Surgery, Hand surgery UHL
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