Accurate Placement of Microvascular Guide Sutures

Dardik, Alan; Ballermann, Barbara J.; Williams, G. Melville
July 2000
American Surgeon;Jul2000, Vol. 66 Issue 7, p703
Academic Journal
A simple technique to accurately place initial microvascular guide sutures is described. Enhanced suture placement enables anastomosis construction in situations in which the clamp must be placed very close to the vessel end or if the vessel lumen is distorted or poorly visualized. Because this technique eliminates the need for retraction on the guide suture tails, it is particularly useful for solo microvascular surgeons.


Related Articles

  • Mikroér- és idegvarratok fogó ujjhegy megtámasztással In vitro vizsgálat. ANDRÁS, HORVÁTH; GERGELY, PATAKI; ISTVÁN, VALÁLIK; ATTILA, ÓVÁRI; ANDRÁS, CSÓKAY // Magyar Traumatológia, Ortopédia, Kézsebészet, Plasztikai Seb;2012, Vol. 55 Issue 1/2, p73 

    During microsurgical operations the rate of failure is high even in optimal technical and tissue circumstances. One of the significant factors of this is the physiological tremor. The fingertip support technique reduces the tremor significantly, which has been proven by the authors in earlier...

  • Use of self-retaining barbed suture for rectal wall closure in transanal endoscopic microsurgery. Wilhelm, P.; Storz, P.; Axt, S.; Falch, C.; Kirschniak, A.; Muller, S. // Techniques in Coloproctology;Sep2014, Vol. 18 Issue 9, p813 

    Background: The aim of this study was to investigate the safety and efficacy of self-retaining barbed sutures in comparison with monofilament clip-fixated sutures for rectal wall closure in transanal endoscopic microsurgery. Methods: Horizontal full-thickness wall defects (3.5 cm) of cattle...

  • Learning Surgical Anatomy in the Field of Microsurgical Reconstructive Surgery. A new Pedagogic Method on Human Fresh Cadavers. Laroche, Carine; Vacher, Christian // International Journal of Morphology;jun2014, Vol. 32 Issue 2, p678 

    Microsurgical vascular anastomosis in reconstructive surgery learning is usually based on rat dissection. But this technique does not allow dissection of the flap, preparing of the recipient vessels training, and suturing in conditions as realistic as possible of the surgery. The aim of this...

  • A simple and effective way of maintaining the microvascular field clean and dry during anastomosis. Nambi, G. I.; Kumta, Samir M.; Mokal, Nitin J.; Thatte, Mukund R. // Indian Journal of Plastic Surgery;Jan-Apr2013, Vol. 46 Issue 1, p147 

    During microvascular anastomosis, it is important to maintain the microsurgical field irrigated yet dry so as to achieve a good view of the vessels for approximation. In this method, an infant feeding tube (size 4), with its tip sandwiched between layers of dry gauze and a surgical glove...

  • Microvascular free flap reconstruction for head and neck cancer in a resource-constrained environment in rural India. Nirav P. Trivedi; Trivedi, Pravin; Trivedi, Harish; Trivedi, Saroj; Trivedi, Nirali // Indian Journal of Plastic Surgery;Jan-Apr2013, Vol. 46 Issue 1, p82 

    Introduction: Reconstruction with free flaps has significantly changed the outcome of patients with head and neck cancer. Microsurgery is still considered a specialised procedure and is not routinely performed in the resource-constrained environment of certain developing parts of India....

  • Establishment of Animal Model of Dual Liver Transplantation in Rat. Ying Zhang; Yong He; Praseedom, Raaj Kumar; Shusen Zheng; Jiahong Dong; Hao Chen // PLoS ONE;Jul2012, Vol. 7 Issue 7, p1 

    The animal model of the whole-size and reduced-size liver transplantation in both rat and mouse has been successfully established. Because of the difficulties and complexities in microsurgical technology, the animal model of dual liver transplantation was still not established for twelve years...

  • A Review of Thrombosis and Antithrombotic Therapy in Microvascular Surgery. Froemel, D.; Fitzsimons, S.-J.; Frank, J.; Sauerbier, M.; Meurer, a.; Barker, J.H. // European Surgical Research;May2013, Vol. 50 Issue 1, p32 

    Despite a remarkable expansion of microsurgery, there is still no international consensus about routinely used prophylactic antithrombotic agents. Most treatment regimens still use aspirin, heparin (low-molecular-weight and unfractionated heparin) or colloids (hydroxyphenylacetate 6%/dextran);...

  • Comparison of Four Techniques of Microsurgical Vasoepididymostomy.  // Fertility Weekly;8/22/2005, p8 

    The article reports on a study related to the outcome and late failures compared in four techniques of microsurgical vasoepididymostomy in 153 consecutive men, published in the 2005 issue of the Journal of Urology. According to researchers in the U.S., after comparing four different methods of...

  • Effect of Sensory Re-Education after Low Median Nerve Complete Transection and Repair. Dimitrios K. ANTONOPOULOS; Andreas F. MAVROGENIS; Dimitrios KORRES; Nikolaos EFSTATHOPOULOS; Sarantis G. SPYRIDONOS // Balkan Military Medical Review;2011, Vol. 14 Issue 4, p253 

    Objective: To evaluate the functional outcome after complete median nerve transaction and repair, and sensory re-education. Methods: We studied 37 patients, aged 22 to 45 years, with median nerve neurotmesis at the wrist. Primary epineural microsurgical repair using 8-0 single-strand sutures was...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics