Continuous versus interrupted suture technique in microvascular anastomosis in rats

Barros, Rui Sergio Monteiro de; Leal, Rafael Aquino; Teixeira, Renan Kleber Costa; Yamaki, Vítor Nagai; Feijó, Daniel Haber; Gouveia, Eduardo Henrique Herbster; Valente, Antônia Regiane Pereira Duarte; Feitosa-Junior, Denilson José Silva; Carvalho, Luan Teles Ferreira de

doi:10.1590/s0102-865020170090000001

Cited by 11 publications

(6 citation statements)

References 17 publications

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“…Furthermore, completion of the VUA was significantly faster with CS than with IS for both overall and subgroup (LRP, ORP) analyses. This is in line with research from other surgical fields comparing IS with CS, such as for microvascular anastomosis [35]. A shorter operation time could be important since it is associated with a decrease in the number of intra-and postoperative complications [36].…”

Section: Discussionsupporting

confidence: 85%

Interrupted versus Continuous Suturing for Vesicourethral Anastomosis During Radical Prostatectomy: A Systematic Review and Meta-analysis

Kowalewski

Tapking

Hetjens

et al. 2019

European Urology Focus

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Section: Discussionsupporting

confidence: 85%

Interrupted versus Continuous Suturing for Vesicourethral Anastomosis During Radical Prostatectomy: A Systematic Review and Meta-analysis

Kowalewski

Tapking

Hetjens

et al. 2019

European Urology Focus

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“…While continuous suture has the benefit of a theoretical time gain and less leakage, it can also cause stenosis and leave more surgical thread in contact with the bloodstream, causing thrombosis. In contrast, interrupted sutures may be more useful when there is a difference between the caliber of the vessels 21 .…”

Section: Discussionmentioning

confidence: 99%

Submerged vascular anastomosis. A technique for vascular suturing in experimental microsurgery

NETO¹,

Neto

Secanho

et al. 2021

Acta Cir. Bras.

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Purpose: To evaluate the impact of submersion of the microsurgical anastomosis suture area using saline (0.9% NaCl) in an experimental laboratory during the training of medical students and resident physicians. Methods: Wistar rats (n = 10) were selected to have the two femoral arteries sectioned and anastomosed end-to-end under optical magnification. They were randomly divided, so that on one side suturing was performed under submersion with saline, and the contralateral side was kept dry during the procedure. The surgical times, as well as the patency within 30 min and 72 h of the procedure, were evaluated. Results: Six male Wistar rats survived the surgical anesthetic procedure, with the average initial weight of 243.3 g and the average artery diameter of 0.86 mm, with average time of 15.67 min for the submerged technique and 20.50 min for the dry technique (p = 0.03). The failure rates were 17 and 50% for the submerged group and the dry one, respectively (p = 0.62). Conclusion: Submerged microvascular suture does not compromise the patency of the vessel or increase the time of anastomosis. Therefore, it is a strategy that can be applied by the surgeon according to his/her technical preferences.

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“…Most frequently, 9 o'clock is used to denote the most anterior aspect of the transected blood vessel, but one article 18 Yet another author used degrees to describe location around the vessel, 0 and 180 degrees representing the most anterior and posterior points, respectively. 19 Upon reviewing each simple interrupted microvascular suture technique, it is apparent that each has advantages and disadvantages (►Table 1). Surgeons may find themselves in clinical scenarios where some techniques may be favorable over others.…”

Section: Discussionmentioning

confidence: 99%

Simple Interrupted Microvascular Anastomosis: Review of Four Sutures Placement Sequences

Sullivan

Zoppo²,

Yao

et al. 2020

Journal of Reconstructive Microsurgery Open

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Background Microsurgical anastomosis is a delicate, highly nuanced procedure that can be done in several different ways; the most basic approach to performing microsurgical anastomoses is by using simple interrupted sutures, but even within that approach, there are different sequences by which the sutures can be placed. To date, there is no review of these sequences and the advantages and disadvantages of each. Methods A PubMed search was performed in October 2019 that sought all published descriptions of simple interrupted microsurgery techniques. Keywords included were “microvascular anastomosis,” “microvascular anastomosis technique,” “simple interrupted,” and “microsurgery.” Results Four simple interrupted microsurgery techniques were identified: triangulation, 12 o'clock to 6 o'clock, posterior-wall-first, and 3 o'clock to 9 o'clock-side-side. Additionally, there is no uniform nomenclature that describes the techniques for simple interrupted microvascular anastomoses. Conclusion This study identified four distinct sequences for the placement of simple interrupted sutures for microsurgical anastomosis and the advantages and disadvantages of each, and for the first time described them utilizing standardized nomenclature.

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Continuous versus interrupted suture technique in microvascular anastomosis in rats

Cited by 11 publications

References 17 publications

Interrupted versus Continuous Suturing for Vesicourethral Anastomosis During Radical Prostatectomy: A Systematic Review and Meta-analysis

Interrupted versus Continuous Suturing for Vesicourethral Anastomosis During Radical Prostatectomy: A Systematic Review and Meta-analysis

Submerged vascular anastomosis. A technique for vascular suturing in experimental microsurgery

Simple Interrupted Microvascular Anastomosis: Review of Four Sutures Placement Sequences

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