Comparison of a coupling system and the suture method in end-to-side microvascular anastomosis in head and neck reconstruction

IF 1.5 3区 医学 Q3 SURGERY
Microsurgery Pub Date : 2024-02-27 DOI:10.1002/micr.31160
Seong Ae Kim MD, Junnyeon Kim MD, Chae Rim Lee MD, PhD, Deuk Young Oh MD, PhD, Young-joon Jun MD, PhD, Suk-Ho Moon MD, PhD
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引用次数: 0

Abstract

Background

Use of coupling devices in microvascular anastomosis continues to increase, but it is not yet actively used in end-to-side (ETS) anastomosis because there is no standard method. Therefore, we propose an easy and time-saving ETS micro-anastomosis method using coupling devices in head and neck reconstruction and compare it with the conventional suture method.

Materials and Methods

We retrospectively reviewed 30 consecutive cases (43 anastomoses) of ETS anastomosis in head and neck reconstruction from 2018 to 2022. Patient characteristics, operative details, and anastomosis time were evaluated. When using the coupling device, a cross incision was created in the recipient vessel to form vascular flaps. By pulling the flaps out of the ring, the intact vessel lining was fixed. Other procedures were the same as for a traditional anastomosis.

Results

The mean anastomosis time was 12.81 min (range, 6.7–24.87) for the suture and 4.96 min (range, 2.02–9.4) for the coupling device, a statistically significant difference (p-value <.00005). There was no venous insufficiency or flap failure with either method.

Conclusions

ETS venous anastomosis using the coupling device is an easy-to-use, safe, and timesaving procedure for head and neck reconstruction.

头颈部重建中端对端微血管吻合术中耦合系统与缝合方法的比较。
背景:耦合装置在微血管吻合术中的应用不断增加,但由于没有标准方法,在端侧(ETS)吻合术中的应用还不活跃。因此,我们提出了一种在头颈部重建中使用耦合装置的简便省时的 ETS 微吻合方法,并与传统的缝合方法进行了比较:我们回顾性地回顾了2018年至2022年连续30例(43次吻合)头颈部重建中的ETS吻合术。评估了患者特征、手术细节和吻合时间。使用耦合装置时,在受体血管上创建一个交叉切口,形成血管瓣。将血管瓣从环中拉出,固定完好的血管内膜。其他程序与传统吻合术相同:结果:缝合的平均吻合时间为 12.81 分钟(范围为 6.7-24.87),而耦合装置的平均吻合时间为 4.96 分钟(范围为 2.02-9.4),两者之间存在显著的统计学差异(P 值 结论):使用耦合装置进行 ETS 静脉吻合术是一种易于使用、安全且节省时间的头颈部重建手术。
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来源期刊
Microsurgery
Microsurgery 医学-外科
CiteScore
3.80
自引率
19.00%
发文量
128
审稿时长
4-8 weeks
期刊介绍: Microsurgery is an international and interdisciplinary publication of original contributions concerning surgery under microscopic magnification. Microsurgery publishes clinical studies, research papers, invited articles, relevant reviews, and other scholarly works from all related fields including orthopaedic surgery, otolaryngology, pediatric surgery, plastic surgery, urology, and vascular surgery.
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