Andrei Odobescu1, Sami P Moubayed2, Eugene Daniels3, Michel Alain Danino1. 1. Plastic and Reconstructive Surgery Service; 2. Otolaryngology-Head and Neck Surgery Service, Notre-Dame Hospital, University of Montréal Hospital Center (CHUM); 3. Department of Anatomy, McGill University, Montreal, Quebec.
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.
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.
Authors: Andrei Odobescu; Sami P Moubayed; Patrick G Harris; Joseph Bou-Merhi; Eugene Daniels; Michel Alain Danino Journal: J Plast Reconstr Aesthet Surg Date: 2013-12-31 Impact factor: 2.740
Authors: Andrei Odobescu; Isak Goodwin; Djamal Berbiche; Joseph BouMerhi; Patrick G Harris; Michel A Danino Journal: Plast Surg (Oakv) Date: 2018-11-22 Impact factor: 0.947