Suture-Less Anastomosis in Microvascular Surgery - A Literature Review
Review Article
DOI:
https://doi.org/10.56501/intjcraniomaxillofacsurgrehab.2022.641Keywords:
Free Flap, Microvascular Anastomosis, Suture-less, Reconstruction, Maxillofacial DefectsAbstract
The reconstruction of defects is one of the most intricate surgical procedures and commonly involves the process of vessel anastomosis. This anastomosis can be arterial or venous and is carried with the aid of a microscope with instruments specifically designed for the purpose. The common microvascular anastomosis practice involves the use of fine 8-0, 9-0, or 10-0 ethilon sutures. This method of anastomosis is highly technique sensitive and requires supreme surgical skills. With time, several suture-less anastomotic techniques were developed. This includes a stapler, vascular coupler, fibrin glue, lasers, and magnets. The literature review aims to elaborate on the efficacy, effectiveness, advantages, disadvantages, and applications of these suture-less anastomotic techniques in microvascular surgery based on existing literature evidence.
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Copyright (c) 2022 Akash Sanjay Gupta
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