Horizontal mattress technique for anastomosis of size-mismatched vessels

Andrei Odobescu, Sami P. Moubayed, Eugene Daniels, Michel Alain Danino

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Objective: To evaluate the horizontal mattress technique in microvascular anastomosis for size-mismatched vessels. methods: The present study involved cadaveric simulation using sizemismatched (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.

Original languageEnglish (US)
Pages (from-to)100-102
Number of pages3
JournalCanadian Journal of Plastic Surgery
Issue number2
StatePublished - Jun 1 2015
Externally publishedYes


  • Horizontal mattress
  • Microvascular
  • Mismatch
  • Thiel

ASJC Scopus subject areas

  • Surgery


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