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 language||English (US)|
|Number of pages||3|
|Journal||Canadian Journal of Plastic Surgery|
|State||Published - Jun 1 2015|
- Horizontal mattress
ASJC Scopus subject areas