Horizontal mattress technique for anastomosis of size-mismatched vessels

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

doi:10.1177/229255031502300208

Horizontal mattress technique for anastomosis of size-mismatched vessels

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

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

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)
Pages (from-to)	100-102
Number of pages	3
Journal	Canadian Journal of Plastic Surgery
Volume	23
Issue number	2
DOIs	https://doi.org/10.1177/229255031502300208
State	Published - Jun 1 2015
Externally published	Yes

Keywords

Horizontal mattress
Microvascular
Mismatch
Thiel

ASJC Scopus subject areas

Surgery

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10.1177/229255031502300208

Cite this

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title = "Horizontal mattress technique for anastomosis of size-mismatched vessels",

abstract = "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.",

keywords = "Horizontal mattress, Microvascular, Mismatch, Thiel",

author = "Andrei Odobescu and Moubayed, {Sami P.} and Eugene Daniels and Danino, {Michel Alain}",

note = "Publisher Copyright: {\textcopyright} 2015 Canadian Society of Plastic Surgeons.",

year = "2015",

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doi = "10.1177/229255031502300208",

language = "English (US)",

volume = "23",

pages = "100--102",

journal = "Canadian Journal of Plastic Surgery",

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T1 - Horizontal mattress technique for anastomosis of size-mismatched vessels

AU - Odobescu, Andrei

AU - Moubayed, Sami P.

AU - Daniels, Eugene

AU - Danino, Michel Alain

PY - 2015/6/1

Y1 - 2015/6/1

N2 - 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.

AB - 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.

KW - Horizontal mattress

KW - Microvascular

KW - Mismatch

KW - Thiel

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Horizontal mattress technique for anastomosis of size-mismatched vessels

Abstract

Keywords

ASJC Scopus subject areas

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