142 pages, Illustrated, 6 ¼" x 9 ½"
This is a Ph.D. dissertation. The sutured vascular and microvascular anastomosis technique remains a standard procedure nowadays. There is an increasing demand for ergonomic, cost-effective and reliable alternatives, though. This interest is revitalized by the movement of vascular reconstructions toward limited access and minimal invasive clinical settings.
The clipped anastomsis technique has been shown as one of the most promising. This study compares the sutured and the clipped anastomoses in isolated small diameter arterial end-to-end anastomosis model, highly sensitive for technical imperfection. Different from previous reports, the focus was on comparative assessment based on an extensive quantitative evaluation of hemodynamics, morphology and surgical performance.
This allowed us to study interrelations of those elements and helped to define an optimal use of either type microvascular anastomosis technique. Background of plastic and reconstructive surgery and previous experience with the sutures and the clips allowed to standardize and to perform either type of anastomosis in a consistent manner.