Page 8 - Microsurgery
P. 8
Artery
End-to-end Anastomosis
The end-to-end anastomosis is the most commonly used technique in microsurgery.
However, it requires meticulous preparation of both stumps, including careful cleaning of
the adventitia and precise trimming of the edges. A dilator is used to achieve an adequate
diameter, followed by rinsing with heparinized saline.
The anastomosis is performed without tension using a clamp (Ikuta, Acland, O’Brien) or
without a clamp.
When done without a clamp, the suture begins with the posterior stitch, avoiding the need
to manipulate the artery. In contrast, using a clamp allows the artery to be flipped, starting
with the posterior plane. It is worth noting that sutures are generally performed under
tourniquet control.
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