Venous coupler for free-flap anastomosis.
نویسندگان
چکیده
Free-flap surgery has become a routine procedure in breast reconstruction. The microvascular surgical anastomosis remains one of the technically sensitive aspects of free-tissue transfers. Between December 2006 and September 2007, 12 anastomoses were performed with a venous coupling device from Synovis. There were no free-flap failures. Venous congestion occurred in only one case and was managed successfully with leeches. No major complications were observed. The Synovis venous coupling device system allowed a time-efficient and safe venous anastomosis in breast reconstruction.
منابع مشابه
Economic Comparison of Hand-Sutured and Coupler-Assisted Microvascular Anastomoses.
BACKGROUND Compared with hand-sewn anastomoses, microvascular anastomotic coupling devices (MACDs) provide equivalent flap survival and reduced operative time. To date, an economic analysis of MACDs has not been reported. The objective of this study was to evaluate the economics of a venous anastomosis performed using a coupling device compared with a hand-sewn anastomosis. METHODS Economic...
متن کاملVenous coupler for free-flap anastomosis: outcomes of 1,000 cases.
Since the advent of microvascular free tissue transfer, adjunctive surgical techniques have become sought as a means to improving overall surgical time and outcomes in oncological surgery. Anastomotic devices have provided one such avenue, with staples and coupling devices suggested as an alternative to traditional suturing. We describe our experience with two such devices, automatic staples an...
متن کاملSalvage arterial anastomosis using a microvascular coupler in head and neck free flap reconstruction.
Microvascular free tissue transfer is essential in complex head and neck reconstruction. The mainstay of microvascular anastomosis has classically been the suture technique, but the coupling device has emerged as a valuable alternative. Couplers are commonly used for venous anastomoses, but most head and neck reconstructive surgeons do not routinely couple arteries. However, coupling may afford...
متن کاملArterial coupling for microvascular free tissue transfer in head and neck reconstruction.
OBJECTIVE To demonstrate the efficacy of arterial coupling. DESIGN We report our experience in head and neck reconstruction with the Unilink Microvascular Anastomotic System (Synovis MCA, Birmingham, Ala). Data were collected in a consecutive series of 49 patients undergoing composite resection of head and neck tumors followed by free tissue transfer. SETTING All patient care took place at ...
متن کاملExposure of a Microvascular Anastomotic Coupler in Head and Neck Reconstruction: A Case Report
OBJECTIVE We present a case of exposure of a microvascular anastomotic coupler. METHODS We performed venous anastomoses using microvascular anastomotic couplers in head and neck reconstruction. RESULTS A microvascular anastomotic coupler was exposed in the seventh month postoperation, and an anastomosed vein was disrupted. CONCLUSIONS Although the usefulness of the microvascular anastomot...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Anticancer research
دوره 29 7 شماره
صفحات -
تاریخ انتشار 2009