Advertisement

Microvascular Techniques

  • V. ValentiniEmail author
  • M. Della Monaca
Chapter

Abstract

Reconstructive microsurgery has become an integral part of head and neck reconstructive surgery, allowing the completion of complex resections with predictable outcome. These improvements are related to technological advances, better imaging, advances in surgical techniques, and new surgical instruments. With regard to microsurgery, research is nowadays focused on flap selection, design, and computer customization of the procedure. However, regardless of the innovation introduced, it is undoubtable that the actual clinical success in microsurgery relies on good technical skill in vessel anastomosis. Microsurgical anastomosis is based on simple sequential surgical maneuvers that are essential to strictly follow in order to guarantee the best outcome.

Keywords

Microsurgery Vessels Anastomosis Suturing techniques End to end End to side 

References

  1. 1.
    Carrel A. La technique operatoire des anastomoses vasculaires et la transplantation des visceres. Lyon Med. 1964;212:1561–8.PubMedGoogle Scholar
  2. 2.
    Buncke HJ, Schulz WP. Total ear reimplantation in the rabbit utilising microminiature vascular anastomoses. Br J Plast Surg. 1966;19(1):15–22.CrossRefGoogle Scholar
  3. 3.
    Cobbett JR. Free digital transfer. Report of a case of transfer of a great toe to replace an amputated thumb. J Bone Joint Surg Br. 1969;51(4):677–9.CrossRefGoogle Scholar
  4. 4.
    Sabathy RS. Vessels. In: Wei FC, Mardini S, editors. Flaps and reconstructive surgery. 2nd ed. Amsterdam: Elsevier; 2017. p. 310–22.Google Scholar
  5. 5.
    Acland RD. Practical manual for microvascular surgery. 2nd ed. St. Louis, MO: CV Mosby Company; 1989.Google Scholar
  6. 6.
    Carrel A. Anastomose bout a bout de la jugulaire et de la carotide primitive. Lyon Med. 1902;99:114–6.Google Scholar
  7. 7.
    Chen YX, Chen LE, Seaber AV, et al. Comparison of continuous and interrupted suture techniques in microvascular anastomosis. J Hand Surg Am. 2001;26:530–9.CrossRefGoogle Scholar
  8. 8.
    Godina M. Preferential use of end–to–side arterial anastomoses in free flap transfers. Plast Reconstr Surg. 1979;64:673–82.CrossRefGoogle Scholar
  9. 9.
    Wei FC, Tay SK. Principles and techniques of microvascular surgery. In: Gurtner GC, Neligan PC, editors. Plastic surgery. Amsterdam: Elsevier; 2012. p. 587–621.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Oral and Maxillo Facial SciencesPoliclinico Umberto I “Sapienza” University of RomeRomeItaly

Personalised recommendations