Fundamentals of Vascular Anastomosis
While subspecialty training is ubiquitous in the current era of surgical education, there remain fundamental aspects of these subspecialties that are still critical in general surgery training. The proper construction of a vascular anastomosis is a necessary tool in the arsenal of any general surgeon. This chapter will review the history and basic principles of vascular surgery, including the methods and maneuvers required to safely gain vascular control. We will describe the important anatomic features inherent in an anastomosis and their physiologic consequences. Various approaches to anastomotic suturing will be described in detail, with a focus on precise surgical technique and the clinical circumstances in which each might be most applicable. Finally, the potential complications of anastomotic creation will be reviewed, with a brief overview of emergency maneuvers that can be employed in the event of uncontrolled situations. These valuable skills will allow a general surgeon to safely gain vascular control in the event of hemorrhage, repair an injured vessel, and create a bypass around an unsalvageable vascular injury.
KeywordsVascular surgery General surgery Anastomosis Suturing Vessel repair
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