Comparative evaluation of conventionally sutured and clot-sutured microsurgical anastomoses

Abstract

In 1960, Jacobson and Suarez introduced microsurgical techniques in small-vessel anastomoses.(1) Ever since, this field has become increasingly important for reconstructive surgery in different disciplines.(6) In order to achieve a sufficient microvessel anastomosis, numerous interrupted sutures have to be performed resulting in considerable damage to the anastomosed vascular wall.(2,4) In order to reduce the number of sutures needed, a series of technical modifications have been developed, which, however, often present the disadvantage of insertion of a foreign material.