Horizontal mattress technique for anastomosis of size-mismatched vessels. Issue 2 (May 2015)

• Record Type: Journal Article
• Authors: Odobescu, Andrei; Moubayed, Sami P; Daniels, Eugene; Danino, Michel Alain
• Is Part Of: Plastic surgery. Volume 23:Issue 2(2015)
• Page Start: 100
• Page End: 102
• Publication Date: 2015-05
• Subjects: Horizontal mattress -- Microvascular -- Mismatch -- Thiel; Surgery, Plastic -- Periodicals; Surger, Plastic; Surgery, Plastic; Periodicals; Periodicals; Fulltext; Internet Resources; Periodicals; 617.95005
• DOI: 10.1177/229255031502300208
• Languages: English
• ISSNs: 2292-5503

Abstract

Objective: To evaluate the horizontal mattress technique in microvascular anastomosis for size-mismatched vessels. Methods: The present study involved cadaveric simulation using size-mismatched (1.5:1) Thiel-embalmed cadaveric arteries. The authors performed horizontal mattress anastomoses using 9-0 nylon suture and recorded the procedure. Vessel patency was evaluated by saline infusion. Vessels were cut open and photographed; histological slides were prepared and stained with hematoxylin and eosin. Results: Four anastomoses were performed. Vessels were found to be patent in all cases, with grade 0 leaks. Intima-on-intima apposition with no intraluminal exposure of muscularis nor adventitia were observed. Conclusion: The present cadaveric study supports the technical feasibility of using horizontal mattress sutures in size-mismatched end-to-end anastomoses.