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DOI: 10.1055/s-0043-1774790
A Safe and Innovative Method to Apply Venous Coupler in Oncologic Head and Neck Reconstruction

Abstract
Venous anastomosis with a coupler device is an effective alternative to the hand-sewn anastomosis technique. Twist in the veins following a coupler anastomosis is a troublesome complication that needs a revision of venous anastomosis. The author proposes a simple technique to reduce the incidence of this complication. This technique is particularly useful in head and neck reconstruction and for beginners in the initial part of the learning curve.
Ethical Approval
The author confirms to the Declaration of Helsinki.
Publikationsverlauf
Artikel online veröffentlicht:
18. September 2023
© 2023. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
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- 2 Maruccia M, Fatigato G, Elia R. et al. Microvascular coupler device versus hand-sewn venous anastomosis: a systematic review of the literature and data meta-analysis. Microsurgery 2020; 40 (05) 608-617
- 3 Umezawa H, Hokazono Y, Taga M, Ogawa R. Applying the microvascular anastomotic coupler device to end-to-side venous anastomosis in reconstructive surgery. Plast Reconstr Surg Glob Open 2022; 10 (01) e4018