Manageable Microsurgical Technique for Creating an Opening in Small Vessels for End-to-Side Anastomosis

ABSTRACT

The end-to-side anastomosis is one of the most useful techniques in microsurgery. It creates a recipient opening for the donor, keeps the donor vessel intact, and does not interrupt distal blood flow, compared to the end-to-end anastomosis technique. The end-to-side anastomosis is consequently becoming more acceptable in reconstructive microsurgery. The author describes a manageable microsurgical technique for creating recipient vessel openings in small vessels for end-to-side anastomoses.

KEYWORDS

End-to-side anastomoses - creating recipient-vessel openings - small vessels - technique

REFERENCES

• 1 Moy O J, Ablove R H. Microsurgical methods and replantation. In: Peimer CA, ed, Surgery of the Hand and Upper Extremity NY: McGraw-Hill Health Professions Division 1995: 1853
• 2 Buncke Jr H J, Chater N L, Szabo Z. The Manual of Microvascular Surgery.  Manati, PR: Davis-Geck 1975
• 3 Ballantyne D L, Razaboni R M, Harper A D. Microvascular Surgery: A Laboratory Manual.  NY: Donald L. Ballantyne 1980: 40
• 4 Berezniak R. Creating, Developing, and Mastering a Superior Microsurgical Technique.  Reading, PA: Sharpoint, L.P. 1991: 86
• 5 Serafin D, Georgiade N G. A Laboratory Manual of Microsurgery.  Somerville, NJ: Ethicon, Inc. 1983: 33
• 6 Harashina T, Inoue T. Manual of Practical Microsurgery.  Tokyo: Kyowa Electronic Instruments Co., Ltd. 1988: 37
• 7 Panje W R, Moran W J. Free Flap Reconstruction of the Head and Neck.  NY: Thieme 1989: 23
• 8 Chen Z W, Yang D Y, Chang D S. Microsurgery.  Shanghai: Shanghai Scientific and Technical Publishers and Berlin: Springer-Verlag 1982: 82
• 9 Berger A, Tizian C. Atlas of Microsurgical Technique.  Norfolk, VA: Hampton Press 1987: 80-81
• 10 Mehdorn H M, Muller G H. Microsurgical Exercises-Basic Technique, Anastomoses, Refertilization, Transplantation.  Stuttgart and New York: Georg Thieme Verlag 1989
• 11 Pechlaner S, Kerschbaumer F, Hussl H. Atlas of Hand Surgery.  Stuttgart and New York: Georg Thieme Verlag 1989
• 12 Sanders W E. Principles of microvascular surgery. In: Green DP ed, Operative Hand Surgery NY: Churchill Livingstone 1993: 1060
• 13 Ruiz-Razura A R, Sozer S O. Multidisciplinary Microsurgical Training Manual.  Houston, TX: Brockton 1995: 58
• 14 Pho R W. Microsurgical Technique in Orthopedics.  London: Butterworths 1988: 7