Turan T, Ozçelik D, Kuran I, Sadikoğlu B, Baş L, San T, Sungun A
Department of Plastic and Reconstructive Surgery, Sişli Etfal Teaching and Research Hospital, Marmara University Medical Faculty, Istanbul, Turkey.
Plast Reconstr Surg. 2001 Feb;107(2):463-70. doi: 10.1097/00006534-200102000-00023.
In this study, a microvascular anastomosing technique called "eversion with four sutures" is introduced. For microvascular anastomosis, this technique requires fishmouth incisions at both vessel ends and the completion of four sutures. In 120 Wistar-Albino rats, 120 eversion and 120 conventional anastomoses were done in 240 femoral arteries. Each rat received both treatments. Operating time, bleeding time, number of sutures used, patency rates, and pseudoaneurysm formation were analyzed statistically; healing was evaluated with both light and electron microscopy. When compared with the conventional technique using nine sutures, the eversion with four sutures technique was found to be a faster and easier method of anastomosis and as reliable as the conventional technique. Without compromising patency rates, bleeding time, or rates of pseudoaneurysm formation, anastomosis time and amount of suture material exposed to the lumen were significantly reduced when using this technique. In conclusion, the authors think that eversion with four sutures is a reliable alternative to the conventional suturing technique, especially for emergency cases that require multiple microvascular anastomoses.
在本研究中，介绍了一种名为“四针外翻法”的微血管吻合技术。对于微血管吻合，该技术要求在血管两端做鱼口状切口并完成四针缝合。在120只Wistar白化大鼠的240条股动脉上进行了120次外翻吻合和120次传统吻合。每只大鼠都接受了两种治疗。对手术时间、出血时间、使用的缝合针数、通畅率和假性动脉瘤形成情况进行了统计学分析；通过光学显微镜和电子显微镜评估愈合情况。与使用九针的传统技术相比，发现四针外翻技术是一种更快、更简便的吻合方法，并且与传统技术一样可靠。使用该技术时，在不影响通畅率、出血时间或假性动脉瘤形成率的情况下，吻合时间和暴露于管腔的缝合材料量显著减少。总之，作者认为四针外翻法是传统缝合技术的可靠替代方法，尤其适用于需要进行多次微血管吻合的紧急情况。
