Kim Byung-Young, Choi Byung-Ho, Huh Jin-Young, Lee Seung-Ho, Zhu Shi-Jiang, Cho Byung-Pil
Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University, Wonju Christian Hospital, 162 Ilsan-Dong, Wonju, Kangwon-Do, Korea.
J Reconstr Microsurg. 2004 May;20(4):317-21. doi: 10.1055/s-2004-824890.
This paper describes a new technique for microvascular anastomosis, which involves the overlapping of the adventitias of the two ends of a severed blood vessel, and then painting a cyanoacrylate adhesive on the outer surface of the vessel around the anastomosed part. Sixteen anastomoses were performed in both radial arteries and cephalic veins in eight dogs. All vessels were patent without thrombus. The described method of anastomosis was faster and easier to perform than the conventional suture anastomosis. Histologic studies revealed that the adhesive did not flow into the lumen, and that normal healing of the endothelium and of the internal elastic lamina occurred across the anastomotic site, even though the adhesive remained on the adventitial side of the vessel at 4 weeks. This technique deserves to be considered as an alternative to conventional suture anastomosis.
本文描述了一种微血管吻合新技术，该技术包括将切断血管两端的外膜重叠，然后在吻合部位周围血管外表面涂抹氰基丙烯酸酯粘合剂。在8只狗的桡动脉和头静脉中进行了16次吻合。所有血管均通畅无血栓形成。所描述的吻合方法比传统的缝合吻合更快且更容易操作。组织学研究表明，粘合剂未流入管腔，即使在4周时粘合剂仍留在血管外膜侧，但内皮和内弹性膜在吻合部位仍能正常愈合。该技术值得被视为传统缝合吻合的替代方法。
