Lafçı Gökhan, Yalçınkaya Adnan, Diken Adem İlkay, Taşoğlu İrfan, Gedik Hikmet Selçuk, Çağlı Kerim
Department of Cardiovascular Surgery, Turkiye Yuksek Ihtisas Hospital, Ankara, Turkey.
Ann Vasc Surg. 2013 Jul;27(5):684-6. doi: 10.1016/j.avsg.2012.07.020. Epub 2013 Mar 25.
Postoperative anastomotic suture line complications, such as hemorrhage and pseudoaneurysm, are often encountered in thoracic aortic surgery. To minimize these complications different anastomotic techniques have been developed. We hereby describe a new distal anastomotic technique, which involves positioning the graft inside the aorta at the distal end, reinforcing the suture line with an externally placed Teflon felt strip, and finishing the anastomosis with a circumferential and continued suture technique called "backstitch."
术后吻合口缝线相关并发症，如出血和假性动脉瘤，在胸主动脉手术中经常遇到。为了将这些并发症降至最低，人们开发了不同的吻合技术。我们在此描述一种新的远端吻合技术，该技术包括将移植物置于主动脉远端内部，用外部放置的聚四氟乙烯毡条加强缝线处，并采用一种称为“回针缝合法”的圆周连续缝合法完成吻合。
