Department of Neurosurgery, Clinical Research Institute, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.
Department of Neurosurgery, Clinical Research Institute, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.
J Clin Neurosci. 2020 Feb;72:434-437. doi: 10.1016/j.jocn.2019.08.107. Epub 2019 Sep 4.
The ideal suturing technique for cerebrovascular anastomosis remains a point of debate. Although simple interrupted sutures are considered to achieve higher patency, they require longer anastomosis time compared with running sutures. The authors describe a novel techniques named single loop interrupted suture to place interrupted sutures for cerebrovascular anastomosis. The single loop interrupted suture technique consists of repeatedly placing, tying and cutting a single loop between anchor stitches. A single loose loop was placed next to the anchor stitch, tied and cut, and then another loop was placed next to the knot. The loops resulted in efficiently placed interrupted sutures. This technique is employed for a range of end-to-side cerebrovascular anastomosis procedures, and is feasible in placing interrupted suture.
用于脑血管吻合的理想缝合技术仍然存在争议。虽然单纯间断缝合被认为能获得更高的通畅率，但与连续缝合相比，它需要更长的吻合时间。作者描述了一种名为单环间断缝合的新技术，用于脑血管吻合。单环间断缝合技术包括在锚定点之间反复放置、结扎和剪断单个环。在锚定点旁边放置一个单松环，结扎并剪断，然后在结旁边再放置一个环。这些环可有效地放置间断缝线。该技术适用于多种端侧脑血管吻合术，并且能够进行间断缝合。
