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Gorget-like Cuddling Suture: An Anastomosis Reinforcement Technique to Reduce Suture Bleeding for Aortic Surgery.

作者信息

Mori Kazuki, Kozaki Satoshi, Anai Hirofumi, Wada Tomoyuki, Shuto Takashi, Umeno Tadashi, Miyamoto Shinji

机构信息

Department of Cardiovascular Surgery, Oita University, Oita, Japan.

Department of Cardiovascular Surgery, Oita University, Oita, Japan.

出版信息

Ann Vasc Surg. 2020 Aug;67:553-556. doi: 10.1016/j.avsg.2020.02.038. Epub 2020 Mar 20.

DOI:10.1016/j.avsg.2020.02.038
PMID:32205251
Abstract

We developed a new reinforcement technique, the Gorget-like Cuddling (GOCU) suture, to prevent suture line bleeding during aortic surgery. After continuous aortic anastomosis with thick outer felt, an additional 2-0 Ticron (Medtronic, Minneapolis, MN) suture is placed distal from the first suture line. This GOCU suture directly holds the needle holes. Wall tension on the anastomosis can also be reduced to prevent longitudinal dilatation of the aorta. This technique can contribute to hemostasis for a fragile aortic wall in cases like acute aortic dissection.

摘要

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