An absorbable anastomotic device for microvascular surgery: clinical applications.

An absorbable anastomotic device that can be inserted in less than 4 minutes for vessels with a 1.3- to 2.5-mm diameter was utilized in 20 clinical cases. Only one documented thrombosis occurred, and it was successfully revised. In 11 of 20 cases, tissue survival was totally dependent on the coupled anastomosis. Subsequent follow-up offers evidence of maintained patency. It would appear that anastomotic devices are a useful adjunct for the experienced microsurgeon skilled in suture techniques.