Microvascular anastomosis with minimal suture and arista: An experimental study

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dc.contributor.authorBenlier, Erol
dc.contributor.authorTop, Husamettin
dc.contributor.authorAygit, A. Cernal
dc.contributor.authorUsta, Ufuk
dc.contributor.authorUnal, Yasin
dc.date.accessioned2024-06-12T11:08:31Z
dc.date.available2024-06-12T11:08:31Z
dc.date.issued2007
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground: The conventional technique of microvascular anastomosis may cause trauma to the vessel wall. In addition, the technique is difficult for beginners and is time consuming. The duration of ischemia is an important limiting factor for muscle transfer. In the case of multiple-digit replantations, fatigue developed in the surgeon may also result in suboptimal results. This study was performed to establish an easier and shorter method of microvascular anastomosis using the Arista hemostatic agent. Methods: In this study, 20 carotid arteries obtained from rats were equally divided into two groups. The arteries were then divided and repaired using three simple interrupted stay sutures with Arista powder. Evaluations were performed using the following three methods: (1) clamping time during the vessel anastomosis, (2) patency test (after 1 hour, 24 hours, and 28 days), and (3) light microscopic findings. Results: The clamping time in the conventional suture anastomosis group was 21 4 minutes, whereas that of the minimal suture in the Arista group was 12 2 minutes; the difference between the two groups was statistically significant (P <.001). There was no significant difference between the patency rates of the two groups (P=.474). It was observed that the Arista group showed qualitatively less perivascular foreign-body giant cell reaction than the control group. There was no evidence of vascular mural fibrinold necrosis, indicating that Arista was nontoxic for the vessel walls. Conclusions: The Arista-assisted microvascular anastomosis is an alternative to the conventional suture only method because it reduces the anastomosis time significantly and does not cause narrowing of the vessel wall. We believe that this technique has the potential for improving the performance of microvascular anastomosis in clinical practice.en_US
dc.identifier.doi10.1055/s-2007-985213
dc.identifier.endpage315en_US
dc.identifier.issn0743-684X
dc.identifier.issn1098-8947
dc.identifier.issue6en_US
dc.identifier.pmid17975772en_US
dc.identifier.scopus2-s2.0-36749005505en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage311en_US
dc.identifier.urihttps://doi.org/10.1055/s-2007-985213
dc.identifier.urihttps://hdl.handle.net/20.500.14551/22471
dc.identifier.volume23en_US
dc.identifier.wosWOS:000251368000003en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherThieme Medical Publ Incen_US
dc.relation.ispartofJournal Of Reconstructive Microsurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMicrovascular Anastomosisen_US
dc.subjectAristaen_US
dc.subjectFibrin Glueen_US
dc.subjectArterialen_US
dc.subjectSurgeryen_US
dc.subjectClosureen_US
dc.subjectClipsen_US
dc.titleMicrovascular anastomosis with minimal suture and arista: An experimental studyen_US
dc.typeArticleen_US

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