Training model for the intraluminal continuous suturing technique for microvascular anastomosis

Abstract Microvascular anastomosis is a critical procedure in cerebral bypass surgeries. In some rare cases, the extraluminal interrupted technique is not optimal because the vessels are immobile and cannot be rotated, and anastomosis can be performed effectively through the intraluminal continuous...

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Autores principales:	Zongyu Xiao, Madjid Samii, Ji Wang, Qi Pan, Zhimin Xu, Hu Ju
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/5b55af0788e545dd81a8b26c91b21227
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spelling	oai:doaj.org-article:5b55af0788e545dd81a8b26c91b212272021-12-02T15:54:10ZTraining model for the intraluminal continuous suturing technique for microvascular anastomosis10.1038/s41598-021-84619-62045-2322https://doaj.org/article/5b55af0788e545dd81a8b26c91b212272021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-84619-6https://doaj.org/toc/2045-2322Abstract Microvascular anastomosis is a critical procedure in cerebral bypass surgeries. In some rare cases, the extraluminal interrupted technique is not optimal because the vessels are immobile and cannot be rotated, and anastomosis can be performed effectively through the intraluminal continuous suturing technique. The authors reported the application of the intraluminal continuous suturing technique in microanastomosis training with silicone tube, rat’s common iliac arteries and abdominal aorta. A silicone tube with a diameter of 1.5 mm was used to practice microanastomosis in intraluminal continuous suturing technique. Then the technique was applied in side-to-side, end-to-side anastomoses of common iliac arteries and the end-to-end abdominal aorta anastomoses of rat. The suturing time and patency rates were compared with an alternative intraluminal continuous suturing technique and one-way-up interrupted suturing technique in silicone tube and rat vessel anastomoses. The intraluminal continuous suturing technique could be gained through practicing with silicone tube, and the technique has also been demonstrated effective in side-to-side, end-to-side anastomoses of common iliac arteries of rat and the abdominal aorta end-to-end anastomoses. In all the animal experimental groups with different suturing techniques, there was no difference between the patency rates, all the immediate patency rate was 100%. There was no significant suturing time difference between the two intraluminal continuous suturing techniques, but the two intraluminal continuous suturing techniques were faster than the interrupted technique. The intraluminal continuous suturing technique described in the study could be used as an efficient method for side-to-side, end-to-side and end-to-end anastomosis, especially under the situation the posterior wall of the anastomosis could not be rotated. Proficiency of the technique could be achieved through practicing in laboratory with silicone tube and live animals.Zongyu XiaoMadjid SamiiJi WangQi PanZhimin XuHu JuNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Zongyu Xiao Madjid Samii Ji Wang Qi Pan Zhimin Xu Hu Ju Training model for the intraluminal continuous suturing technique for microvascular anastomosis
description	Abstract Microvascular anastomosis is a critical procedure in cerebral bypass surgeries. In some rare cases, the extraluminal interrupted technique is not optimal because the vessels are immobile and cannot be rotated, and anastomosis can be performed effectively through the intraluminal continuous suturing technique. The authors reported the application of the intraluminal continuous suturing technique in microanastomosis training with silicone tube, rat’s common iliac arteries and abdominal aorta. A silicone tube with a diameter of 1.5 mm was used to practice microanastomosis in intraluminal continuous suturing technique. Then the technique was applied in side-to-side, end-to-side anastomoses of common iliac arteries and the end-to-end abdominal aorta anastomoses of rat. The suturing time and patency rates were compared with an alternative intraluminal continuous suturing technique and one-way-up interrupted suturing technique in silicone tube and rat vessel anastomoses. The intraluminal continuous suturing technique could be gained through practicing with silicone tube, and the technique has also been demonstrated effective in side-to-side, end-to-side anastomoses of common iliac arteries of rat and the abdominal aorta end-to-end anastomoses. In all the animal experimental groups with different suturing techniques, there was no difference between the patency rates, all the immediate patency rate was 100%. There was no significant suturing time difference between the two intraluminal continuous suturing techniques, but the two intraluminal continuous suturing techniques were faster than the interrupted technique. The intraluminal continuous suturing technique described in the study could be used as an efficient method for side-to-side, end-to-side and end-to-end anastomosis, especially under the situation the posterior wall of the anastomosis could not be rotated. Proficiency of the technique could be achieved through practicing in laboratory with silicone tube and live animals.
format	article
author	Zongyu Xiao Madjid Samii Ji Wang Qi Pan Zhimin Xu Hu Ju
author_facet	Zongyu Xiao Madjid Samii Ji Wang Qi Pan Zhimin Xu Hu Ju
author_sort	Zongyu Xiao
title	Training model for the intraluminal continuous suturing technique for microvascular anastomosis
title_short	Training model for the intraluminal continuous suturing technique for microvascular anastomosis
title_full	Training model for the intraluminal continuous suturing technique for microvascular anastomosis
title_fullStr	Training model for the intraluminal continuous suturing technique for microvascular anastomosis
title_full_unstemmed	Training model for the intraluminal continuous suturing technique for microvascular anastomosis
title_sort	training model for the intraluminal continuous suturing technique for microvascular anastomosis
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/5b55af0788e545dd81a8b26c91b21227
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Training model for the intraluminal continuous suturing technique for microvascular anastomosis

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