Submerged vascular anastomosis. A technique for vascular suturing in experimental microsurgery
ABSTRACT Purpose: To evaluate the impact of submersion of the microsurgical anastomosis suture area using saline (0.9% NaCl) in an experimental laboratory during the training of medical students and resident physicians. Methods: Wistar rats (n = 10) were selected to have the two femoral arteries s...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia
2021-10-01
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| Series: | Acta Cirúrgica Brasileira |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502021000800600&tlng=en |
| _version_ | 1818490184388313088 |
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| author | Balduino Ferreira de Menezes Neto Fausto Viterbo de Oliveira Neto Murilo Sgarbi Secanho Laísa Brandão Carvalho Weber Ribolli Moragas Matheus Scuracchio Fernandes |
| author_facet | Balduino Ferreira de Menezes Neto Fausto Viterbo de Oliveira Neto Murilo Sgarbi Secanho Laísa Brandão Carvalho Weber Ribolli Moragas Matheus Scuracchio Fernandes |
| author_sort | Balduino Ferreira de Menezes Neto |
| collection | DOAJ |
| description | ABSTRACT Purpose: To evaluate the impact of submersion of the microsurgical anastomosis suture area using saline (0.9% NaCl) in an experimental laboratory during the training of medical students and resident physicians. Methods: Wistar rats (n = 10) were selected to have the two femoral arteries sectioned and anastomosed end-to-end under optical magnification. They were randomly divided, so that on one side suturing was performed under submersion with saline, and the contralateral side was kept dry during the procedure. The surgical times, as well as the patency within 30 min and 72 h of the procedure, were evaluated. Results: Six male Wistar rats survived the surgical anesthetic procedure, with the average initial weight of 243.3 g and the average artery diameter of 0.86 mm, with average time of 15.67 min for the submerged technique and 20.50 min for the dry technique (p = 0.03). The failure rates were 17 and 50% for the submerged group and the dry one, respectively (p = 0.62). Conclusions: Submerged microvascular suture does not compromise the patency of the vessel or increase the time of anastomosis. Therefore, it is a strategy that can be applied by the surgeon according to his/her technical preferences. |
| first_indexed | 2024-12-10T17:13:51Z |
| format | Article |
| id | doaj.art-3f80f6afee534f59bc30cac09f0b7239 |
| institution | Directory Open Access Journal |
| issn | 0102-8650 |
| language | English |
| last_indexed | 2024-12-10T17:13:51Z |
| publishDate | 2021-10-01 |
| publisher | Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia |
| record_format | Article |
| series | Acta Cirúrgica Brasileira |
| spelling | doaj.art-3f80f6afee534f59bc30cac09f0b72392022-12-22T01:40:11ZengSociedade Brasileira para o Desenvolvimento da Pesquisa em CirurgiaActa Cirúrgica Brasileira0102-86502021-10-0136810.1590/acb360807Submerged vascular anastomosis. A technique for vascular suturing in experimental microsurgeryBalduino Ferreira de Menezes Netohttps://orcid.org/0000-0001-9379-4441Fausto Viterbo de Oliveira Netohttps://orcid.org/0000-0001-7282-7566Murilo Sgarbi Secanhohttps://orcid.org/0000-0003-1726-7732Laísa Brandão Carvalhohttps://orcid.org/0000-0003-2683-564XWeber Ribolli Moragashttps://orcid.org/0000-0003-3604-7612Matheus Scuracchio Fernandeshttps://orcid.org/0000-0003-3386-2777ABSTRACT Purpose: To evaluate the impact of submersion of the microsurgical anastomosis suture area using saline (0.9% NaCl) in an experimental laboratory during the training of medical students and resident physicians. Methods: Wistar rats (n = 10) were selected to have the two femoral arteries sectioned and anastomosed end-to-end under optical magnification. They were randomly divided, so that on one side suturing was performed under submersion with saline, and the contralateral side was kept dry during the procedure. The surgical times, as well as the patency within 30 min and 72 h of the procedure, were evaluated. Results: Six male Wistar rats survived the surgical anesthetic procedure, with the average initial weight of 243.3 g and the average artery diameter of 0.86 mm, with average time of 15.67 min for the submerged technique and 20.50 min for the dry technique (p = 0.03). The failure rates were 17 and 50% for the submerged group and the dry one, respectively (p = 0.62). Conclusions: Submerged microvascular suture does not compromise the patency of the vessel or increase the time of anastomosis. Therefore, it is a strategy that can be applied by the surgeon according to his/her technical preferences.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502021000800600&tlng=enSurgery, PlasticMicrosurgeryModelsAnimalRats |
| spellingShingle | Balduino Ferreira de Menezes Neto Fausto Viterbo de Oliveira Neto Murilo Sgarbi Secanho Laísa Brandão Carvalho Weber Ribolli Moragas Matheus Scuracchio Fernandes Submerged vascular anastomosis. A technique for vascular suturing in experimental microsurgery Acta Cirúrgica Brasileira Surgery, Plastic Microsurgery Models Animal Rats |
| title | Submerged vascular anastomosis. A technique for vascular suturing in experimental microsurgery |
| title_full | Submerged vascular anastomosis. A technique for vascular suturing in experimental microsurgery |
| title_fullStr | Submerged vascular anastomosis. A technique for vascular suturing in experimental microsurgery |
| title_full_unstemmed | Submerged vascular anastomosis. A technique for vascular suturing in experimental microsurgery |
| title_short | Submerged vascular anastomosis. A technique for vascular suturing in experimental microsurgery |
| title_sort | submerged vascular anastomosis a technique for vascular suturing in experimental microsurgery |
| topic | Surgery, Plastic Microsurgery Models Animal Rats |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502021000800600&tlng=en |
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