Microvascular anastomosis with minimal suture and fibrin glue

Experimental and clinical study

Seung-Kyu Han, Sung Wook Kim, Won-Ki Kim

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

A comparative study was undertaken to evaluate a new microvascular anastomosis technique utilizing only four sutures placed 90 degrees apart and sealed with fibrin glue, in contrast to the conventional method of eight sutures as a control. The two methods were compared in regard to patency rates, time needed for vascular anastomosis, and microscopic evaluation. Postoperative patency rates were 100% and 85% with the fibrin glue technique compared with 100% and 90% with the conventional technique immediately postoperative and 2 weeks postoperative, respectively. Less time was consumed with the fibrin glue technique, which took 16 minutes, compared with the conventional technique, which took 21 minutes. Microscopically, re-endothelization was complete, with a smooth and less injured inner lining and also with less inflammatory response in the fibrin glue technique compared with the conventional technique. We applied this new technique to clinical cases of 17 digit replantations and one free flap. All cases survived completely except for one toe replantation case, which was severely crushed at the time of injury.

Original languageEnglish
Pages (from-to)306-311
Number of pages6
JournalMicrosurgery
Volume18
Issue number5
Publication statusPublished - 1998

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Fibrin Tissue Adhesive
Sutures
Replantation
Free Tissue Flaps
Toes
Blood Vessels
Clinical Studies
Wounds and Injuries

ASJC Scopus subject areas

  • Surgery

Cite this

Microvascular anastomosis with minimal suture and fibrin glue : Experimental and clinical study. / Han, Seung-Kyu; Kim, Sung Wook; Kim, Won-Ki.

In: Microsurgery, Vol. 18, No. 5, 1998, p. 306-311.

Research output: Contribution to journalArticle

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