Jove
Visualize
Contact Us

Related Experiment Videos

A new microvascular "sleeve" anastomosis.

F J Duminy1

  • 1Department of Surgery, University of Cape Town Medical School, Republic of South Africa.

The Journal of Surgical Research
|March 1, 1989
PubMed
Summary

A novel microsurgical technique for sleeve anastomosis significantly reduces procedure time and technical complications. This method offers reliable vessel repair with minimal intimal trauma, showing great clinical potential.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Staged TRAM breast reconstruction: combining the advantages of tissue expansion with surgical delay.

Aesthetic plastic surgery·2000
Same author

Another method to prevent venous thrombosis in microsurgery: an in situ venous catheter.

Plastic and reconstructive surgery·2000
Same author

Microvascular replantation of avulsed tissue after a dog bite of the face.

South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde·1994
Same author

Assault inflicted by hot water.

Burns : journal of the International Society for Burn Injuries·1993
Same author

A technique for liver transplantation in the rat.

Transplantation·1989
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Area of Science:

  • Microsurgery
  • Vascular Surgery
  • Surgical Techniques

Background:

  • Vascular anastomosis is crucial in reconstructive surgery.
  • Traditional end-to-end anastomosis methods can be time-consuming and prone to complications.
  • Minimizing intimal trauma is essential for long-term vessel patency.

Purpose of the Study:

  • To introduce and evaluate a new technique for microvascular end-in-end or "sleeve" anastomosis.
  • To assess the time efficiency and complication rates of the novel technique.
  • To explore the clinical applicability of the new method.

Main Methods:

  • The technique employs two asymmetrically placed, looped sutures that avoid entering the vessel lumen or breaching the intima.
  • Seventy-seven anastomoses were performed on white rats by surgeons of varying experience levels.
  • Procedure times were recorded after an initial practice period.

Main Results:

  • A single failure was observed in 77 anastomoses, demonstrating high patency rates (24-hour patency).
  • The average time for vessel division to clamp release was 7 minutes 33 seconds (SD 1:45) after practice.
  • The new sleeve anastomosis proved as reliable as conventional methods, with significant time savings and reduced intimal trauma.

Conclusions:

  • This novel sleeve anastomosis technique is reliable, efficient, and minimizes intimal trauma.
  • The method facilitates the anastomosis of vessels of different sizes.
  • The technique holds significant clinical potential for interposition vein grafts and human intravenous anastomoses.

Related Experiment Videos