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Microvascular coupling devices: neglected resource with a short learning curve.

W R Thompson¹, A Burns¹, S Endersby¹

¹Department of Oral and Maxillofacial Surgery, Sunderland Royal Hospital, Kayll Road, Sunderland, SR4 7TP.

The British Journal of Oral & Maxillofacial Surgery

|December 7, 2016

Summary

Microvascular couplers offer efficient and effective anastomoses in head and neck surgeries. This technique is quick to learn, saves time, and achieves successful patient outcomes.

Keywords:

Head and neck oncology couplers microvascular anastamoses reconstruction training opportunities

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Area of Science:

Microsurgery
Vascular Surgery
Surgical Innovation

Background:

Microvascular couplers have demonstrated efficiency and efficacy in surgical anastomoses.
Their application in head and neck procedures has been utilized since November 2013.

Purpose of the Study:

To investigate the time efficiency, patency rates, and cost-effectiveness of microvascular couplers in head and neck surgery.
To conduct a national survey on the utilization and outcomes of microvascular couplers across the United Kingdom.

Main Methods:

Prospective investigation of microvascular coupler use in Sunderland for anastomosis.
National survey data collection on coupler application and operative times.
Analysis of anastomosis duration, flap patency, and associated costs.

Main Results:

The mean anastomosis time using microvascular couplers was 4 minutes (range: 2 minutes 40 seconds - 4 minutes 10 seconds).
One instance of partial flap failure was recorded.
The technique was found to be quick and easy to learn.

Conclusions:

Microvascular couplers provide a time-saving solution for surgical anastomoses.
The technique is associated with successful outcomes and is readily learnable for surgical teams.
Coupler use in head and neck reconstruction is efficient and effective.