The "Needle-splint" Technique: A Method of Accurate Apposition and Eversion during Microvascular Anastomosis
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Published on: May 9, 2015
Georgios Pafitanis1,2, Gurjinderpal Singh Pahal3, Simon Myers1,3
1Group for Academic Plastic Surgery, The Blizard Institute, Queen Mary University of London, London, United Kingdom.
Abstract:
We present the "needle-splint" technique, a microsurgical suturing technique that enhances micro-suturing technique, while ensures finer apposition and vessels walls eversion during the placement of sutures in microvascular anastomosis. This report demonstrates the usefulness of this technique in simple interrupted, continuous-interrupted, or multi-loops microsurgical suturing. It further allows direct visualization of the intra-wall-edges space and intimal sutures surface and could be utilized as a safety stabilizer to errors as it allows optimal vessels alignment while the needle curvature is acting as a "pusher" to separate the posterior wall during knot tying.

