Technology-assisted and sutureless microvascular anastomoses: evidence for current techniques

Pratt GF, Rozen WM, Westwood A, et al (Univ of Melbourne, Victoria, Australia) Microsurgery 32:68-76, 2012^§

Abstract

Background

Since the birth of reconstructive microvascular surgery, attempts have been made to shorten the operative time while maintaining patency and efficacy. Several devices have been developed to aid microsurgical anastomoses. This article investigates each of the currently available technologies and attempts to provide objective evidence supporting their use.

Methods

Techniques of microvascular anastomosis were investigated by performing searches of the online databases Medline and Pubmed. Returned results were assessed according to the criteria for ranking medical evidence advocated by the Oxford Centre for Evidence Based Medicine. Emphasis was placed on publications with quantifiable endpoints such as unplanned return to theatre, flap salvage, and complication rates.

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