Submerged vascular anastomosis. A technique for vascular suturing in experimental microsurgery
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Acta Cirúrgica Brasileira (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502021000800600 |
Resumo: | ABSTRACT Purpose: To evaluate the impact of submersion of the microsurgical anastomosis suture area using saline (0.9% NaCl) in an experimental laboratory during the training of medical students and resident physicians. Methods: Wistar rats (n = 10) were selected to have the two femoral arteries sectioned and anastomosed end-to-end under optical magnification. They were randomly divided, so that on one side suturing was performed under submersion with saline, and the contralateral side was kept dry during the procedure. The surgical times, as well as the patency within 30 min and 72 h of the procedure, were evaluated. Results: Six male Wistar rats survived the surgical anesthetic procedure, with the average initial weight of 243.3 g and the average artery diameter of 0.86 mm, with average time of 15.67 min for the submerged technique and 20.50 min for the dry technique (p = 0.03). The failure rates were 17 and 50% for the submerged group and the dry one, respectively (p = 0.62). Conclusions: Submerged microvascular suture does not compromise the patency of the vessel or increase the time of anastomosis. Therefore, it is a strategy that can be applied by the surgeon according to his/her technical preferences. |
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Acta Cirúrgica Brasileira (Online) |
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Submerged vascular anastomosis. A technique for vascular suturing in experimental microsurgerySurgery, PlasticMicrosurgeryModelsAnimalRatsABSTRACT Purpose: To evaluate the impact of submersion of the microsurgical anastomosis suture area using saline (0.9% NaCl) in an experimental laboratory during the training of medical students and resident physicians. Methods: Wistar rats (n = 10) were selected to have the two femoral arteries sectioned and anastomosed end-to-end under optical magnification. They were randomly divided, so that on one side suturing was performed under submersion with saline, and the contralateral side was kept dry during the procedure. The surgical times, as well as the patency within 30 min and 72 h of the procedure, were evaluated. Results: Six male Wistar rats survived the surgical anesthetic procedure, with the average initial weight of 243.3 g and the average artery diameter of 0.86 mm, with average time of 15.67 min for the submerged technique and 20.50 min for the dry technique (p = 0.03). The failure rates were 17 and 50% for the submerged group and the dry one, respectively (p = 0.62). Conclusions: Submerged microvascular suture does not compromise the patency of the vessel or increase the time of anastomosis. Therefore, it is a strategy that can be applied by the surgeon according to his/her technical preferences.Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502021000800600Acta Cirúrgica Brasileira v.36 n.8 2021reponame:Acta Cirúrgica Brasileira (Online)instname:Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC)instacron:SBDPC10.1590/acb360807info:eu-repo/semantics/openAccessMenezes Neto,Balduino Ferreira deOliveira Neto,Fausto Viterbo deSecanho,Murilo SgarbiCarvalho,Laísa BrandãoMoragas,Weber RibolliFernandes,Matheus Scuracchioeng2021-10-06T00:00:00Zoai:scielo:S0102-86502021000800600Revistahttps://www.bvs-vet.org.br/vetindex/periodicos/acta-cirurgica-brasileira/https://old.scielo.br/oai/scielo-oai.php||sgolden@terra.com.br0102-86501678-2674opendoar:2021-10-06T00:00Acta Cirúrgica Brasileira (Online) - Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC)false |
dc.title.none.fl_str_mv |
Submerged vascular anastomosis. A technique for vascular suturing in experimental microsurgery |
title |
Submerged vascular anastomosis. A technique for vascular suturing in experimental microsurgery |
spellingShingle |
Submerged vascular anastomosis. A technique for vascular suturing in experimental microsurgery Menezes Neto,Balduino Ferreira de Surgery, Plastic Microsurgery Models Animal Rats |
title_short |
Submerged vascular anastomosis. A technique for vascular suturing in experimental microsurgery |
title_full |
Submerged vascular anastomosis. A technique for vascular suturing in experimental microsurgery |
title_fullStr |
Submerged vascular anastomosis. A technique for vascular suturing in experimental microsurgery |
title_full_unstemmed |
Submerged vascular anastomosis. A technique for vascular suturing in experimental microsurgery |
title_sort |
Submerged vascular anastomosis. A technique for vascular suturing in experimental microsurgery |
author |
Menezes Neto,Balduino Ferreira de |
author_facet |
Menezes Neto,Balduino Ferreira de Oliveira Neto,Fausto Viterbo de Secanho,Murilo Sgarbi Carvalho,Laísa Brandão Moragas,Weber Ribolli Fernandes,Matheus Scuracchio |
author_role |
author |
author2 |
Oliveira Neto,Fausto Viterbo de Secanho,Murilo Sgarbi Carvalho,Laísa Brandão Moragas,Weber Ribolli Fernandes,Matheus Scuracchio |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Menezes Neto,Balduino Ferreira de Oliveira Neto,Fausto Viterbo de Secanho,Murilo Sgarbi Carvalho,Laísa Brandão Moragas,Weber Ribolli Fernandes,Matheus Scuracchio |
dc.subject.por.fl_str_mv |
Surgery, Plastic Microsurgery Models Animal Rats |
topic |
Surgery, Plastic Microsurgery Models Animal Rats |
description |
ABSTRACT Purpose: To evaluate the impact of submersion of the microsurgical anastomosis suture area using saline (0.9% NaCl) in an experimental laboratory during the training of medical students and resident physicians. Methods: Wistar rats (n = 10) were selected to have the two femoral arteries sectioned and anastomosed end-to-end under optical magnification. They were randomly divided, so that on one side suturing was performed under submersion with saline, and the contralateral side was kept dry during the procedure. The surgical times, as well as the patency within 30 min and 72 h of the procedure, were evaluated. Results: Six male Wistar rats survived the surgical anesthetic procedure, with the average initial weight of 243.3 g and the average artery diameter of 0.86 mm, with average time of 15.67 min for the submerged technique and 20.50 min for the dry technique (p = 0.03). The failure rates were 17 and 50% for the submerged group and the dry one, respectively (p = 0.62). Conclusions: Submerged microvascular suture does not compromise the patency of the vessel or increase the time of anastomosis. Therefore, it is a strategy that can be applied by the surgeon according to his/her technical preferences. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502021000800600 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502021000800600 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/acb360807 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia |
publisher.none.fl_str_mv |
Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia |
dc.source.none.fl_str_mv |
Acta Cirúrgica Brasileira v.36 n.8 2021 reponame:Acta Cirúrgica Brasileira (Online) instname:Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC) instacron:SBDPC |
instname_str |
Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC) |
instacron_str |
SBDPC |
institution |
SBDPC |
reponame_str |
Acta Cirúrgica Brasileira (Online) |
collection |
Acta Cirúrgica Brasileira (Online) |
repository.name.fl_str_mv |
Acta Cirúrgica Brasileira (Online) - Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC) |
repository.mail.fl_str_mv |
||sgolden@terra.com.br |
_version_ |
1752126446283784192 |