Abstract
An advantage of end-to-side anastomosis is that thrombogenesis in the anastomotic part is less likely than with end-to-end anastomosis. Conversely, the operative procedure for end-to-side anastomosis is more complicated than that of end-to-end anastomosis. We usually perform a modified back-wall technique in which the outflow vessel is dropped over the inflow vessel. We performed end-to-side anastomoses using the single-knot, back-wall, and drop-down techniques and compared the time required. In addition, the authors tried to perform microvascular anastomosis in 15 clinical cases using the drop-down technique. We were able to perform anastomoses quickly using the drop-down, back-wall, and single-knot techniques. The drop-down technique was possible in 12 cases of venous anastomosis in 15 head and neck reconstruction cases. Using this method, we can perform a continuous suture of the posterior wall easily and quickly. The drop-down technique can simplify continuous suturing of posterior wall in the same way as skin suturing.
| Original language | English |
|---|---|
| Pages (from-to) | 1435-1437 |
| Number of pages | 3 |
| Journal | Journal of Craniofacial Surgery |
| Volume | 25 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 2014 |
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Keywords
- End-to-side anastomosis
- Head and neck reconstruction
- Microvascular anastomosis
ASJC Scopus subject areas
- Otorhinolaryngology
- Surgery
- Medicine(all)
Cite this
The drop-down technique as an optimal technique for back-wall end-to-side anastomosis. / Onoda, Satoshi; Kimata, Yoshihiro; Goto, Aya.
In: Journal of Craniofacial Surgery, Vol. 25, No. 4, 2014, p. 1435-1437.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The drop-down technique as an optimal technique for back-wall end-to-side anastomosis
AU - Onoda, Satoshi
AU - Kimata, Yoshihiro
AU - Goto, Aya
PY - 2014
Y1 - 2014
N2 - An advantage of end-to-side anastomosis is that thrombogenesis in the anastomotic part is less likely than with end-to-end anastomosis. Conversely, the operative procedure for end-to-side anastomosis is more complicated than that of end-to-end anastomosis. We usually perform a modified back-wall technique in which the outflow vessel is dropped over the inflow vessel. We performed end-to-side anastomoses using the single-knot, back-wall, and drop-down techniques and compared the time required. In addition, the authors tried to perform microvascular anastomosis in 15 clinical cases using the drop-down technique. We were able to perform anastomoses quickly using the drop-down, back-wall, and single-knot techniques. The drop-down technique was possible in 12 cases of venous anastomosis in 15 head and neck reconstruction cases. Using this method, we can perform a continuous suture of the posterior wall easily and quickly. The drop-down technique can simplify continuous suturing of posterior wall in the same way as skin suturing.
AB - An advantage of end-to-side anastomosis is that thrombogenesis in the anastomotic part is less likely than with end-to-end anastomosis. Conversely, the operative procedure for end-to-side anastomosis is more complicated than that of end-to-end anastomosis. We usually perform a modified back-wall technique in which the outflow vessel is dropped over the inflow vessel. We performed end-to-side anastomoses using the single-knot, back-wall, and drop-down techniques and compared the time required. In addition, the authors tried to perform microvascular anastomosis in 15 clinical cases using the drop-down technique. We were able to perform anastomoses quickly using the drop-down, back-wall, and single-knot techniques. The drop-down technique was possible in 12 cases of venous anastomosis in 15 head and neck reconstruction cases. Using this method, we can perform a continuous suture of the posterior wall easily and quickly. The drop-down technique can simplify continuous suturing of posterior wall in the same way as skin suturing.
KW - End-to-side anastomosis
KW - Head and neck reconstruction
KW - Microvascular anastomosis
UR - http://www.scopus.com/inward/record.url?scp=84904253758&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84904253758&partnerID=8YFLogxK
U2 - 10.1097/SCS.0000000000000754
DO - 10.1097/SCS.0000000000000754
M3 - Article
C2 - 24911602
AN - SCOPUS:84904253758
VL - 25
SP - 1435
EP - 1437
JO - Journal of Craniofacial Surgery
JF - Journal of Craniofacial Surgery
SN - 1049-2275
IS - 4
ER -