End-to-side Anastomosis on Digital Arteries: Just a Technical Choice or a Real Benefit?
Journal
Plastic and reconstructive surgery. Global open
ISSN: 2169-7574
Titre abrégé: Plast Reconstr Surg Glob Open
Pays: United States
ID NLM: 101622231
Informations de publication
Date de publication:
Sep 2022
Sep 2022
Historique:
received:
28
04
2022
accepted:
27
07
2022
entrez:
7
10
2022
pubmed:
8
10
2022
medline:
8
10
2022
Statut:
epublish
Résumé
High-quality evidence is currently poor regarding the benefits of end-to-end (ETE) or end-to-side (ETS) anastomosis in arterial and venous anastomoses, despite being postulated as a potential influence on outcomes. A sufficient microvascular anastomosis is indispensable for the success of any free tissue transfer. ETS microvascular anastomoses have been becoming increasingly important as they allow reconstruction even in patients with impaired vascular status. To the authors' knowledge, no studies have examined the choice of ETE or ETS anastomoses specifically for digital arteries. We conducted a retrospective study of ETE and ETS anastomosis cases; the only inclusion criteria was that digital arteries (proper, common) were the recipient vessels. Fifty-seven cases met the inclusion criteria. All the venous anastomoses were ETE. Of these cases, four total intraoperative complications (immediate thrombosis) and only one case of complete failure were registered. The ETE group consisted of 49 patients and the ETS group of eight patients. A comparison of the mean ischemia time in the two groups showed no statistically significant difference ( We observed no difference in the reconstructive outcomes of hand free-flaps and reconstruction between ETE or ETS digital arteries anastomoses. The successful microsurgical reconstruction was independent of anastomotic technique. In particular, the results of our study demonstrated no statistically significant increase of the ischemia time; thus, no prolongation of operative time can be attributed to the higher technical challenge of the anastomosis.
Identifiants
pubmed: 36203740
doi: 10.1097/GOX.0000000000004535
pmc: PMC9529035
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e4535Informations de copyright
Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.
Références
J Biomech. 1993 Dec;26(12):1377-88
pubmed: 8308043
J Biomech Eng. 1991 Nov;113(4):458-63
pubmed: 1762444
Plast Reconstr Surg. 1979 Nov;64(5):673-82
pubmed: 388482
Plast Reconstr Surg. 2013 Mar;131(3):327e-334e
pubmed: 23446581
Eur J Vasc Surg. 1988 Aug;2(4):245-56
pubmed: 3215322
J Vasc Surg. 1992 Apr;15(4):708-16; discussion 716-7
pubmed: 1560562
J Biomech. 1986;19(7):491-9
pubmed: 3488994
Plast Reconstr Surg. 1986 Mar;77(3):442-50
pubmed: 3952200
Plast Reconstr Surg. 1997 Mar;99(3):791-802
pubmed: 9047200
Plast Reconstr Surg. 1986 Sep;78(3):285-92
pubmed: 3737751
Microsurgery. 2005;25(1):30-5
pubmed: 15481040
Arch Surg. 1961 Mar;82:384-6
pubmed: 13759796
J Plast Surg Hand Surg. 2017 Oct;51(5):362-365
pubmed: 28151027
Ann Plast Surg. 1985 Oct;15(4):352-5
pubmed: 3909900
Plast Reconstr Surg. 1992 Feb;89(2):353-5
pubmed: 1296578
Plast Reconstr Surg. 1993 Aug;92(2):285-93
pubmed: 8337279
Surgery. 1955 Nov;38(5):817-34
pubmed: 13267662
J Biomech Eng. 1993 Feb;115(1):112-8
pubmed: 8445888
Br J Plast Surg. 1991 Aug-Sep;44(6):449-55
pubmed: 1933117
Eur Arch Otorhinolaryngol. 2014 Jan;271(1):157-62
pubmed: 23605305
J Hand Surg Br. 2004 Apr;29(2):120-9
pubmed: 15010156
Br J Plast Surg. 1979 Jan;32(1):24-30
pubmed: 427305
Surgery. 1972 Dec;72(6):1007-17
pubmed: 5087270
Microsurgery. 1995;16(2):114-7
pubmed: 7783602
Br J Plast Surg. 1972 Jan;25(1):3-16
pubmed: 4550433
Plast Reconstr Surg. 2000 Apr;105(5):1666-74
pubmed: 10809096
Microsurgery. 1996;17(3):146-9
pubmed: 9016459
Surg Gynecol Obstet. 1978 Sep;147(3):339-42
pubmed: 684584
J Vasc Surg. 1990 Dec;12(6):747-53
pubmed: 2243410
J Biomech Eng. 1993 Feb;115(1):104-11
pubmed: 8445887
Plast Reconstr Surg. 2013 Jan;131(1):132e-133e
pubmed: 23271546
J Reconstr Microsurg. 2011 Jan;27(1):47-56
pubmed: 20976669
J Plast Reconstr Aesthet Surg. 2013 Aug;66(8):1032-8
pubmed: 23642795
Plast Reconstr Surg. 1997 Apr;99(4):1109-11
pubmed: 9091910
Microsurgery. 2018 Jan;38(1):21-25
pubmed: 27392815
Plast Reconstr Surg. 1983 Feb;71(2):241-7
pubmed: 6218510
J Reconstr Microsurg. 2017 Jul;33(6):402-411
pubmed: 28259112
Plast Reconstr Surg. 1999 Mar;103(3):980-3
pubmed: 10077093
Indian J Orthop. 2014 Nov;48(6):594-8
pubmed: 25404772
Ultrasound Med Biol. 1993;19(4):257-67
pubmed: 8346600
Ann Plast Surg. 2012 Feb;68(2):171-4
pubmed: 21785334
Arch Surg. 1980 Nov;115(11):1280-4
pubmed: 7436722
Microsurgery. 2010;30(2):118-24
pubmed: 19967760
Aesthetic Plast Surg. 2014 Feb;38(1):156-163
pubmed: 24441759
J Reconstr Microsurg. 2016 Feb;32(2):114-20
pubmed: 26322491
Microsurgery. 1998;18(2):125-8
pubmed: 9674928
Plast Reconstr Surg. 1977 Mar;59(3):444-5
pubmed: 840950
Microsurgery. 2016 Mar;36(3):183-90
pubmed: 25516400
Ann Vasc Surg. 1989 Jan;3(1):26-33
pubmed: 2713229
PLoS One. 2014 Aug 06;9(8):e104014
pubmed: 25098605
Microsurgery. 1986;7(3):117-23
pubmed: 3773691
Plast Reconstr Surg. 2011 Oct;128(4):225e-232e
pubmed: 21921733
J Vasc Surg. 1995 Mar;21(3):460-71
pubmed: 7877228
Plast Reconstr Surg. 1997 Mar;99(3):730-41; discussion 742-3
pubmed: 9047193
Plast Reconstr Surg. 2001 Sep 15;108(4):1029-41; quiz 1042
pubmed: 11547168
Plast Reconstr Surg. 1979 Feb;63(2):242-4
pubmed: 368829
J Plast Reconstr Aesthet Surg. 2010 May;63(5):832-7
pubmed: 19369132
J Hand Surg Am. 1991 Mar;16(2):283-92
pubmed: 2022839
Surgery. 1983 Jun;93(6):809-17
pubmed: 6222499
Plast Reconstr Surg. 1981 Feb;67(2):194-9
pubmed: 7465668