KMID : 0361620080430010036
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Journal of the Korean Orthopaedic Association 2008 Volume.43 No. 1 p.36 ~ p.42
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Easy and Fast Anastomosis using Microvascular Anastomotic Coupler System
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Jung Nam-yeon
Lim Hong-Cheol Lee Soon-Hyuck Park Jong-Hoon Park Jong-Woong
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Abstract
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Purpose: We report the results of microvascular anastomosis using a microvascular anastomotic coupler (MAC) system.
Materials and Methods: Twenty cases (12 patients) of venous anastomoses performed using a coupler system were examined. The patients¡¯ age, gender, preoperative diagnosis, donor tissue, vessel diameters, size of coupler, time for anastomosis, patency rate immediately after surgery and the final survival rate of the transferred tissue were evaluated.
Results: The mean time for anastomosis using the coupler system was 3 min and 15 sec. The immediate patency rate after anastomosis was 100% without any leakage of blood or thrombus formation. At the final follow up, the transferred tissue survived in all cases.
Conclusion: Microvascular anastomosis using a coupler system in orthopaedic reconstructive surgery can shorten the vascular anastomosis time and significantly reduce the total ischemic time of the transferred tissue. This system can be easily used after a short training period. This system minimizes the intimal damage of the vessel, easily overcomes the diameter discrepancy and provides secure fixation at the anastomosis site. This system can be a good strategy for substituting the conventional suture anastomosis.
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KEYWORD
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MAC coupler, Vascular anastomosis
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