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Biomechanical comparison of microvascular anastomoses prepared by various suturing techniques

Injury Mar 02, 2020

Szabo B, Fazekas L, Ghanem S, et al. - Considering the significance of biomechanical parameters of anastomoses for assessing the previously unknown properties of anastomoses, researchers compared selected biomechanical properties of the simple interrupted, the continuous suture and the modified Lauritzen's sleeve-technique using 60 femoral arteries from chicken thigh biopreparates and 12 abdominal aortas from rats. The tensile-strength, elongation and elasticity measurement groups were the simple interrupted and continuous sutures with 8 and 12 stitches. Moreover, a comparison was done of the suture materials in various conditions (simple thread, knotted threads, stitch with intact and damaged threads). In collaboration with the Faculty of Informatics, the tensile-strength and the pressure probe devices were custom made. The number of stitches and the strength of the vessel were noted as the main variables. Outcomes revealed no correlation of the pressure drop with the stitch count. The leakage may increase dramatically with one incorrectly placed stitch. The tensile-strength of the vessel is identified to be decreased by the anastomoses. For the given vessel, they suggest using a diameter more than 8-stitch.
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