Abstract
The central problem in microsurgery is the reconstruction of small vessels. The long operating time, foreign body granuloma formation around the suture material as well as aneurysmal alterations of the vessel wall after conventional suture technique make the search for alternatives indispensable. Some of these disadvantages can be avoided as demonstrated by our animal experiments and histological examinations in laser-assisted anastomosing. The aim of this study is to show these aspects in connection with laser application and compare them with conventional suture techniques.
Similar content being viewed by others
References
Hallwell A, 1759. Zit nach J Vollmar. In:Rekonstruktive Chirurgie der Arterien. Stuttgart: Georg Thieme Verlag, 1975
Jassimowsky A. Die Arteriennaht: eine experimentelle Studie.Diss Dorpat 1889
Murphy JB. Resection of arteries and veins injured in continuity: end-to-end suture. Experimental and clinical research.Med Rec (NY) 1897,51, 73
Dörfler J. Über die Arteriennaht.Beitr Chir 1899,25:781
Jensen G. Über zirkuläre Gefäßsutur.Arch Klin Chir 1903,69:938
Nathan HS, Nachlas MM, Salomon RD et al. Non-suture of arterial incisions using a rapidly polymerising adhesive.Ann Surg 1960,152:648
Hafner CD, Gogarty TJ, Cranly JJ. Nonsuture anastomosis of small arteries using a tissue adhesive.Surg Gynecol Obstet 1963,116, 417
Jacobson JH, Suarez EI. Microsurgery in small vessel anastomosis.Surg Forum 1960,11:243
John TNP. A comparison of suture and nonsuture methods of the anatomosis of veins.Surg Gynecol Obstet 1947,84:939
Smith JW. Microsurgery review of the literature and discussion of microtechniques.Plast Reconstr Surg 1966,37:207
Östrup LT. Anastomosis of small veins with suture of Nakayma's apparatus.Scan J Plast Reconstr Surg 1976,10:9
Buck RC. Intimai thickening after ligature of arteries. An electronmicroscopic study.Cir Res 1961,9:418
Murry M, Schrodt GR, Berg HG. Role of smooth muscle cells in healing of injured arteries.Arch Path 1966,82:138
Poole JCF, Sanders AG, Florey HW. The regeneration of aortic endothelium.J Path Bact 1958,75:133
Baxter TJ, O'Brien BMcC, Henderson PN, Bennet PC. The histopathology of small vessels following microvascular repair.Br J Surg 1972,59:671
Björkerud S. Reaction of the aortic wall of the rabbit after superficial longitudinal mechanical trauma.Virch Arch (Path Anat) 1969,347:197
Lendvay PG, Owen ER. Microvascular repair of completely severed digit: fate of digital vessels after six months.Med J Aust 1970,2:818
O'Brien BMcC.Microvascular reconstructive surgery. Edinburgh: Churchill Livingtstone, 1977
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Ahmadi, A., Zimmermann, B. & Böhm, M. Histomorphological aspects of vascular anastomosis established by laser. Laser Med Sci 6, 363–366 (1991). https://doi.org/10.1007/BF02030894
Issue Date:
DOI: https://doi.org/10.1007/BF02030894