The effect of twisting on microanastomotic patency of arteries and veins in a rat model

Marzia Salgarello, P Lahoud, Gennaro Selvaggi, Stefano Gentileschi, Marcella Sturla, Eugenio Giuseppe Farallo

Risultato della ricerca: Contributo in rivistaArticolo in rivista

51 Citazioni (Scopus)

Abstract

The authors examined the effect of twisting on the patency of microvascular anastomoses 3 days after surgery. A total of 69 male Wistar rats were divided randomly into four groups. The femoral arteries and veins were dissected for a standard distance. A total of 69 microarteriorrhaphies and 68 microvenorrhaphies were performed at 0 deg and with twist of the vessel ends of 90, 180, and 270 deg. Three-day patency rates for arterial microanastomoses were 100% with a 0-deg twist, 80.9% with a 90-deg twist, 68.4% with a 180-deg twist, and 64.2% with a 270-deg twist. Three-day patency rates for venous microanastomoses were 100% with a 0-deg twist, 85% with a 90-deg twist, 28.5% with a 180-deg twist, and 25% with a 270-deg twist (p = 0.047 for arteries, p = 0.001 for veins). These data are statistically significant. Moreover, assuming the risk of thrombosis to be 1 for microanastomosis without twisting, the odds ratio for the risk of vessel thrombosis for 270-deg twisting (the maximal examined degree of arterial and venous twist in the current study) is 10.08 for arterial anastomosis and 226.85 for venous anastomosis.
Lingua originaleEnglish
pagine (da-a)643-646
Numero di pagine4
RivistaAnnals of Plastic Surgery
Volume47
Stato di pubblicazionePubblicato - 2001

Keywords

  • Anastomosis, Surgical
  • Animals
  • Femoral Artery
  • Femoral Vein
  • Logistic Models
  • Microsurgery
  • Models, Animal
  • Odds Ratio
  • Postoperative Complications
  • Rats
  • Rats, Wistar
  • Thrombosis
  • Torsion Abnormality
  • Vascular Patency

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