Review Article

Volume 2022, Article ID 22109420, 6 pages.

Suture-Less Anastomosis in Microvascular Surgery - A Literature Review

Akash Sanjay Gupta

Consultant Oral and Maxillofacial Surgeon, Apollo Hospital, Navi Mumbai, Maharashtra

Abstract

The reconstruction of defects is one of the most intricate surgical procedures and commonly involves the process of vessel anastomosis. This anastomosis can be arterial or venous and is carried with the aid of a microscope with instruments specifically designed for the purpose. The common microvascular anastomosis practice involves the use of fine 8-0, 9-0, or 10-0 ethilon sutures. This method of anastomosis is highly technique sensitive and requires supreme surgical skills. With time, several suture-less anastomotic techniques were developed. This includes a stapler, vascular coupler, fibrin glue, lasers, and magnets. The literature review aims to elaborate on the efficacy, effectiveness, advantages, disadvantages, and applications of these suture-less anastomotic techniques in microvascular surgery based on existing literature evidence.

Keywords: Free Flap, Microvascular Anastomosis, Suture-less, Reconstruction, Maxillofacial Defects

Financial support and sponsorship

Nil

Conflicts of interest

There are no conflicts of interest

How to cite: Akash Sanjay Gupta,Suture-Less Anastomosis in Microvascular Surgery –Review. Int J Cranio Maxillofac Surg Rehab Volume 2022, Article ID 22109420, 6 pages.