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- W2057473609 abstract "Abstract Upon completion of a micro-arterial anastomosis and after release of the arterial clamps, bleeding at the suture line due to widely spaced sutures is frequently noted. The bleeding often ceases spontaneously or may be stopped with the application of a Saran Wrap (R) , as described by McLean and Buncke (1973). However, if these measures fail, we have found that the placing of 1 or 2 additional sutures to include only the adventitia of the arterial ends is simple and effective, both in man and in the experimental animal. By this manoeuvre we hoped to avoid 2 potential hazards of microvascular anastomosis: transfixion of the back wall of the vessel and insertion of an excessive number of sutures through the media and intima. The first error invariably causes immediate anastomotic failure; the second, by damaging the media and intima, may cause thrombus formation and late anastomotic failure (MacMillan and Sim, 1970; Spaet and Gaynor (1970); Spaetet al., 1974). In order to evaluate the advantages and potential risks of the adventitial sutures in micro-arterial anastomoses, the following experimental study was undertaken." @default.
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- W2057473609 date "1979-10-01" @default.
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- W2057473609 title "Experimental evaluation of two-layer anastomosis in microarterial surgery" @default.
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- W2057473609 doi "https://doi.org/10.1016/0007-1226(79)90091-2" @default.
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