Systematic review: Anastomotic microvascular device

Summary Background Anastomotic microvascular device has gained popularity in reconstructive microsurgery over the last two decades. A systematic literature search has been carried out in the use of the venous coupler device in microsurgery to assess its impact on patency rate in microsurgery. Method...

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Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2014-06, Vol.67 (6), p.752-755
Main Authors: Ardehali, B, Morritt, A.N, Jain, A
Format: Article
Language:English
Subjects:
3M anastomotic device
Anastomosis, Surgical - instrumentation
Anastomosis, Surgical - methods
Anastomotic device
Anastomotic Leak - prevention & control
Equipment Design
Equipment Safety
Female
Humans
Male
Microsurgery
Microsurgery - instrumentation
Microsurgery - methods
Plastic Surgery
Reconstructive Surgical Procedures - instrumentation
Reconstructive Surgical Procedures - methods
Retrospective Studies
Sensitivity and Specificity
Unilink
Vascular Surgical Procedures - instrumentation
Vascular Surgical Procedures - methods
Venous coupler
Venous Thrombosis - prevention & control
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Summary:Summary Background Anastomotic microvascular device has gained popularity in reconstructive microsurgery over the last two decades. A systematic literature search has been carried out in the use of the venous coupler device in microsurgery to assess its impact on patency rate in microsurgery. Method Using key words related to the topic, a literature search of major databases was carried out. Selection was undertaken on two level screening. From the literature search 53 potential articles were identified. Of these 13 met both levels of screening for the final critical analysis. Results A total of 2976 venous anastomoses with coupler device were carried out in the 13 studies with a combined thrombosis in 46 veins reported, giving an average 98.5% patency and a variation in thrombosis rate ranging from 0 to 3%. Conclusion The venous coupler device serves as a powerful instrument in microsurgery by achieving high patency rate. More importantly the data suggests less variation in thrombosis rate compared to hand-sewn venous anastomosis.
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2014.01.038