Microvascular anastomoses

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

ratatat

Full Member
10+ Year Member
Joined
May 7, 2009
Messages
150
Reaction score
0
When a surgeon does a microvascular anastomosis, do they use absorbable/dissolving sutures? Or do the sutures that connected the vessels remain there for all time?

Thank you for your response.
 
When a surgeon does a microvascular anastomosis, do they use absorbable/dissolving sutures? Or do the sutures that connected the vessels remain there for all time?

Thank you for your response.

At least in ENT, we use nonabsorbable sutures... typically 8-0 or smaller nylon.
 
At least in ENT, we use nonabsorbable sutures...
typically 8-0 or smaller nylon.

Thank you. So they just stick around there forever then? That doesn't cause any problems/complications?
 
Thank you. So they just stick around there forever then? That doesn't cause any problems/complications?

Anything is possible. It's a foreign body, so it can always get infected. It's intraluminal, so it could always lead to a clot. In the grand scheme of things, the risk is miniscule, and we leave plenty of other things in that don't degrade (intentionally speaking, of course)-- silk sutures or metal clips for vessel ligation, patch grafts on major arteries, artificial hips, just to name a few...
 
Anything is possible. It's a foreign body, so it can always get infected. It's intraluminal, so it could always lead to a clot. In the grand scheme of things, the risk is miniscule, and we leave plenty of other things in that don't degrade (intentionally speaking, of course)-- silk sutures or metal clips for vessel ligation, patch grafts on major arteries, artificial hips, just to name a few...

That cleared it up very well. Thanks so much.
 
Top