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Original Article

The effects of limited adventitiectomy on vascular anastomosis: An experimental study in rats

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Pages 129-135 | Received 05 Feb 2016, Accepted 11 May 2016, Published online: 12 Jul 2016
 

Abstract

Objective: Blockages in anastomotic vessels cause complete loss of free tissue transfer and replanted limb. Many studies have been conducted in the last 30 years to solve this problem. There are insufficient studies dealing with the effects of the limited adventitiectomy done before surgery for sympathetic overactivity leading situations. The aim of this experimental study is to reveal the effects of limited adventitiectomy.

Methods: In this study, limited adventitiectomy was performed in a wide area before surgery, and the effect of this practice on the vessel diameter and anastomosis was investigated.

Results: Rapidly growing dilatation and increase in vessel diameter was observed, and dilatation continued in the limited adventitiectomy group.

Conclusions: The preoperative performed limited adventitiectomy is a useful preparation for super microsurgery. Especially in clinical practice before the free flap surgery, limited adventitiectomy can be applied if the recipient site is expected to have vascular problems.

Disclosure statement

The authors report no conflicts of interest. The study was approved by Istanbul University Research Institute of Experimental Medicine.

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