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Revue historique et orientations futures aux microsutures vasculaires conventionnelles

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Original languageFrench
Pages (from-to)232-240
Number of pages9
JournalAnnales de Chirurgie Plastique Esthétique
Issue number3
Publication statusPublished - Jun 2011


Microvascular surgery has become an important method for reconstructing surgical defects due to trauma, tumors or after burn. The most important factor for successful free flap transfer is a well-executed anastomosis. The time needed to perform the anastomosis and the failure rate are not negligible despite the high level of operator's experience. During the history, many alternatives were tried to help the microsurgeon and to reduce the complications. A Medline literature search was performed to find articles dealing with non-suture methods of microvascular anastomosis. Many historical books were also included. The non-suture techniques can be divided into four groups based on the used mechanism of sutures: double intubation including tubes and stents, intubation-eversion including simple rings, double eversion including staples and double rings, and wall adjustement with adhesives or laser. All these techniques were able to produce a faster and easier microvascular anastomosis. Nevertheless, disadvantages of the suturless techniques include toxicity, high cost, leakage or aneurysm formation. More refinement is needed before their widespread adoption. Thus, laser-assisted microvascular anastomosis using 1,9. μm diode laser appeared to be a safe and reliable help for the microsurgeon and may be further developed in the near future.

ASJC Scopus subject areas


  • Adhesives, Laser, Microsurgery, Ring, Staples, Stent, Suturless anastomose