Anastomoses: End to End

- Discussion:
    - end to end anastomosis is usually begun with two corner sutures 180 deg
    - these may be placed as simple sutures, or horizontal matress suture;
    - w/ double ended vascular sutures, corner sutures are tied first, one needle from each corner is then used to run the suture line in a simple over and over fashion to middle of each side of anastomosis;
    - there the ends of the two sutures are tied together, completing the anterior anastomosis;
    - vessel ends are then rotated 180 deg by moving the vascular clamps, thus exposing the previous posterior half of the anastomosis;
    - suture line is then continued in an identical fashion to complete anastomosis;
    - if vessels to be joined are relatively small, eg. 2-5 mm in diameter, anastomosis may be enlarged by beveling the ends 45 deg in opposite directions

Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Monday, August 20, 2012 7:05 pm