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March 1964

Reconstruction of Small Arteries: A Study of Methods

Author Affiliations

Assistant Professor of Surgery, University of Vermont School of Medicine (Dr. Stahl); Surgical Research Fellow, University of Vermont School of Medicine (Dr. Katsumura).; Department of Surgery, Okayama University Medical School, Okayama, Japan (Dr. Katsumura).

Arch Surg. 1964;88(3):384-388. doi:10.1001/archsurg.1964.01310210058009

Previous Studies  The difficulty in maintaining patency of anastomoses of arteries less than 3 mm in outside diameter was shown by Shumacker in 1948.15 Seidenberg,14 in 1958, presented a method which gave a higher percentage of patency in such arteries. Since that time, further study of the techniques of anastomosis of arteries of 1-2 mm in size has given increasingly good results. Various methods of anastomosis have been tried, and the results may be grouped as follows:

Suture Methods.  —Chase, Schwartz, and Rob2,3 have reported their good results in vessels of 1-2 mm by the use of 7-0 silk suture or fine wire in a classical end-to-end suture method, using a four-power binocular loupe. Jacobson and Suarez10 reported consistent patency in such vessels using a binocular microscope with magnifications up to 40 diameters. Variations of the classical suture technique have included the use of an electrically

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