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:
—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
STAHL WM, KATSUMURA T. Reconstruction of Small ArteriesA Study of Methods. Arch Surg. 1964;88(3):384–388. doi:10.1001/archsurg.1964.01310210058009
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