Spatulated anastomosis with continuous suture in microreconstructive surgery

J Craniofac Surg. 2012 Jul;23(4):1140-2. doi: 10.1097/SCS.0b013e31824e7140.


In a well-proven criterion standard technique commonly used in cardiovascular surgery for anastomosis, proximal and distal vessels are spatulated to increase the anastomotic surface and improve congruency between the 2 vessels. Anastomosis is performed with continuous suture of the 2 bisected extremities.A review of the current literature has confirmed that our preliminary results were similar to those achieved by surgeons using the simple interrupted suture technique for microsurgical anastomosis.Patency is highly satisfactory with this technique for anastomosis. Moreover, it is a reliable technique requiring shorter total operative time. Hemostasis is easy to control and can be used with vessel diameters as small as 1 mm. For all these reasons, this technique already commonly used in vascular surgery for anastomosis could be interesting in microsurgery as well.

MeSH terms

  • Anastomosis, Surgical / methods
  • Humans
  • Microsurgery / methods*
  • Operative Time
  • Surgical Flaps
  • Suture Techniques*
  • Vascular Patency
  • Vascular Surgical Procedures / methods*