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A Technique for End-to-Side Vascular Anastomosis
V. Padmanabha Rao, MD;
Christopher Y. Thomas, Jr., MD
AMA Arch Surg. 1970;101(1):91.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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A technique of end-to-side venous anastomosis evolved during canine experiments at St. Luke's Hospital Laboratory seems to have advantages over the present technique. The first advantage of this technique is the reduced incidence of inadvertent suturing of the posterior suture line to the anterior suture line. In the past this has been achieved by placing traction sutures1 (p95) or using nerve hooks2 to separate the walls while suturing.
Present techniques employ either a longitudinal incision3 or excision of an elipse of the side wall.1(p93) Upon completion of the anastomosis, there will be either a longitudinal slit or an oval opening at the suture line. The oval opening is said to have an advantage in maintaining patency. The technique described produces an adequate lumen by a different method. In this instance, anastomosis of the renal vein to the common iliac vein is described, but the method is
. . . [Full Text PDF of this Article]
Author Affiliations
Kansas City, Mo
From the Department of Surgery, St. Luke's Hospital, Kansas City, Mo.
Footnotes
Accepted for publication March 11, 1970.
Reprint requests to St. Luke's Hospital of Kansas City, Wornall Rd at 44th, Kansas City, Mo 64111 (Dr. Rao).
Read before the Kansas City Surgical Society, Kansas City, Mo, May 28, 1969.
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