End-to- End Anastomosis Tutorial @ Henry Ford Health System

Martina Draxler, MD, Ph.D. Research assistant, Ziad Al Adas, MD Research Fellow & Loay Kabbani, MD Program Director, Vascular Surgery Fellowship, Department of Vascular Surgery Henry Ford Hospital Detroit show us how to do an End-to-End Anastomosis as part of their Suture Tutorial Program @ Henry Ford Health System.
The project was supported by the Betty Jane and Alfred J. Fisher Vascular Surgery Research Fund and The Henry Ford Innovation Institute.

[@heatherannlynn9876]

I would like to see the sewing of the back wall done first in a future video.

[@paolomagagna3426]

th-cam.com/video/_mSRaw81qTI/w-d-xo.htmlsi=QGOisc_ddJXKMThK

[@heatherannlynn9876]

And I like the method and tone

[@rangaswamaiahsudarshan8854]

Nice video

[@drshahzadahmad5266]

Always start from back/down side to top layer.. Otherwise bleeding from bottom side will be difficult to address

[@paolomagagna3426]

th-cam.com/video/_mSRaw81qTI/w-d-xo.htmlsi=QGOisc_ddJXKMThK

[@khaliddurrani6432]

How about leaving a growth factor to prevent a waistline esp in arterial anastomoses?

[@gabrieleltes7096]

Are we allowed to clamp in the lumen of the blood vassel ? as showed in the video. i mean, don't we hurm the intimal layer ?

[@khaliddurrani6432]

These vascular clamps are a- traumatic ,so harmless.

[@reggiecordial]

Dr. Draxler, I hope you showed how to sew the posterior wall first (from the inside of the vessel) going to the anterior wall, instead of flipping your graft model. By doing the flipping, it is not any more representative of an actual suturing.

[@siradolf]

i thought the same, it would have been better if they showed that is preferable to suture the posterior wall first, in real life we cant flip the graft.

[@k.pacificnw02134]

@@siradolf . . . . . How come the stitching doesn't weaken the vessels? Essentially make them "perforated" for easy tearing? And how come blood doesn't leak out of the area at the join? Do vessels heal that quickly? Won't clots form there? Are the clots small enough to not cause embolisms? I have more questions than answers! Why didn't I go to medical school?! : )

[@dibyoshreepaint9241]

K. PacificNW yes I’m a writer not a Med student but have the same questions 😂

[@paolomagagna3426]

th-cam.com/video/_mSRaw81qTI/w-d-xo.htmlsi=QGOisc_ddJXKMThK

[@mehedisagor5170]

How can i get that dummy??? Any online web to order??

[@bowelsoftrogdor]

What do you do if you tear a stitch?

[@fern8580]

@bowel You cut the vein again and start from the beginning.