End-to-Side Patch Suture Tutorial @ Henry Ford Health System
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- เผยแพร่เมื่อ 4 ธ.ค. 2017
- Martina Draxler, MD, PhD Research assistant & Loay Kabbani, MD Program director, Vascular Surgery Fellowship, Department of Vascular Surgery Henry Ford Hospital Detroit show us how to do an End-to-Side Patch 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. - วิทยาศาสตร์และเทคโนโลยี
Thank you! Good technique!
Continuous suturing can cut through, and have a purse string effect. Interrupteds are ldeal, but time consuming. Thanks. Dr Barnabas Mathew Thiruvathira kalady road Desom Aluva-Kerala State India
Thanks
Hi,
May I ask you that do you have any experience of making the slit of recepient vessel into a wider one by trimming it's edges with scissors?
Wonderful. But hope there won't be post op bleed when heparin is used in heavy doses. Technique is perfect. Dr. Kerala. South lndia.
Hi I had a question y shuld arteriotomy be 3times diameter
What happens to the air trapped inside the artery???? Wont it lead to embolism???? When the blood flow is released??
it will, so the surgeon makes several punctures in the artery or in the right atrium idr
*There is usually air inside the anastomosis, but this doesn't usually cause any problems for several reasons* :
1- Usually the amount of air is not large enough to cause air embolism.
2- In most anastomoses, the distal end of the anastomosis is released first to test the patency of the anastomosis at a low pressure, and then the blood at the site of the anastomosis displaces air from the seams of the stitch line, and then the proximal end is released to test the anastomosis under pressure.
3- the anastomosis is not air-tight until fibrin is deposited on the stitch line, and by that time, blood from the circulation would have displaced any remnant air.
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