A new approximator used in microvascular anastomosis

✍ Scribed by Memet Yazar; Karaca Basaran; Erdem Guven; Alper Mete Ugurlu; Murat Topalan

• Publisher: John Wiley and Sons
• Year: 2009
• Tongue: English
• Weight: 256 KB
• Volume: 29
• Category: Article
• ISSN: 0738-1085
• DOI: 10.1002/micr.20683

✦ Synopsis

Microsurgery is a valuable discipline performed in many surgical practices. In literature, hundreds of studies dealing with different aspects of microsurgical practice including studies about new agents for anastomosis, different suturing materials and methods plus new models for surgical training, etc., 1-3 have been published. However, not much attention has been given to the newly developed microsurgical equipments. For decades, traditional clamps, microporteques, forceps, dilatators, and approximators have been slightly modified. 4-8 To bring a new dimension to this field, an interesting and a useful microvascular approximator which will be hopefully attractive for the microsurgeons, particularly for the beginners has been designed.

The device is a simple, regular 1.8 cm double-microclamp based on a rectangular light green plate, which provides a complementary underground. There are three L-shaped flexible rods hinged on the base at 08, 908, and 1808. These rod ends have curved ends which help to hold sutures inside (Fig. 1). In addition, the main trunk of the double clamp is fixed to the base with two independent joints which enables the vessel in the clamps to move back and forth, up and down without distortion. This two way action of the approximator maintained by the simple double-joint system also prevents the vessel from getting out of the operative field when the vessel is rotated around itself (Fig. 2).