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Authordc.contributor.authorAndrades Cvitanic, Patricio 
Authordc.contributor.authorCalderón G., María Elsa es_CL
Authordc.contributor.authorErazo Cortés, Cristian es_CL
Authordc.contributor.authorDanilla Enei, Stefan es_CL
Authordc.contributor.authorBenítez Seguel, Susana Alejandra es_CL
Authordc.contributor.authorSepúlveda Pereira, Sergio es_CL
Cita de ítemdc.identifier.citationRev Chil Cir. Vol 66 - Nº 1, Febrero 2014; pág. 52-58en_US
General notedc.descriptionArtículo de publicación SciELOen_US
Abstractdc.description.abstractAim: The aim of the present paper is to show the experience of the Plastic Surgery Division at the University of Chile Clinical Hospital, with the Coupler® anastomotic device (Synovis Corp, Birmingham, AL) for venous microanastomoses in patients undergoing reconstructive microsurgery. Material and Methods: A retrospective review of 48 consecutive patients with free flaps between March 2009 and in February 2013. All microsurgical venous anastomoses were performed with the Coupler® device and the arterial anastomoses with interrupted or continuous 9-0 or 10-0 nylon sutures. The collected data were: personal and medical patient information, location of the defect, flap used, vessels diameter, arterial anastomoses, Coupler® used, time of anastomosis, postoperative complications, arterial and venous thrombosis. Results: A total of 48 free flaps were performed for reconstruction of lower extremity (n = 25, 52.1%); head-neck (n = 15, 31%); breast (n = 5, 10.4%) and upper extremity (n = 3, 6.3%). The flaps used were: Anterolateral thigh or ALT (n = 25, 52.1%), Radial (n = 10, 20.8%), Deep Inferior Epigastric Artery Perforator or DIEP (n = 5, 10.4%), Latisimus Dorsi (n = 2, 4.2%), Rectus Abdominus (n = 2, 4.2%), Fibula (n = 2, 4.2%), Scapula (n = 1, 2.1%), and Gracilis (n = 1, 2.1%). The Coupler device average diameter used was 2.51 ± 0.46 mm. The average time for the venous anastomosis was 13.5 ± 7.3 minutes. A total of 4 flaps were lost (8.3%), none due to venous thrombosis. Conclusions: The Coupler® System for venous anastomoses is a safe, effective and quick method for microsurgical anastomoses, it is easy to learn and its implementation should be considered in every microvascular surgery center.
Publisherdc.publisherSociedad de Cirujanos de Chile
Type of licensedc.rightsAttribution-NonCommercial-NoDerivs 3.0 Chile*
Link to Licensedc.rights.uri*
Títulodc.titleMicroanastomosis venosa mecánica coupler®. Un importante aporte tecnológico a la microcirugía vascularen_US
Title in another languagedc.title.alternativeCoupler venous mechanic microanastomosis. An important technological contribution to microvascular surgeryen_US
Document typedc.typeArtículo de revistaen_US

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Attribution-NonCommercial-NoDerivs 3.0 Chile
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivs 3.0 Chile