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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
Admission datedc.date.accessioned2015-01-07T02:29:16Z
Available datedc.date.available2015-01-07T02:29:16Z
Publication datedc.date.issued2014
Cita de ítemdc.identifier.citationRev Chil Cir. Vol 66 - Nº 1, Febrero 2014; pág. 52-58en_US
Identifierdc.identifier.urihttps://repositorio.uchile.cl/handle/2250/124311
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.
Lenguagedc.language.isoesen_US
Publisherdc.publisherSociedad de Cirujanos de Chile
Type of licensedc.rightsAttribution-NonCommercial-NoDerivs 3.0 Chile*
Link to Licensedc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/cl/*
Keywordsdc.subjectMicroanastomosesen_US
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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Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivs 3.0 Chile