The effects of limited adventitiectomy on vascular anastomosis: An experimental study in rats.

OBJECTIVE

Blockages in anastomotic vessels cause complete loss of free tissue transfer and replanted limb. Many studies have been conducted in the last 30 years to solve this problem. There are insufficient studies dealing with the effects of the limited adventitiectomy done before surgery for sympathetic overactivity leading situations. The aim of this experimental study is to reveal the effects of limited adventitiectomy.

METHODS

In this study, limited adventitiectomy was performed in a wide area before surgery, and the effect of this practice on the vessel diameter and anastomosis was investigated.

RESULTS

Rapidly growing dilatation and increase in vessel diameter was observed, and dilatation continued in the limited adventitiectomy group.

CONCLUSIONS

The preoperative performed limited adventitiectomy is a useful preparation for super microsurgery. Especially in clinical practice before the free flap surgery, limited adventitiectomy can be applied if the recipient site is expected to have vascular problems.