A COMPARATIVE STUDY ON MAGNETIC COMPRESSIVE ANASTOMOSIS AND TRADITIONAL HAND-SUTURING TECHNOLOGY IN CANINE FEMORAL ARTERY ANASTOMOSIS_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

LIUShiqi ^1,3 , LEIPeng ⁴ ,  LÜYi ¹ , GUANZheng ² , GAORui ⁵ , YAOWeijie ¹ , DANGGuoxin ¹ , LIUYankui ¹

1. Department of Hepatobiliary Surgery School of Medicine, Xi'an Jiaotong University, Xi'an Shaanxi, 710061, P. R. China;
2. Department of Anesthesiology, the First Affiliated Hospital, School of Medicine, Xi'an Jiaotong University, Xi'an Shaanxi, 710061, P. R. China;
3. Department of Basic Surgery, Northwest Women and Children Hospital;
4. Department of Hepatobiliary Surgery, the First Affiliated Hospital, Ningxia Medical University;
5. Department of Nursing, School of Medicine, Xi'an Jiaotong University, Xi'an Shaanxi, 710061, P. R. China;

Corresponding author：

LÜYi, Email: luyi169@126.com

Keywords：

Femoral artery; Magnetic compressive anastomosis; Vessel anastomosis; Dog

DOI：

10.7507/1002-1892.20140195

Video：

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Objective To investigate the advantages of magnetic compressive anastomosis (MCA) for non-suture femoral artery anastomosis. Methods Twelve adult health mongrel dogs,weighing (16.5±3.6) kg,were selected for in situ end-to-end anastomosis of the femoral artery.One side of the femoral artery was anastomosised with MCA (group A) and the other side of the femoral artery was anastomosised by hand-suturing (group B).The anastomosis time,complications,and vascular bursting pressure were recorded.Gross observation,histological staining (HE and Masson),and scanning electron microscopy observation were performed at 2,4,12,and 24 weeks postoperatively. Results The anastomosis time in group A [(3.89±1.16) minutes] was significantly shorter than that in group B [(14.16±3.72) minutes] (t=14.226,P=0.000).The complication rate of group A (0) was significantly lower than that of group B (75%)(P=0.000).At immediate,4 and 12 weeks after operation,the vascular bursting pressure of anastomosis site in group A was more than 280 mm Hg (1 mm Hg=0.133 kPa),and was (140.11±15.23),(180.31±24.55),and more than 280 mm Hg in group B,showing significant differences at immediate and 4 weeks (P<0.05),but no significant difference at 12 weeks (P>0.05).In group A at 4 weeks,good intima contact,smooth endothelium,and regular arrangement of endothelial cells were observed;at 12 weeks,chronic inflammation was present,with a few lymphocytes infiltration;and at 24 weeks,inflammation significantly decreased.But in group B,obvious suture foreign body and scar formation were observed,which led to uneven surface with lumen incomplete intima,and irregular endothelial cells in arrangement disorder. Conclusion Compared with traditional hand-suturing,the MCA has the advantages of shorter operation time,higher patency rate,less complication,and better healing at the anastomotic site.Non-suture anastomosis of the femoral artery by MCA can achieve reliable results.

Citation： LIUShiqi, LEIPeng, LÜYi, GUANZheng, GAORui, YAOWeijie, DANGGuoxin, LIUYankui. A COMPARATIVE STUDY ON MAGNETIC COMPRESSIVE ANASTOMOSIS AND TRADITIONAL HAND-SUTURING TECHNOLOGY IN CANINE FEMORAL ARTERY ANASTOMOSIS. Chinese Journal of Reparative and Reconstructive Surgery, 2014, 28(7): 885-889. doi: 10.7507/1002-1892.20140195 Copy

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11.	朱永锋,王立强,杨平,等.β钛合金研究进展及其在骨科中的应用前景.生物骨科材料与临床研究,2011,8(4):25-28.
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15.	谷涌泉,武欣.3-D打印技术在血管外科的应用.中国修复重建外科杂志,2014,28(3):276-278.

1. Martins PN,Theruvath TP.Detachable cuffs for sutureless microvascular anastomosis.Microsurgery,2007,27(8):678-679.
2. Schwarz B,Pomaroli A,Hoermann C,et al.Liver transplantation without venovenous bypass:morbidity and mortality in patients with greater than 50% reduction in cardiac output after vena cava clamping.J Cardiothorac Vasc Anesth,2001,15(4):460-462.
3. 康永振,沈中阳.肝移植术后胆道并发症的相关病因分析.实用器官移植电子杂志,2013,1(4):243-248.
4. Karakayali H,Boyvat F,Coskun M,et al.Venous complications after orthotopic liver transplantation.Transplant Proc,2006,38(2):604-606.
5. Puca A,Esposito G,Albanese A,et al.Minimally occlusive laser vascular anastomosis (MOLVA):experimental study.Acta Neurochir (Wien),2009,151(4):363-368.
6. Esposito G,Rossi F,Puca A,et al.An experimental study on minimally occlusive laser-assisted vascular anastomosis in bypass surgery:the importance of temperature monitoring during laser welding procedures.J Biol Regul Homeost Agents,2010,24(3):307-315.
7. Levi DS,Danon S,Gordon B,et al.Creation of transcatheter aortopulmonary and cavopulmonary shunts using magnetic catheters:feasibility study in swine.Pediatr Cardiol,2009,30(4):397-403.
8. 郑精武,都周云,蒋梅燕,等.烧结钕铁硼在剩磁状态下的腐蚀研究.稀有金属材料与工程,2008,37(8):1369-1372.
9. Gonzales KD,Douglas G,Pichakron KO,et al.Magnamosis Ⅲ:delivery of a magnetic compression anastomosis device using minimally invasive endoscopic techniques.J Pediatr Surg,2012,47(6):1291-1295.
10. Ganz RA,Peters JH,Horgan S,et al.Esophageal sphincter device for gastroesophageal reflux disease.N Engl J Med,2013,368(8):719-727.
11. 朱永锋,王立强,杨平,等.β钛合金研究进展及其在骨科中的应用前景.生物骨科材料与临床研究,2011,8(4):25-28.
12. Bloemen A,van Dooren P,Huizinga BF,et al.Randomized clinical trial comparing polypropylene or polydioxanone for midline abdominal wall closure.Br J Surg,2011,98(5):633-639.
13. 程何祥,许旭东,张荣庆,等.恒磁场对C-反应蛋白作用下大鼠内皮祖细胞增殖、凋亡及一氧化氮分泌的影响.中华物理医学与康复杂志,2009,31(2):88-90.
14. 冯旭阳,徐瑞芬,宋博,等.恒磁场对人脐动脉血管平滑肌细胞胞浆游离钙离子浓度的影响.西安交通大学学报:医学版,2008,29(1):19-21,46.
15. 谷涌泉,武欣.3-D打印技术在血管外科的应用.中国修复重建外科杂志,2014,28(3):276-278.

Chinese Journal of Reparative and Reconstructive Surgery

A COMPARATIVE STUDY ON MAGNETIC COMPRESSIVE ANASTOMOSIS AND TRADITIONAL HAND-SUTURING TECHNOLOGY IN CANINE FEMORAL ARTERY ANASTOMOSIS

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