Continuous Through-the-lumen Microvascular Anastomosis: A Retrospective Review of a Modified Technique.

ABSTRACT:

Background

The debate between continuous and interrupted sutures for microvascular anastomosis has long persisted, with broader acceptance of the interrupted technique. Although studies show comparable outcomes, continuous suturing remains underused due to concerns of technical complexity, anastomotic constriction, and patency loss. We present a simplified and effective continuous technique that addresses these concerns.

Methods

This 5-year retrospective study included all elective free tissue transfers performed using the described continuous suture technique. Trauma-related replantation and revascularization cases were excluded. Patient records were reviewed for demographics, flap types, anastomosis configuration and timing, reexplorations, complications, and outcomes.

SUBMITTER: Yasmeen S 

PROVIDER: S-EPMC12459477 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature