Clinical effect analysis of the limb blood vessel reconstruction with microvascular anastomotic devices

Objective Based on the review of our experience in the clinical treatment effects of blood vessel damage in limbs to evaluate the values in the suture method under microscope and microvascular anastomotic device of microvascular anastomosis.Methods The subjects were 45 consecutive patients who had undergone the vascular injury treatments in limbs in our hospital between February 2009 to October 2013.During the operations,two methods of the anastomoses were applied:suture method under microscope for 28 patients;microvascular anastomotic device for 17 patients.The patients in the group were drawn out to compare among the 2 methods of the microvascular anastomoses as following:the microscopic group and the anastomotic device group.The comparison included the total anastomosing time,the ischemia time and the complication incidence within the two groups.Results In the anastomotic device group,anastomosing time and the ischemia time (38.23 ± 4.32 minutes and 87.33 ± 4.16 minutes,respectively)was obviously shorter than that in the microscopic group (13.38 ±2.81 minutes and 25.23 ± 1.64 minutes,respectively).There was significant statistical difference between the two groups (P ＜ 0.05).The blood supply associate complication incidences was 30.1％ in the microscopic group,0 in the anastomoses group.Conclusion The usage of microvascular anastomotic device can significant shorten the anastomoses time and the ischemia time of the vascular injury treatments,decreased the complication incidence. Key words: Blood vessel damage;  Limbs;  Vascular anastomoses;  Microvascular anastomotic device