Saline blow-assisted vein anastomosis

A plastic surgeon’s decision to perform a specific microvascular anastomosis technique depends on his/her preference, operative experience, and availability of a suitable recipient target vessel using some refinement of method to achieve consistent, successful long-term results.1-3 In our practice, we routinely use the posteriorwall- first technique as first described by Harris and Buncke.4 It is applicable to any situation where 180 flipping of the double-framed Acland clamp for optimal posterior wall exposure becomes “technically difficult.” This is often the case when the vessels are short and turning of the staged-clamps causes unwanted vessel wall tension and trauma. We usually do not use Acland clamp as we prefer the “Ikuta approximator” because of the better vessels stabilization especially in breast reconstruction using axillary recipient vessels. The main problem of this technique is the nonpatency result possibility, as during the anterior wall suturing you may also hook the

[No abstract available]