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  • Title: Use of triangulation method in end-to-side arterial microvascular anastomosis.
    Author: Yazici I, Cavusoglu T, Comert A, Vural AC.
    Journal: J Craniofac Surg; 2009 Nov; 20(6):2225. PubMed ID: 19884829.
    Abstract:
    In this article, we present the use of triangulation for end-to-side microvascular arterial anastomosis. The classic end-to-side anastomosis starts by putting 2 sutures 180 degrees apart to the lateral arteriotomy aperture that is parallel to the longitudinal axis. We are performing triangulation in end-to-side microvascular artery anastomoses by putting 3 stay sutures, securing 2 of them to visualize vascular lumen and reduce the risk of passing suture from the back wall. We have been using this method for the last 5 years and found that triangulation seems to be a safer technique to teach and practice end-to-side microvascular anastomosis.
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