Microanatomose mécanique veineuse par double éversion sur anneaux en chirurgie réparatrice

Prade, Viviane Milbradt; Parrau, G.; Séguin, P.; Champin, J.; Alix, T.

doi:10.1016/j.revsto.2013.05.010

Cited by 2 publications

(3 citation statements)

References 17 publications

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“…The workflow of study selection is summarized in Figure 1. A total of 86 records were identified by searching the databases; nine studies provided sufficient numerical data regarding the clinical outcomes and were therefore suitable for the MA (Andrades et al, 2014; Coroneos, Voineskos, Heller, & Avram, 2016; Denk et al, 1995; Heidekrueger, Ehrl, Heine‐Geldern, Ninkovic, & Broer, 2016; Medina et al, 2014; Momeni et al, 2017; Prade, Parrau, Seguin, Champin, & Alix, 2013; Pu, 2017; Stranix et al, 2018). Altogether, 15 articles could be included in the SR (Andrades et al, 2014; Chang, Lin, & Lai, 2007; Coroneos et al, 2016; Denk et al, 1995; Ducic, Brown, & Rao, 2011; Hanson et al, 2017; Heidekrueger et al, 2016; Medina et al, 2014; Momeni et al, 2017; Prade et al, 2013; Pu, 2017; Rozen, Whitaker, & Acosta, 2010; Sasson, Stofman, & Berman, 1994; Stranix et al, 2018; Yap, Constantinides, & Butler, 2006).…”

Section: Resultsmentioning

confidence: 99%

“…Of these nine studies included in the MA, three directly compared the primary outcome rates in coupler device use versus conventional hand suturing in venous anastomosis in lower limb reconstruction (Coroneos et al, 2016; Medina et al, 2014; Stranix et al, 2018). Five studies focused on venous couplers only (Andrades et al, 2014; Denk et al, 1995; Momeni et al, 2017; Prade et al, 2013; Pu, 2017) and one study provided data on the hand‐sewn technique solely (Heidekrueger et al, 2016). All nine studies were of very low quality on the GRADE scale (Table 4).…”

Section: Resultsmentioning

confidence: 99%

“…Last, the lack of a comparison group in many of the studies not only led to an inability to calculate heterogeneity, but also resulted in inappropriate weighting, with the studies comparing the two techniques providing the most weight and, hence, the greatest effect on the results. Most of the included studies provided data on one anastomosis technique only (Andrades et al, 2014; Denk et al, 1995; Heidekrueger et al, 2016; Medina et al, 2014; Momeni et al, 2017; Prade et al, 2013; Pu, 2017). Comparative studies are not just lacking in research on lower extremity reconstruction, but from plastic surgery research in general.…”

Section: Discussionmentioning

confidence: 99%

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Use of venous couplers in microsurgical lower extremity reconstruction: A systematic review and meta‐analysis

et al. 2020

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Background Free tissue transfer for lower limb reconstruction has become a workhorse procedure for limb‐salvage. Compared with other recipient sites, the lower extremity has a higher risk of microvascular complications, in particular with venous anastomosis. The study's objective is to evaluate the evidence, safety, and efficacy of venous coupler use in microsurgical anastomosis in lower limb reconstruction to provide objective appraisal of the surgical techniques. Methods A systematic review (SR) and meta‐analysis (MA) were performed analyzing articles from PubMed, Cochrane, Embase, and Web of Science from January 1990, to August 2018. Abstracts and titles were screened and assessed for eligibility by independent reviewers. Following full‐text review, articles were included in the SR and MA. Case reports were excluded. Cochrane Collaboration and the Quality of Reporting of Meta‐analyses (QUOROM) guidelines were followed. Results Out of 15 included studies that met the inclusion criteria for the SR, 9 were included in MA. Patients treated with venous couplers did not experience more surgical complications (risk ratio (RR) 0.79; 95% confidence interval (CI) 0.48–1.33; p = .38), total failure (RR 0.61; 95% CI 0.22–1.70; p = .34), venous compromise (RR 0.72; 95% CI 0.23–2.27; p = .57), arterial compromise (RR 0.85; 95% CI 0.25–2.88; p = .80), partial failure (RR 0.77; 95% CI 0.33–1.77; p = .54), or reoperation (RR 11.79; 95% CI 0.49–286.55; p = .13) in comparison with hand‐sewn anastomosis. Conclusions Outcomes of venous couplers in lower limb reconstruction are comparable to those of hand‐sewn anastomosis. However, this study was limited by the quality of the available literature. Additional prospective studies should aim to directly compare both techniques and potential further benefits in clinical trials.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Use of venous couplers in microsurgical lower extremity reconstruction: A systematic review and meta‐analysis

et al. 2020

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Venous Coupler in Pediatric Free Tissue Transfer: Case Series and Literature Review

Aldekhayel

Alshomer

Alhazmi

2020

Plastic and Reconstructive Surgery - Global Open

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Background: Venous couplers have gained widespread acceptance as an effective, safe, and time-efficient alternative for hand-sewn anastomosis in microsurgical reconstruction. The literature on venous couplers use in pediatric free tissue transfer is scant. The purpose of this study is to present our experience with coupler-assisted venous anastomosis in young pediatric free flap reconstruction. Methods: This is a retrospective single-center review of all children younger than 10 years old who underwent free flap reconstruction over 36-month period. The primary objective was to assess flap survival rate at 30-day postoperative period. The rate of venous thrombosis, flap take back, flap salvage, and the mean coupling time were also assessed. Results: Four girls and 1 boy with a mean age of 7.3 ± 2.7 years (range 4–10 years) underwent 6 free flap transfers for head and neck, upper limb, and lower limb reconstructions. Microvascular anastomotic coupler system was used for 8 out of 9 performed venous anastomoses with a size ranging from 1.5 to 2.5 mm. Primary flap survival rate was 100%. None of the flaps in our series developed venous thrombosis or required flap take back for microvascular compromise (mean follow-up of 14.4 months). The mean coupling time was 7.1 minutes. Conclusions: In the current study, venous couplers were safe and reliable in free tissue transfer in children younger than 10 years old. Future studies with larger sample size are needed to further examine the safety and efficacy of venous couplers in pediatric microsurgical anastomosis.

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Microanatomose mécanique veineuse par double éversion sur anneaux en chirurgie réparatrice

Cited by 2 publications

References 17 publications

Use of venous couplers in microsurgical lower extremity reconstruction: A systematic review and meta‐analysis

Use of venous couplers in microsurgical lower extremity reconstruction: A systematic review and meta‐analysis

Venous Coupler in Pediatric Free Tissue Transfer: Case Series and Literature Review

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