End-to-Side Venous Anastomosis with IJV: Improving Outcomes of Microvascular Anastomosis in Head and Neck Reconstruction
Abstract: Background End-to-side (ES) venous anastomosis is an established approach for head and neck reconstruction and has several benefits over conventional end-to-end (EE) anastomosis. However, this is not preferred by all, which may be due to technical preferences for an EE anastomosis by many surgeons. We present here our experience of routine ES venous anastomosis for head and neck reconstruction over the past 8 years. Materials and Methods All consecutive head and neck malignancy patients reconstructed with free flap and our routine ES internal jugular vein (IJV) anastomosis approach between 2015 and 2023 have been included in this study. Flap-related variables are reviewed retrospectively. Results Reconstruction was done with a total of 585 free flaps including 303 radial forearm flaps (RFFs), 143 osteocutaneous fibula flaps (OCFFs), and 139 anterolateral thigh (ALT) flaps. The flap survival rate was 573/585 (97.95%). Re-exploration and salvage rates were 45/585 (7.69%) and 38/45, respectively (84.44%). Conclusion Routine use of ES anastomosis simplifies microvascular anastomosis by avoiding efforts related to the selection of recipient vessels, providing a single large-caliber venous outlet, the favorable geometric orientation of the pedicle, and ease of re-exploration. The vascular anastomosis for RFF, ALT, and OCFF flap is feasible with 7–0 sutures and under 4.5X loupe magnification with this approach quite conveniently with similar outcomes to the reported flap survival rate in the contemporary practice.
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Bibliographic citation
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End-to-Side Venous Anastomosis with IJV: Improving Outcomes of Microvascular Anastomosis in Head and Neck Reconstruction ; day:11 ; month:06 ; year:2024
Indian journal of plastic surgery ; (11.06.2024)
- Contributor
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Golash, Anupam
Bera, Sudipta
Kanoi, Aditya V.
Hanspal, Swaraj
Golash, Abhijit
- DOI
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10.1055/s-0044-1787565
- URN
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urn:nbn:de:101:1-2407251122225.456242853429
- Rights
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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14.08.2025, 11:01 AM CEST
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- Golash, Anupam
- Bera, Sudipta
- Kanoi, Aditya V.
- Hanspal, Swaraj
- Golash, Abhijit
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Modified Continuous Loop Technique for microvascular anastomosis
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Proximal ligation after the side-to-end anastomosis recovery technique for lymphaticovenous anastomosis
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Comparison of different anastomosis angles in radiocephalic fistula with modified functional end-to-side anastomosis
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Microvascular Femoral Vein Anastomosis in Experimental RatsA Histopathologic Study
Effect of Number of Sutures on Microvascular Venous Anastomosis in Experimental Rats
Arterial segments as microvascular interposition grafts in venous anastomosis in digital replantations
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Modified Continuous Loop Technique for microvascular anastomosis
Conventional and Robot-Assisted Microvascular Anastomosis: Systematic Review
Proximal ligation after the side-to-end anastomosis recovery technique for lymphaticovenous anastomosis
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“Y” anastomosis, a solution in doubtful venous anastomosis: a case report and review of the literature
Comparison of different anastomosis angles in radiocephalic fistula with modified functional end-to-side anastomosis
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