End-to-Side Patch Suture Tutorial @ Henry Ford Health System

Henry Ford Innovation Institute Channel - Detroit

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Martina Draxler, MD, PhD Research assistant & Loay Kabbani, MD Program director, Vascular Surgery Fellowship, Department of Vascular Surgery Henry Ford Hospital Detroit show us how to do an End-to-Side Patch as part of their Suture Tutorial Program @ Henry Ford Health System.
The project was supported by the Betty Jane and Alfred J. Fisher Vascular Surgery Research Fund and The Henry Ford Innovation Institute.

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4 дек 2017

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Комментарии : 11

@Drhoang2010 2 года назад

Thank you! Good technique!

@kararbenign1467 3 года назад

Thanks

@BarnabasMathew-gd7vk 2 месяца назад

Continuous suturing can cut through, and have a purse string effect. Interrupteds are ldeal, but time consuming. Thanks. Dr Barnabas Mathew Thiruvathira kalady road Desom Aluva-Kerala State India

@zahidiqbal7075 4 года назад

Hi, May I ask you that do you have any experience of making the slit of recepient vessel into a wider one by trimming it's edges with scissors?

@vijay495495y 5 лет назад

Hi I had a question y shuld arteriotomy be 3times diameter

@barnabasmathew7145 Год назад

Wonderful. But hope there won't be post op bleed when heparin is used in heavy doses. Technique is perfect. Dr. Kerala. South lndia.

@doctorpro9529 2 года назад

What happens to the air trapped inside the artery???? Wont it lead to embolism???? When the blood flow is released??

@myrmykyta4794 2 года назад

it will, so the surgeon makes several punctures in the artery or in the right atrium idr

@themohyaser Год назад

*There is usually air inside the anastomosis, but this doesn't usually cause any problems for several reasons* : 1- Usually the amount of air is not large enough to cause air embolism. 2- In most anastomoses, the distal end of the anastomosis is released first to test the patency of the anastomosis at a low pressure, and then the blood at the site of the anastomosis displaces air from the seams of the stitch line, and then the proximal end is released to test the anastomosis under pressure. 3- the anastomosis is not air-tight until fibrin is deposited on the stitch line, and by that time, blood from the circulation would have displaced any remnant air.