“Open y” technique in vessel diameter discrepancy

dc.authorid0000-0001-8142-8794en_US
dc.contributor.authorAkan, Mithat
dc.contributor.authorÇakır, Barış
dc.contributor.authorAköz, Tayfun
dc.date.accessioned2024-07-12T21:10:14Z
dc.date.available2024-07-12T21:10:14Z
dc.date.issued2006en_US
dc.departmentFakülteler, Tıp Fakültesien_US
dc.description.abstractFor the last 20 years, free tissue transfers have increasingly become the mainstay of plastic surgery. Size discrepancy between the vessels during tissue transfers are frequently encountered in clinical practice, and this may potentially be an important factor in the patency of anastomosis. In our clinic, we first studied a rat model and a fresh sheep cadaver to improve the diameter discrepancy in microvascular anastomosis with “open y” technique. At the end of our research, we progressed to success, and the open y technique was applied to nine patients in our clinic with a diameter discrepancy in microvascular anastomosis. After finding the bifurcation of vessels (artery, vein, or a vein graft) that are prepared for anastomosis, a distal cut of 2–3 mm was made for the anastomosis, which is considered to increase the diameter. Both legs of the resultant “y”?shaped vessel were united after inserting the microscissors from one leg and exiting from the other. Performing an end?to?end anastomosis between the vessels, we obtain an increase in the diameter. By using this method, we eliminated the diameter discrepancy in microvascular anastomosis in nine patients in our clinic. There was not any flap loss. To increase the usage of this technique, when we come across a problem of size discrepancy, it is important to use the open y technique, both to the recipient vessels, donor vessels, and to the vein grafts. Owing to its high prevalence and the ease of application, we are convinced that this is a suitable technique in appropriate cases.en_US
dc.identifier.citationAkan, M., Çakır, B. ve Aköz, T. (2006). “Open y” technique in vessel diameter discrepancy. Microsurgery. 26(7), s. 506-514.en_US
dc.identifier.endpage514en_US
dc.identifier.issn1098-2752
dc.identifier.issue7en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage506en_US
dc.identifier.urihttps://onlinelibrary.wiley.com/doi/abs/10.1002/micr.20278
dc.identifier.urihttps://hdl.handle.net/20.500.12415/4220
dc.identifier.volume26en_US
dc.institutionauthorAköz, Tayfun
dc.language.isoenen_US
dc.publisherWiley Online Libraryen_US
dc.relation.ispartofMicrosurgeryen_US
dc.relation.isversionof10.1002/micr.20278en_US
dc.relation.publicationcategoryUlusal Hakemli Dergide Makale - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKY02945
dc.title“Open y” technique in vessel diameter discrepancyen_US
dc.typeArticle
dspace.entity.typePublication

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