ABSTRACT
The ligature technique with cuffs and the ring-needle technique, vascular prothesis and vascular suture apparatus as well as tissue adhesives based on cyanoacrylate and fibrinogen were used. In search of techniques suitable to minimize lesions of the vascular wall comparisons were made, clinically and histologically, between three differently performed microvascular end-to-end anastomoses in rats. A combined suture-adhesive technique, using fibrinogen adhesive, was tested experimentally on the carotid artery. But for clinical practice we see a possibility in a combined two-suture-adhesive technique using 10/0 absorbable suture material. A sutureless adhesive technique for end-to-end anastomosing microarteries and microveins using physiological tissue adhesive is described in comparison with the conventional interrupted suture method and the two-suture telescopic method. Although sutureless telescopic anastomosis using fibrinogen adhesive is a very gentle method the danger of rupture exists, expecially in arteries, so that suture anastomosis is even now still the safest method.
