Turkish Neurosurgery 1994 , Vol 4 , Num 1
A COMPARISON OF MICROVASCULAR ANASTOMOSES WITH THE TECHIQUES OF C02 LASER AND CLASSICAL SUTURE
Mehmet DANEYEMEZ1, Ferruh GEZEN1, Altay BEDÜK1, Ayhan KUBAR2, Cevat CAN3, Naci SEBER1
1Department of Neurosurgery, Gülhane Medical School Ankara Türkiye
2Department of Eleetron Miaoscopy, Gülhane Medical School Ankara Türkiye
3Department of Pathology, Gülhane Medical School Ankara Türkiye
In this study end-to-end anastomoses were made in the left carotid arteries of 90 adult rats, in 45 of which the classical suture technique was used and in the remaining 45 the C02 laser technique. Anastomoses made with C02 laser and classical suture techniques were compared in the 1st, the 3rd, and the 9th weeks postoperatively in equal groups using the same histopathological parameters. Endothelium destruction. necrosis in media and elastic lamina disorders were seen in both techniques, in the anastomoses with the classical suture more foreign body reaction was found whereas in those with the CO2 technique there was more inflammation. Anastomoses with the suture technique showed aneurysms at the rate of 4.4%. There were no aneurysms in the anastomoses with the CO2 laser technique. After this study. the CO2 laser technique was concluded to be more suitable because it produced less foreign body reactions, and aneurysms, and could be performed in a shorter time. Keywords : Microvascular anastomosis, CO2 laser. Suture techniques Aneurysm formation, Inflammation
Corresponding author : Ferruh Gezen