A New Sutureless Microvascular Anastomosis Procedure for Bypass Operations

Six years ago we began using a dense vascular suture method for bypass operations in our hospital. Having standardized the microvascular suture procedure, we tried to reduce the duration of the operation and the amount of suture material employed. In 50 patients with cerebral vascular insufficiency of various degrees, we partially glued the vessels at the anastomosis (1, 3). We preferred a small osteoplastic flap and an intracutaneous suture to minimize ischemia of the tissues.