Surgery Spotlight: Microvascular Breast Reconstruction Vessel Anastomosis-Surgery Spotlight: Microvascular Breast Reconstruction Vessel Anastomosis

Surgery Spotlight: Microvascular Breast Reconstruction Vessel Anastomosis

Video Transcription

Video Summary

The video details a microsurgical procedure involving the internal mammary artery and vein. Both vessels are prepared for anastomosis using couplers and nylon sutures. After dissecting the vessels, they are clamped, cut, and measured for matching size. A 2.5mm coupler is used for venous anastomosis, while the arterial anastomosis is done using 9-0 nylon suture. Both occluder clamps are removed, confirming flow and avoiding vessel kinking. Doppler probes are attached for vessel monitoring, ensuring optimal positioning and flow assessment. The procedure concludes with the successful completion of vessel anastomoses and flap inset.

Asset Caption

This video shows the view through the operating microscope, as vessels that have already been dissected are prepared for anastamosis.

Surgeon Scott Hollenbeck, MD; Brett Phillips, MD, MBA

Source Duke University Duke Plastic, Maxillofacial and Oral Surgery 2016

Disclosure This product is not certified for CME.

Keywords

surgery spotlight

Surgical Videos

Breast

Scott Hollenbeck MD

Brett Phillips MD MBA; Memben

microsurgical procedure

internal mammary artery

venous anastomosis

Doppler probes

nylon sutures