Microvascular Anastomosis with Fish-Mouth Suturing and Adhesive Sealants

The primary drive in microvascular surgery is to ensure reliability of patency and flow. Conventional interrupted suturing (CIS) is the current gold standard, despite the known complication of intimal damage and exposure of the media layer1. Numerous techniques have been described to remove suture dependency and reduce vessel trauma, including vessel clips, stents, and laser-assisted bonding with no clinical success.

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