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Online Published: 22 Dec 2015
 


An easy way to facilitate manipulation of veins during coupler device usage

Heval Selman Ozkan, Saime Irkoren.


Abstract
Venous thrombosis is the primary reason for flap loss and classical venous anastomoses are hand-sewn under an operating microscope. Technical errors may result in damage at the anastomosis due to an inadequate eversion of the vessel walls, the introduction of unequal bite distances or endothelial injury at the suture sites, causing increased thrombotic potential. Since the introduction of microvascular free-tissue transfer, surgical technique modifications and new devices have become highly sought after as a means for improving overall outcome. Vessel couplers are one such device, with pins and coupling rings providing an alternative to traditional hand-sewn anastomoses. In this article, we describe a technique that we used to decrease vessel wall handling and minimize trauma, which involves dividing the vessel into three leaflets and then excising the excess vessel wall.

Key words: Free flaps, venous thrombosis, microsurgery


 
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How to Cite this Article
Pubmed Style

Ozkan HS, Irkoren S. An easy way to facilitate manipulation of veins during coupler device usage. Hand Microsurg. 2015; 4(3): 79-82. doi:10.5455/handmicrosurg.180393

Web Style

Ozkan HS, Irkoren S. An easy way to facilitate manipulation of veins during coupler device usage. https://handmicrosurgeryjournal.com/?mno=180393 [Access: June 27, 2026]. doi:10.5455/handmicrosurg.180393

AMA (American Medical Association) Style

Ozkan HS, Irkoren S. An easy way to facilitate manipulation of veins during coupler device usage. Hand Microsurg. 2015; 4(3): 79-82. doi:10.5455/handmicrosurg.180393


Vancouver/ICMJE Style

Ozkan HS, Irkoren S. An easy way to facilitate manipulation of veins during coupler device usage. Hand Microsurg. (2015), [cited June 27, 2026]; 4(3): 79-82. doi:10.5455/handmicrosurg.180393


Harvard Style

Ozkan, H. S. & Irkoren, . S. (2015) An easy way to facilitate manipulation of veins during coupler device usage. Hand Microsurg, 4 (3), 79-82. doi:10.5455/handmicrosurg.180393


Turabian Style

Ozkan, Heval Selman, and Saime Irkoren. 2015. An easy way to facilitate manipulation of veins during coupler device usage. Hand and Microsurgery, 4 (3), 79-82. doi:10.5455/handmicrosurg.180393


Chicago Style

Ozkan, Heval Selman, and Saime Irkoren. "An easy way to facilitate manipulation of veins during coupler device usage." Hand and Microsurgery 4 (2015), 79-82. doi:10.5455/handmicrosurg.180393


MLA (The Modern Language Association) Style

Ozkan, Heval Selman, and Saime Irkoren. "An easy way to facilitate manipulation of veins during coupler device usage." Hand and Microsurgery 4.3 (2015), 79-82. Print. doi:10.5455/handmicrosurg.180393


APA (American Psychological Association) Style

Ozkan, H. S. & Irkoren, . S. (2015) An easy way to facilitate manipulation of veins during coupler device usage. Hand and Microsurgery, 4 (3), 79-82. doi:10.5455/handmicrosurg.180393




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    Hand and Microsurgery, the official journal of Turkish Society for Surgery of Hand and Upper Extremity, is a peer-reviewed scientific journal published th ... Read more.



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