In free flaps, 5%–10% of complications are related to failure of sutured vascular anastomoses. Adhesive‐based microvascular anastomoses are potential alternatives but are associated with failure rates of 70% in research… Click to show full abstract
In free flaps, 5%–10% of complications are related to failure of sutured vascular anastomoses. Adhesive‐based microvascular anastomoses are potential alternatives but are associated with failure rates of 70% in research studies. VIVO is a new adhesive with slow biodegradation within 6 months that has shown a 100% patency rate in research studies over 2 h observation time but long‐term patency has not been evaluated. The authors hypothesize that VIVO will enable a reliable microvascular procedure comparable to sutured anastomoses over a 28‐day period.
               
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