Optimum operating conditions are an integral part of a successful microvascular surgery. We hereby introduce a new technique to make a lowcost microsuction cannula, which will be helpful for microvascular surgeons.
Video 1. Low-cost microsuction cannula in microvascular surgery. This video demonstrates the creation of a low-cost microsuction cannula, essential for maintaining a clear, bloodless field in microvascular surgery. Using a suction tube, a 2 ml syringe, and a cannula sheath, this technique provides an effective solution for surgeons in resource-limited settings, ensuring the survival of free flaps through perfect anastomoses.
A perfect microsurgical anastomosis is crucial for the survival of a free flap. One needs to have special micro instruments, microsutures, and operating microscope for the successful anastomosis [1,2].
An anastomosis is done after clamping the vessels or under tourniquet. A bloodless field in the microscope helps the surgeon to tackle the microsutures and see the lumen. Clamp removal for checking the functional status of the anastomosis often leads to a blood-filled field in the working area. Heparin saline irrigation is also an important step during the vessel anastomosis, which will flood the field. The normal suction cannulas are not suitable to use here because they may endanger the anastomosis through its powerful suction. In this manuscript, we would like to introduce a simple technique to make a microsuction cannula.
The materials needed for making this are a suction tube, a 2 ml syringe, and a cannula sheath. The suction tube end is telescoped into the 2 ml syringe and the cannula sheath is attached to the syringe (Figure1 and Figure 2). Although commercial metallic suction tips are available in some countries, this technique can be helpful for surgeons in the developing or poor countries.
Figure 1. A microsuction cannula used during surgery.
Figure 2. A microsuction cannula made from a syringe and an intravenous cannula.
1. Jacobson JH 2nd, Suarez EL. Microvascular surgery. Dis Chest 1962;41:220-224. PMID: 14450733
2. Acland RD, Sabapathy SR. Acland's practice manual for microvascular surgery. Third Edition 2008 Indian J Plast Surg. 2008;41(2):247. PMCID: PMC2740510
Received date: June 01, 2018
Accepted date: June 17, 2018
Published date: July 08, 2018
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© 2018 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY).
Video Low-cost microsuction cannula in microvascular surgery. This video demonstrates the creation of a low-cost microsuction cannula, essential for maintaining a clear, bloodless field in microvascular surgery. Using a suction tube, a 2 ml syringe, and a cannula sheath, this technique provides an effective solution for surgeons in resource-limited settings, ensuring the survival of free flaps through perfect anastomoses.
This article is interesting and can be published in its current form. The author is suggested to provide with a short video.
ResponseThank you for your suggestion. We have provided with a video.
Kumar P, Ajai KS. A low cost microsuction tip cannula in microvascular surgery. Int Microsurg J. 2018;2(1):2. https://doi.org/10.24983/scitemed.imj.2018.00067
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