N. Isogai et al., CLINICAL, OUTCOME OF DIGITAL REPLANTATION USING THE FIBRIN GLUE-ASSISTED MICROVASCULAR ANASTOMOSIS TECHNIQUE, Journal of hand surgery. British volume, 21B(5), 1996, pp. 573-575
A series of 36 digital replants is reported in which microvascular ana
stomoses were each performed with four to six stitches and topically a
pplied fibrin glue. Thirty-two digits survived, comparable to survival
with conventional microvascular anastomosis. The average operative ti
me per replanted digit was 3.2 hours, considerably less than documente
d with standard replantation technique (4.5 hours per digit). These cl
inical findings indicate that fibrin glue-assisted microvascular anast
omosis does not compromise replant outcome and can reduce the operativ
e time by reducing the number of microsutures that need to be placed i
n each anastomosis.