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RESEARCH PRODUCT
VITOM® 3D in Arterio-Venous Fistulas: Single Centre Preliminary Surgical Experience
Gaetano Di VitaAttilio Ignazio Lo MonteS. FazzottaGiuseppe DamianoVincenzo Davide Palumbosubject
Male030213 general clinical medicinemedicine.medical_specialtymedicine.medical_treatmentArteriovenous fistula030204 cardiovascular system & hematologyAnastomosisPalpation03 medical and health sciences0302 clinical medicinemedicineBack painHumansSurgeonsmedicine.diagnostic_testbusiness.industryAnastomosis SurgicalGeneral Medicinemedicine.diseaseThrombosisEndoscopySurgeryArteriovenous FistulaFemaleHemodialysismedicine.symptombusinessOperating microscopedescription
Background: Arteriovenous fistula (AVF) is the vascular access of choice for hemodialysis patients. A correct microsurgical vascular anastomoses is essential to the optimal care of patients. Loupes can help surgeons perform such procedures, but often cause neck or back pain and fatigue. Aim: This study aimed to evaluate whether a video telescopic operating microscope (VITOM®; Karl Storz Endoscopy GmbH, Tuttlingen, Germany) could be used as a substitute for loupes to create microsurgical vascular anastomoses. Methods: We evaluated microsurgical anastomoses with VITOM® in 10 patients (6 male, 4 female) from January 2019 to December 2019. The created anastomoses were 7 side-to-side, 2 side-to-end and 1 end-to-end. Results: A valid thrill was always present on palpation. Surgical procedures had an average time of 87.6 min, ranging from 49 to 110 min. Eight patients had AVF maturation; in the remaining 2, one had a thrombosis after 25 days and one couldn’t be dialyzed due to low flow in AVF. Conclusions: The VITOM® system makes it possible to carry out anastomosis in difficult cases. It is both safe and useful for the training of young surgeons.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2021-02-03 | Surgical Technology Online |