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.

Palumbo V.D., Fazzotta S., Damiano G., Di Vita G., & Lo Monte A.I. (2021). Vitom® 3D in arterio-venous fistulas: Single centre preliminary surgical experience. SURGICAL TECHNOLOGY INTERNATIONAL, 38.

Vitom® 3D in arterio-venous fistulas: Single centre preliminary surgical experience

Palumbo V. D.
Writing – Original Draft Preparation
;
Fazzotta S.
Writing – Review & Editing
;
Damiano G.
Methodology
;
Di Vita G.
Supervision
;
Lo Monte A. I.
Conceptualization
2021-11

Abstract

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.
Palumbo V.D., Fazzotta S., Damiano G., Di Vita G., & Lo Monte A.I. (2021). Vitom® 3D in arterio-venous fistulas: Single centre preliminary surgical experience. SURGICAL TECHNOLOGY INTERNATIONAL, 38.
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10447/522756
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