Anemia severity and missed dialysis treatments in erythropoietin-treated hemodialysis patients |
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Authors: | O Ifudu E Chan H Paul JD Mayers LS Cohen WF Brezsnyak AI Herman MM Avram EA Friedman |
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Affiliation: | Division of Plastic Surgery, Jichi Medical School, Tochigi, Japan. |
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Abstract: | A comparative study was conducted of the results of venous end-to-end and end-to-side anastomosis in 948 clinical cases of microvascular free-tissue transfers for head and neck reconstruction following tumor resection. End-to-side anastomosis to the internal jugular vein was achieved uneventfully in the present series, while a variety of recipient veins was used for end-to-end anastomosis. The incidence of thrombosis was 1.8% (15/835) in the end-to-end anastomosis group and 2.7% (3/113) in end-to-side venous anastomosis. No statistical difference was observed between the two groups. One may hesitate to perform end-to-side anastomosis because of unfamiliarity, concern over technical difficulty, and unreliability. As a result of our statistical analysis, we are convinced that end-to-side anastomosis directly to the internal jugular vein, whenever available, is the preferred procedure in microvascular free-tissue transfers for reconstruction of the head and neck following tumor resection. |
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