A Safe and Innovative Method to Apply Venous Coupler in Oncologic Head and Neck Reconstruction.

Abstract

Venous anastomosis with a coupler device is an effective alternative to the hand-sewn anastomosis technique. Twist in the veins following a coupler anastomosis is a troublesome complication that needs a revision of venous anastomosis. The author proposes a simple technique to reduce the incidence of this complication. This technique is particularly useful in head and neck reconstruction and for beginners in the initial part of the learning curve.