{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,8]],"date-time":"2024-06-08T21:10:11Z","timestamp":1717881011994},"reference-count":35,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,5,5]],"date-time":"2015-05-05T00:00:00Z","timestamp":1430784000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe a suture\u2010free ureterovesical anastomosis using a microvascular anastomotic system (MAS) and compare the surgical time and bursting pressure to a sutured ureterovesical anastomosis (SA) with and without an extravesical seromuscular tunnel (EVSMT).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Randomized, unblocked design, ex vivo study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Animals<\/jats:title><jats:p>Three canine cadavers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>For each cadaver, the ureters were sectioned into 3 equal lengths. The 6 sections were randomly assigned to receive either the MAS or end\u2010side SA. The first cadaver (3 MAS, 3 SA) was used to refine the technique, and the remaining 2 cadavers were used for evaluation. Surgical time and bursting pressure of the anastomosis were compared between MAS and SA (n\u2009=\u20096 per technique). After bursting pressure testing of each anastomosis, an SMT was created over the anastomoses. Bursting pressures were again recorded and compared across techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The surgery time was significantly shorter for MAS (median 5.4 minutes) than SA (median 15.8\u2009minutes;<jats:italic>P\u2009<\/jats:italic>=\u2009.002). The bursting pressure was significantly higher for MAS (median 189.5\u2009cmH<jats:sub>2<\/jats:sub>O) than SA (median\u200964\u2009cmH<jats:sub>2<\/jats:sub>O;<jats:italic>P<\/jats:italic>\u2009=\u2009.002). The bursting pressure for MAS\u2010EVSMT (median\u2009398.5\u2009cmH<jats:sub>2<\/jats:sub>O) was not significantly different from the SA\u2010EVSMT (median\u2009321\u2009cmH<jats:sub>2<\/jats:sub>O,<jats:italic>P<\/jats:italic>\u2009=\u2009.567); however, the creation of an SMT significantly increased the bursting pressure for both techniques (<jats:italic>P<\/jats:italic>\u2009=\u2009.028, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study demonstrated the feasibility of a suture\u2010free ureterovesical anastomosis in the canine cadaver using a commercially available MAS. The MAS anastomosis was faster and resulted in higher bursting pressures than SA. The creation of an SMT improved the bursting resistance of both techniques but there was no difference between the techniques covered by an EVSMT.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vsu.12337","type":"journal-article","created":{"date-parts":[[2015,5,6]],"date-time":"2015-05-06T03:53:52Z","timestamp":1430884432000},"page":"731-736","source":"Crossref","is-referenced-by-count":0,"title":["Suture\u2010Free Ureterovesical Anastomosis Using a Microvascular Anastomosis System: Canine Cadaveric Study"],"prefix":"10.1111","volume":"44","author":[{"given":"Judith","family":"Bertran","sequence":"first","affiliation":[{"name":"The Ohio State University 601 Vernon L Tharp St Columbus Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincent A.","family":"Wavreille","sequence":"additional","affiliation":[{"name":"The Ohio State University 601 Vernon L Tharp St Columbus Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen 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