Anastomotic concept and anastomosis – 180 degrees, 12 stitches
Sometimes, the vessel ends you need to suture have different sized diameters, making it more difficult to virtually divide their circumferences into matching thirds. In these cases, or if you simply prefer the technique, each vessel stump can be virtually divided into two halves.
The first two stitches are placed 180 degrees of vessel circumference apart from each other. To end up with 12 stitches in order to achieve safe closure of the anastomosis, the consecutive stitches are placed as indicated. Stitches three and eight are each placed exactly midway between their neighbors. The remaining stitches are placed in pairs, as indicated.