Advantages of the continuous telescopic inversion technique do not overcome the disadvantages of the 'turn-up' technique of aortic anastomosis.

摘要

Rylski and associates1 should be congratulated for the favorable outcomes of the continuous telescopic anastomosis technique applied for a diseased aorta and Dacron prosthesis. They mentioned that their technique is superior to our "turn-up" anastomosis method (2-layer anastomosis involving 6 to 8 pairs of first-line everting U stay sutures followed by second-line continuous over-and-over sutures),2 because they believe their method requires less time and does not have a ridge projecting into the bloodstream. We wish to correct their misunderstanding, explain what defines good anastomosis to the readers of the Journal, and present the advantages of the turn-up method.