Microvascular coupler device versus hand-sewn venous anastomosis: A systematic review of the literature and data meta-analysis.

Background: Successful vascular anastomosis is essential for the survival of free tissue transfer. The aim of the study is to review the current literature and perform a meta-analysis to assess the potential advantages of a mechanical anastomosis coupler device (MACD) over the hand-sewn (HS) technique for venous anastomoses.

Methods: A systematic Medline search was performed to gather all reports of articles related to MACD from 1984 until now.