ABSTRACT
An alternative microsurgical method for achieving vessel union without applying sutures
is presented. The basic principles of the technique involve the creation of an extraluminal
cuff that permits exact adaptation of both endothelial layers, without intraluminal
damage or application of foreign material. When used for microsurgical procedures,
the method can be further simplified by using a Teflon cuff secured by means of a
mini-clip. The anastomosis can be accomplished quickly, in an uncomplicated and precise
fashion. On the basis of preliminary experiments, this method appears to offer a wide
range of applications, particularly if absorbable material is used.