The microcirculation is the organ that provides the direct link betwee
n blood and tissue, and thereby between the whole organism and the sin
gle cell. Modern microcirculation research in experimental surgery is
characterized by the use of high-resolution video fluorescence microsc
opy and quantitative computer-assisted image analysis coupled with the
techniques of molecular biology and transgenic or knockout gene techn
ology. These advances should improve knowledge about surgically releva
nt physiologic and pathophysiologic phenomena at the interface between
blood and tissues and help us to understand the initial molecular mec
hanisms leading to organ dysfunction following inflammation, ischemia-
reperfusion, and transplantation.