Accurate placement of microvascular guide sutures

A simple technique to accurately place initial microvascular guide sutures is described. Enhanced suture placement enables anastomosis construction in situations in which the clamp must be placed very close to the vessel end or if the vessel lumen is distorted or poorly visualized. Because this tech nique eliminates the need for retraction on the guide suture tails, it is p articularly useful for solo microvascular surgeons.