THE SUCCESS of microsurgical techniques in small vessel anastomoses has been demonstrated by several investigators including ourselves.1 However, despite the satisfactory results yielded by this technique it was apparent to us that certain commercially available instruments designed for microsurgical procedures imposed definite limitations on the efficiency of the technique. Our skepticism concerned both the spring type of needle holder and the serrefine clamps used for occluding and holding the vessel ends during the performance of the anastomosis. The needle holder was replaced by a pneumatic type1,2 and a new clamp, more suitable for small vessels, was designed.
Description and Use
Fig 1 illustrates the design of the vascular holder. Its hexagonal stem is five inches long and can be attached to a universal arm. The two clamps, each measuring 2½ inches in length, can be placed by a vise arrangement at any point along each side of the