Abstract

AbstractDespite mechanical and technical advances that have been made in fields allied with microsurgery, Carrell and Guthrie's basic concept of small‐blood‐vessel anastomosis has not changed significantly. However, with refined, finer sutures and needles as well as improved jewelers' and ophthalmic surgical instruments, individuals can now readily practice under high magnification. With repeated practice using rats, the operator can successfully manage finer structures, such as blood vessels less than 1 mm in diameter. Head and neck surgeons have an advantage in this area because of their extensive experience and skill in manipulating operating microscopes.

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