Everting method: a new modification to obtain reliable microvascular anastomosis.

We have developed a new microvascular technique for anastomosing small vessels in various situations. The factor of prime importance in achieving high patency rates has been the accurate approximation of the intima at the suture site. In our everting method, the adventitia is never exposed to the lumen, and the intima is well coapted. The everting method is simple to perform and so may also be extensively applied to macrovascular surgery.