"Airborne" suture tying technique for the microvascular anastomosis

Minimizing ischemia time is critical for some flaps, especially jejunal flaps. This suture-tying technique, which maintains the suture ends up in the air, helps the surgeon to avoid the occasional frustration encountered when attempting to pick up a suture end that is embedded in the surrounding adventitia. It also helps the surgeon to save time in performing the anastomosis.