Fine strands of adventitia hanging from ends of vessel. Adventitia trimmed from vessel ends. Use of clock face to describe suture positions. First stitch placed in the 11 o'clock position. First stitch is completed from inside to out.
First stitch is tied and one end left long to wrap around the cleat farther from the vessel.
Second stitch placed at 7 o' clock and the long end wrapped around the near cleat. The front wall is completed by placing the 9 o'clock stitch. Triangulation of vessel circumference into three 120 degree segments and placement of remaining sutures. Stay sutures unwrapped from cleats. Single Kleinert guard clamps placed proximally and distally, and double clamp removed.