The vessel is cut with one smooth motion. When the profunda branch is at or near the middle of the vessel to be divided, it is excised by holding with a straight forceps and cutting on either side. In this case, the profunda was far enough to one side that it would not interfere with the anastomosis.
The vessel ends are immediately irrigated free of blood so that clot does not adhere to the intima. The ends are approximated to within one vessel diameter of each other by advancing one clamp at a time with the clamp applicator (see principles of microsurgery).
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