After completion of the posterior 1/3 of the end-to-end anastomosis, the loose suture ends are pulled tight as the vascular clamps are pushed toward one another. After completion of the posterior 1/3 of the end-to-end anastomosis, the loose suture ends are pulled tight as the vascular clamps are pushed toward one another. David V Feliciano Trauma Surg Acute Care Open 2017;2:e000110 © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.