The double-barrelled end-to-end microvascular anastomosis.

We describe a simple alternative method of microvascular anastomosis to the internal jugular vein, which is useful when part of the internal jugular vein has been sacrificed and the free flap has two draining venae commitantes. In our hands, this method has proven to be quick, efficient and successful. Copyright 2002 The British Association of Plastic Surgeons.