“…A sutureless anastomotic device will promote easy ligation and adherence and will be feasible for all surgeons, not just specially trained microsurgeons. This impact is crucial in third world countries where there are resource constraints and a shortage of plastic surgeons [ 159 , 160 ]. With surgical conditions accounting for 11 % of global disability-adjusted life years lost, the potential to broaden access to microsurgery through a sutureless anastomotic device could be transformative [ 161 ].…”