Cryptic crossword clue
The French suture around beginning of duodenum in eleventh hour 4,5

The most common and most likely answer to this crossword clue is the 4 plus 5 letter word LAST DITCH

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Buddy explains!

The straight part
We know that "eleventh hour" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case eleventh hour = last ditch.
The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.
This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.

What does LAST DITCH mean?

LAST DITCH adjective
  1. Final, as a last resort; done in desperation.

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