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Medicina (Kaunas, Lithuania) Mar 2023: Endodontic surgery has evolved over the last two decades. The use of state-of-the-art guided endodontic surgical procedures produces a predictable outcome in the... (Review)
Review
: Endodontic surgery has evolved over the last two decades. The use of state-of-the-art guided endodontic surgical procedures produces a predictable outcome in the healing of lesions of endodontic origin. The main objective of this review paper is to define and characterize guided surgical endodontics as well as its benefits and drawbacks by reviewing the most recent relevant scientific literature. : A literature search was conducted using multiple databases comprising of MEDLINE (via PubMed), EMBASE, and Web of Science. The terms used for the search were 'guided endodontics', 'surgical endodontics', and 'endodontic microsurgery'. : In total, 1152 articles were obtained from the analysis of the databases. Unrelated articles from the available full text of 388 articles were excluded. A total of 45 studies were finally included in the review. : Surgical-guided endodontics is a relatively new area of study that is still maturing. It has many applications such as root canal access and localization, microsurgical endodontics, endodontic retreatment, and glass fiber post removal. Additionally, it does not matter how experienced the operator is; the procedure can be completed for the patient in less time and provides greater accuracy and safety than conventional endodontics.
Topics: Humans; Root Canal Therapy; Endodontics; Microsurgery
PubMed: 37109636
DOI: 10.3390/medicina59040678 -
European Journal of Orthopaedic Surgery... Feb 2019Microsurgery is a term used to describe the surgical techniques that require an operating microscope and the necessary specialized instrumentation, the three "Ms" of... (Review)
Review
Microsurgery is a term used to describe the surgical techniques that require an operating microscope and the necessary specialized instrumentation, the three "Ms" of Microsurgery (microscope, microinstruments and microsutures). Over the years, the crucial factor that transformed the notion of microsurgery itself was the anastomosis of successively smaller blood vessels and nerves that have allowed transfer of tissue from one part of the body to another and re-attachment of severed parts. Currently, with obtained experience, microsurgical techniques are used by several surgical specialties such as general surgery, ophthalmology, orthopaedics, gynecology, otolaryngology, neurosurgery, oral and maxillofacial surgery, plastic surgery and more. This article highlights the most important innovations and milestones in the history of microsurgery through the ages that allowed the inauguration and establishment of microsurgical techniques in the field of surgery.
Topics: History, 15th Century; History, 16th Century; History, 17th Century; History, 18th Century; History, 19th Century; History, 20th Century; History, 21st Century; History, Ancient; History, Medieval; Humans; Microscopy; Microsurgery; Nerve Block; Organ Transplantation; Regenerative Medicine; Replantation; Tissue Engineering; Vascular Surgical Procedures; Vascularized Composite Allotransplantation
PubMed: 30631944
DOI: 10.1007/s00590-019-02378-7 -
Annals of Plastic Surgery Nov 2016
Topics: Attitude of Health Personnel; Humans; Microsurgery; Physicians; Surgery, Plastic; Time
PubMed: 28792426
DOI: 10.1097/SAP.0000000000000897 -
European Journal of Orthopaedic Surgery... Feb 2019
Topics: History, 20th Century; History, 21st Century; Humans; Microsurgery; Plastic Surgery Procedures
PubMed: 30627924
DOI: 10.1007/s00590-019-02379-6 -
Trends in Biotechnology Oct 2018Vascularisation is key to developing large transplantable tissue constructs capable of providing therapeutic benefits. The vascularised tissue engineering chamber... (Review)
Review
Vascularisation is key to developing large transplantable tissue constructs capable of providing therapeutic benefits. The vascularised tissue engineering chamber originates from surgical concepts in tissue prefabrication and microsurgery. It serves as an in vivo bioreactor in the form of a closed, protected space surgically created and embedded within the body by fitting a noncollapsible chamber around major blood vessels. This creates a highly angiogenic environment which facilitates the engraftment and survival of transplanted cells and tissue constructs. This article outlines the chamber concept and explores its application in the context of recent advances in biomedical engineering, and how this can play a role in the future of cell therapies and regenerative medicine.
Topics: Bioengineering; Bioreactors; Microsurgery; Neovascularization, Physiologic; Regenerative Medicine
PubMed: 29937050
DOI: 10.1016/j.tibtech.2018.05.009 -
Clinics in Plastic Surgery Apr 2017Robotic surgery has revolutionized minimally invasive surgery. Owing to its unique features and key advantages, robotic surgery is being used for complex cases across... (Review)
Review
Robotic surgery has revolutionized minimally invasive surgery. Owing to its unique features and key advantages, robotic surgery is being used for complex cases across surgical specialties. It has been introduced into reconstructive surgery, and is being applied in microsurgery. Robotic surgery combines properties of conventional microsurgery, endoscopic surgery, and telesurgery. It holds great promise in expanding the boundaries of reconstructive microsurgery. However, there are constraints that limit its widespread use. We present the different clinical applications of robotic microsurgery, highlighting its advantages over conventional microsurgery, and outlining the main limitations that might prevent its widespread use.
Topics: Endoscopy; Humans; Microsurgery; Plastic Surgery Procedures; Robotic Surgical Procedures
PubMed: 28340672
DOI: 10.1016/j.cps.2016.12.003 -
Current Opinion in Ophthalmology Jan 2020To review various techniques of manual small incision cataract surgery (MSICS), updates on training residents and fellows, and cost-effectiveness of the surgery. (Review)
Review
PURPOSE OF REVIEW
To review various techniques of manual small incision cataract surgery (MSICS), updates on training residents and fellows, and cost-effectiveness of the surgery.
RECENT FINDINGS
Recent population studies estimate that there are 53 million people blind worldwide from cataracts, up from previous figures. This is in part because of population growth and increased life expectancy worldwide. MSICS continues to play a significant role in addressing cataract burden and there is an increasing need to train surgeons in the technique. In response to this need, several modules and rubrics have been developed to assist in the training process.
SUMMARY
MSICS has been refined over recent decades with overall outcomes comparable to phacoemulsification (phaco) in certain settings. MSICS cost and efficiency advantages support its ongoing essential role in addressing global cataract blindness.
Topics: Cataract Extraction; Cost-Benefit Analysis; Education, Medical, Graduate; Humans; Internship and Residency; Microsurgery; Surgical Wound
PubMed: 31770166
DOI: 10.1097/ICU.0000000000000624 -
Annals of Plastic Surgery Jul 2023Microsurgery is an advanced set of techniques that require a high level of skill to be performed safely. Surgical skills courses offer safe environments for practice in...
Microsurgery is an advanced set of techniques that require a high level of skill to be performed safely. Surgical skills courses offer safe environments for practice in such skills and form a fundamental part of surgical training. The Yorkshire Microsurgery Course is a 3-day course at Bradford Royal Infirmary, United Kingdom. Delivered via short lectures followed by supervised practical sessions, the course aims to provide delegates with the essential knowledge and skills required for microsurgery.We detail an outline and critical evaluation of the February 2023 iteration of the course, with recommendations for improvement.Overall, we found the course excellent. It provided delegates with a solid grounding in the fundamentals of microsurgery and the opportunity for personalized practice supervised by experts. We would recommend this course to colleagues interested in a career in plastic surgery.
Topics: Humans; Microsurgery; Plastic Surgery Procedures; Surgery, Plastic; Curriculum; Clinical Competence
PubMed: 37450857
DOI: 10.1097/SAP.0000000000003580 -
Handchirurgie, Mikrochirurgie,... Dec 2018Microsurgery is widely used in experimental research models and clinical surgery. However, microsurgical applications require precise technical skills and continuous...
Microsurgery is widely used in experimental research models and clinical surgery. However, microsurgical applications require precise technical skills and continuous training. Here, we proposed a low cost, practical microsurgery model, which can be easily applied using smartphones at home or at office. Test platform was created using latex gloves, and a phone holder was then positioned at one side of a table. A smartphone with 10x magnification was secured on the phone holder. Microsurgical device habit, stitching and knotting exercises by making cuts at different angles on the glove model were performed, which was recorded live under the 10x magnification of the phone camera.We believe that the practical microsurgery model presented in this study can form an important part of basic microsurgery education and also act as an alternative training model owing to its ease of application, easy accessibility and low cost.
Topics: Clinical Competence; Microsurgery; Models, Theoretical; Smartphone
PubMed: 30352473
DOI: 10.1055/a-0661-6015 -
Journal of Reconstructive Microsurgery Jan 2017Topical vasodilators are frequently used during free tissue transfer to prevent and treat vasospasm and microvascular thrombosis. A variety of agents have been... (Review)
Review
Topical vasodilators are frequently used during free tissue transfer to prevent and treat vasospasm and microvascular thrombosis. A variety of agents have been studied and are available, yet most microsurgeons select an agent based on anecdotal evidence or personal training. Our aim was to review the literature on topical vasodilators so microsurgeons can make more informed decisions about which agent to use. A systemic review of the literature was performed on PubMed, EMBASE, and Google Scholar using keywords "topical vasodilator," "antispasmodic," "vasospasm," "free flaps," and "microsurgery." Studies were included if they provided a comparative quantitative assessment of topical vasodilators and were written in English. In vitro, in vivo and clinical studies were included. A total of 15 studies were identified and included in our analysis. The three most common classes of topical vasodilator include local anesthetics, phosphodiesterase inhibitors, and calcium channel blockers (CCBs). Of the most commonly used topical vasodilators, CCBs (nifedipine and verapamil) were most effective followed by papaverine and lidocaine. The most effective topical vasodilators appear to be CCBs including nifedipine, nicardipine, and verapamil. Evidence suggests that these agents are more effective than papaverine and lidocaine solutions that are commonly used. Future research should directly compare individual CCBs to assess the most effective agent. Studies to date have focused on vessels other than those used by microsurgeons, and therefore further studies specific to these vessels are warranted.
Topics: Administration, Topical; Constriction, Pathologic; Evidence-Based Medicine; Humans; Intraoperative Complications; Microsurgery; Plastic Surgery Procedures; Vasoconstriction; Vasodilator Agents
PubMed: 27636540
DOI: 10.1055/s-0036-1592191