-
Acta Cirurgica Brasileira Mar 2016Clinical microsurgery has been introduced in many fields, while experimental microsurgery has the cross-disciplinary features of the sciences and techniques for growth... (Review)
Review
PURPOSE
Clinical microsurgery has been introduced in many fields, while experimental microsurgery has the cross-disciplinary features of the sciences and techniques for growth of medicine, pharmacology, veterinary, engineering etc. Training protocol, proposing a new name as Translational Microsurgery, was introduced.
METHODS
Reconstructive skills of hepatic artery in pediatric living donor liver transplantation were summarized. Ex vivo training protocol using artificial blood vessel for surgeons was proposed.
RESULTS
Clinical microsurgery requires anastomosis with delicate arteries and limited field of view. Our training protocol revealed that the relation between the score and speed was seen, while not all the surgeons with enough experience got high score. This training led to muster clinical skills and to apply excellent experimental works.
CONCLUSIONS
Our microsurgical training protocol has been planned from the points of clinical setting. Training for vascular anastomosis led to rodent transplantation models. These models were used for immunology and immunosuppressant research. Microsurgical techniques led to master catheter technique and to inject various drugs or gene vectors.
Topics: Anastomosis, Surgical; Animals; Catheterization; Clinical Competence; Humans; Liver Transplantation; Microsurgery; Models, Animal; Rats; Translational Research, Biomedical; Transplantation
PubMed: 27050793
DOI: 10.1590/S0102-865020160030000010 -
Annals of Plastic Surgery Sep 2019
Topics: Humans; Microsurgery; Models, Educational; Plastic Surgery Procedures
PubMed: 31008791
DOI: 10.1097/SAP.0000000000001825 -
Clinical Spine Surgery Apr 2016Herniated disks in the lumbar spine typically present with the sudden onset of back and leg pain in a myodermatomal distribution. Symptoms may include radicular pain,... (Review)
Review
Herniated disks in the lumbar spine typically present with the sudden onset of back and leg pain in a myodermatomal distribution. Symptoms may include radicular pain, paresthesias, and in extreme cases weakness or foot drop. Typically patients are treated conservatively for 6-8 weeks with a combination of steroids, nonsteroidal anti-inflammatory drugs, physical therapy, epidural steroid injections, and rest. In the absence of symptom improvement, surgical intervention typically with a microdisectomy is recommended to patients who are refractory to at least 6 weeks of nonoperative treatment. Earlier intervention may be considered in patients with severe or progressive neurological deficits. This paper reviews the preoperative and postoperative considerations, as well as the surgical technique, for a minimally invasive/less invasive microdisectomy.
Topics: Diskectomy; Humans; Microsurgery; Minimally Invasive Surgical Procedures; Postoperative Care; Postoperative Complications
PubMed: 26945129
DOI: 10.1097/BSD.0000000000000369 -
Asian Journal of Andrology 2016Varicoceles had been recognized in clinical practice for over a century. Originally, these procedures were utilized for the management of pain but, since 1952, the... (Review)
Review
Varicoceles had been recognized in clinical practice for over a century. Originally, these procedures were utilized for the management of pain but, since 1952, the repairs had been mostly for the treatment of male infertility. However, the diagnosis and treatment of varicoceles were controversial, because the pathophysiology was not clear, the entry criteria of the studies varied among centers, and there were few randomized clinical trials. Nevertheless, clinicians continued developing techniques for the correction of varicoceles, basic scientists continued investigations on the pathophysiology of varicoceles, and new outcome data from prospective randomized trials have appeared in the world's literature. Therefore, this special edition of the Asian Journal of Andrology was proposed to report much of the new information related to varicoceles and, as a specific part of this project, the present article was developed as a comprehensive review of the evolution and refinements of the corrective procedures.
Topics: History, 20th Century; Humans; Male; Microsurgery; Spermatic Cord; Varicocele
PubMed: 26732111
DOI: 10.4103/1008-682X.170866 -
Clinics in Plastic Surgery Apr 2017Head and neck reconstructive microsurgery is constantly innovating because of a combination of multidisciplinary advances. This article examines recent innovations that... (Review)
Review
Head and neck reconstructive microsurgery is constantly innovating because of a combination of multidisciplinary advances. This article examines recent innovations that have affected the field as well as presenting research leading to future advancement. Innovations include the use of virtual surgical planning and three-dimensional printing in craniofacial reconstruction, advances in intraoperative navigation and imaging, as well as postoperative monitoring, development of minimally invasive reconstructive microsurgery techniques, integration of regenerative medicine and stem cell biology with reconstruction, and the dramatic advancement of face transplant.
Topics: Facial Transplantation; Humans; Microsurgery; Plastic Surgery Procedures; Surgery, Computer-Assisted; Surgical Flaps
PubMed: 28340666
DOI: 10.1016/j.cps.2016.11.009 -
Microsurgery May 2021
Microsurgery training during COVID-19 pandemic: Practical recommendations from the International Society for Experimental Microsurgery and International Microsurgery Simulation Society.
Topics: Animals; COVID-19; Humans; Microsurgery; Pandemics; Simulation Training
PubMed: 33606305
DOI: 10.1002/micr.30725 -
Plastic and Reconstructive Surgery Nov 2016After reading this article, the participant should be able to: 1. summarize the evolution of perforator, chimeric, and free style flaps; 2. define and give examples of...
LEARNING OBJECTIVES
After reading this article, the participant should be able to: 1. summarize the evolution of perforator, chimeric, and free style flaps; 2. define and give examples of supermicrosurgery as well as understand its application in treatment of lymphedema; and 3. appreciate the development and advancements of composite tissue allotransplantation.
SUMMARY
Although microsurgery may seem like a highly specialized niche within plastic surgery, it is more than just a discipline that focuses on small anastomoses. It is a tool and a way of thinking that allows us to embody the true tenets of plastic surgery, as quoted by Tagliocozzi. What began as a challenge of returning amputated tissue to the body and achieving wound closure has evolved into a refinement of technique and change in philosophy that empowers the plastic surgeon to work creatively to "restore, rebuild, and make whole."
Topics: History, 20th Century; History, 21st Century; Humans; Lymphedema; Microsurgery; Plastic Surgery Procedures; Surgical Flaps; Vascularized Composite Allotransplantation
PubMed: 27783011
DOI: 10.1097/PRS.0000000000002715 -
Journal of Neurosurgical Sciences Mar 2016The history of cerebral aneurysm surgery owes a great tribute to the tenacity of pioneering neurosurgeons who designed and developed the clips used to close the... (Review)
Review
The history of cerebral aneurysm surgery owes a great tribute to the tenacity of pioneering neurosurgeons who designed and developed the clips used to close the aneurysms neck. However, until the beginning of the past century, surgery of complex and challenging aneurysms was impossible due to the lack of surgical microscope and commercially available sophisticated clips. The modern era of the spring clips began in the second half of last century. Until then, only malleable metal clips and other non-metallic materials were available for intracranial aneurysms. Indeed, the earliest clips were hazardous and difficult to handle. Several neurosurgeons put their effort in developing new clip models, based on their personal experience in the treatment of cerebral aneurysms. Finally, the introduction of the surgical microscope, together with the availability of more sophisticated clips, has allowed the treatment of complex and challenging aneurysms. However, today none of the new instruments or tools for surgical therapy of aneurysms could be used safely and effectively without keeping in mind the lessons on innovative surgical techniques provided by great neurovascular surgeons. Thanks to their legacy, we can now treat many types of aneurysms that had always been considered inoperable. In this article, we review the basic principles of surgical clipping and illustrate some more advanced techniques to be used for complex aneurysms.
Topics: History, 20th Century; History, 21st Century; Humans; Intracranial Aneurysm; Microsurgery; Neurosurgical Procedures; Surgical Instruments; Vascular Surgical Procedures
PubMed: 26657306
DOI: No ID Found -
Clinics in Plastic Surgery Oct 2020Head and neck reconstructive microsurgery is constantly innovating because of a combination of multidisciplinary advances. This article examines recent innovations that... (Review)
Review
Head and neck reconstructive microsurgery is constantly innovating because of a combination of multidisciplinary advances. This article examines recent innovations that have affected the field as well as presenting research leading to future advancement. Innovations include the use of virtual surgical planning and three-dimensional printing in craniofacial reconstruction, advances in intraoperative navigation and imaging, as well as postoperative monitoring, development of minimally invasive reconstructive microsurgery techniques, integration of regenerative medicine and stem cell biology with reconstruction, and the dramatic advancement of face transplant.
Topics: Face; Facial Transplantation; Head; Humans; Microsurgery; Neck; Printing, Three-Dimensional; Plastic Surgery Procedures; Skull; Surgery, Computer-Assisted
PubMed: 32892802
DOI: 10.1016/j.cps.2020.06.009 -
American Journal of Otolaryngology 2023Tonsillectomy is one of the most frequent surgical procedures performed by ENT surgeons. The high-definition 3D exoscope showed to be a promising tool to substitute the...
Tonsillectomy is one of the most frequent surgical procedures performed by ENT surgeons. The high-definition 3D exoscope showed to be a promising tool to substitute the operating microscope in performing microsurgical procedures. However, transoral surgery might represent an innovative application of this visualization and magnification tool. In this video, a bilateral tonsillectomy was performed entirely under exoscopic visualization by an ENT resident. The high-definition 3D exoscope allowed to conduct the procedure with higher precision, with potential benefits in terms of complications and postoperative pain. Moreover, the use of the exoscope demonstrated important benefit from the educational perspective, allowing the senior surgeon to continuously monitor the resident without interruptions and position changes. The exoscopic-assisted tonsillectomy is a valuable alternative to conventional transoral procedures, and the superiority of this technique should be further investigated in cohort studies.
Topics: Humans; Neurosurgical Procedures; Tonsillectomy; Microsurgery; Microscopy
PubMed: 36302327
DOI: 10.1016/j.amjoto.2022.103674