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Lymphovenous anastomoses with three-dimensional digital hybrid visualization: improving ergonomics for supermicrosurgery in lymphedema

Will PA, Hirche C, Berner JE, Kneser U, Gazyakan E

The conventional approach of looking down a microscope to perform microsurgical procedures is associated with occupational injuries, anti-ergonomic postures, and increased tremor and fatigue, all of which predispose microsurgeons to...
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Pedicled sural flaps versus free anterolateral thigh flaps in reconstruction of dorsal foot and ankle defects in children: a systematic review

Beecher SM, Cahill KC, Theopold C

Background This systematic review compared free anterolateral thigh (ALT) flaps versus pedicled distally based sural artery (DBSA) flaps for reconstruction of soft tissue defects of dorsal foot and ankle in...
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Microsurgery Versus Endovascular Treatment - Which Is Adequate for Initial Treatment of Spinal Dural Arteriovenous Fistula: A Case Series

Oh Y, Heo Y, Jeon SR, Roh SW, Park JH

Objective: Considering the adverse natural history of spinal dural arteriovenous fistula (sDAVF), clinical outcomes may be worsened if the initial occlusive trial does not achieve complete fistula occlusion. We aimed...
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A hands-on microsurgery course for nurses

Satkunanantham M, Sechachalam S

Microsurgical procedures are time-consuming and sometimes fatigue-inducing. However, a skilled assistant and scrub nurse can help surgery be performed more smoothly and rapidly. Three microsurgical simulation courses were held for...
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Survey of Microsurgery Training Availability in US Urology Residency Programs

Masterson TA, Nackeeran S, Rainer Q, Hauser N, Marcovich R, Ramasamy R

Purpose: The Accreditation Council of Graduate Medical Education (ACGME) establishes surgical minimum numbers of cases for urologic training. Currently there is not a requirement for microsurgery, likely from a belief...
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Subunit Principle: Key Element for Plantar Reconstruction with Free Sensate Flaps

Sanchez BYA, Gallardo DDL, Espinoza JAG, Soto DF

Purpose: Plantar wounds represent a frequent practice of the plastic and reconstructive surgeon. The uniqueness and high complexity of the microarchitecture and biomechanics of the plantar region explain the complex...
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Microsurgical treatment of lateral cavernous sinus wall dural arteriovenous fistula with large venous aneurysm: A case report

Kim DJ, Park W, Park JC, Ahn JS, Lee DH, Byun J

We report a case of lateral cavernous sinus wall dural arteriovenous fistula (DAVF) accompanied large venous aneurysm which is presented intracerebral hemorrhage (ICH). A 58-year-old male patient came to emergency...
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Head and neck reconstruction using free flaps: a 30-year medical record review

Suh JM, Chung CH, Chang YJ

Background: The free flap surgical method is useful for the reconstruction of head and neck defects. This study retrospectively analyzed the results of head and neck reconstructions using various types...
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Vascularized bone grafts for post-traumatic defects in the upper extremity

Petrella G, Tosi D, Pantaleoni F, Adani R

Vascularized bone grafts (VBGs) are widely employed to reconstruct upper extremity bone defects. Conventional bone grafting is generally used to treat defects smaller than 5–6 cm, when tissue vascularization is...
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Microsurgical treatment for the recurrent cerebral aneurysm initially treated using coil embolization

Lee J, Kim ST, Shim YW, Back JW, Ko JH, Lee WH, Paeng SH, Pyo SY, Heo YJ, Jeong HW, Jeong YG

Objective: Microsurgical treatment could be a good alternative for the treatment of recurrent cerebral aneurysm after coil embolization. The purpose of this study was to present our experience of microsurgical...
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Role of microsurgery for treatment of posterior circulation aneurysms in the endovascular era

Kim DJ, Heo Y, Byun J, Park JC, Ahn JS, Lee DH, Kwun BD, Park W

Objective: Several studies have reported that the outcomes of endovascular treatment were superior to those of microsurgical treatment for posterior circulation aneurysms. Thus, this study compared outcomes of endovascular and...
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Oncologic Outcome and Predictor of Local Recurrence in Patients with Glottic Cancer Treated with Transoral Laser Microsurgery

Kim SW, Kim HS, Nam WJ, Lee SH, Jin SM

Background and Objectives Transoral laser microsurgery (TLM) is minimally invasive and has become the standard approach for early and intermediate stage laryngeal cancers. Many studies show that the oncologic results...
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The utility of three-dimensional models in complex microsurgical reconstruction

Ogunleye AA, Deptula PL, Inchauste SM, Zelones JT, Walters S, Gifford K, LeCastillo C, Napel S, Fleischmann D, Nguyen DH

Background Three-dimensional (3D) model printing improves visualization of anatomical structures in space compared to two-dimensional (2D) data and creates an exact model of the surgical site that can be used...
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Complex oncologic resection and reconstruction of the scalp: Predictors of morbidity and mortality

Tecce MG, Othman S, Mauch JT, Nathan S, Tilahun E, Broach RB, Azoury SC, Kovach SJ

Background: Oncologic resection of the scalp confers several obstacles to the reconstructive surgeon dependent upon patient-specific and wound-specific factors. We aim to describe our experiences with various reconstructive methods, and...
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The application of “bone window technique” using piezoelectric saws and a CAD/CAM-guided surgical stent in endodontic microsurgery on a mandibular molar case

Kim U, Kim S, Kim E

Apical surgery for a mandibular molar is still challenging for many reasons. This report describes the applications of computer-guided cortical ‘bone-window technique’ using piezoelectric saws that prevented any nerve damage...
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Transanal Endoscopic Microsurgery: Endoscopy Assisted Treatment of Colorectal Anastomotic Stenosis

D’Ambrosio G, Lamazza A, Palma R, Picchetto A, Panetta C, Trecca A, Pontone S, Lezoche E

Transanal endoscopic microsurgery (TEM) is a type of natural orifice transluminal endoscopic surgery, developed for rectal tumors and used also to treat other rectal diseases. Anastomotic complications after colorectal surgery,...
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Challenges in Microsurgical Free Tissue Transfer for a 1-Year-Old Child

Singh H, Khazanchi RK, Mahendru S, Jain A

Challenges faced during complex reconstructions in the pediatric age group are rarely discussed in literature. This study is to share our experience in a 1-year-old patient. The patient had an...
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Microvascular decompression of the posterior cerebral artery for treatment of oculomotor nerve palsy

Pomeraniec IJ, Ding D, Ksendzovsky A, Liu KC

Oculomotor nerve palsy resulting from non-aneurysmal vascular compression is extremely rare. Microvascular decompression (MVD) has been previously shown to improve oculomotor nerve palsy (ONP) secondary to arterial compression. A 71-year-old...
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The Exoscope versus operating microscope in microvascular surgery: A simulation non-inferiority trial

Pafitanis , Hadjiandreou M, Alamri A, Uff C, Walsh D, Myers S

Background The Exoscope is a novel high-definition digital camera system. There is limited evidence signifying the use of exoscopic devices in microsurgery. This trial objectively assesses the effects of the...
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Feasibility and Advantages of Transanal Minimally Invasive Surgery (TAMIS) for Various Lesions in the Rectum

Kang MK, Shin R, Sohn Bh, Heo Sc

Purpose: We report our experience in the use of transanal minimally invasive surgery (TAMIS) and the feasibility and safety of this surgical technique in operating for various rectal diseases that...
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