Microsurgery最新文献

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Salvage Reconstruction With Recycled Flap Pedicles in Head-and-Neck Surgery: A Report of Two Cases 再生皮瓣蒂在头颈部手术中的挽救性重建：附2例报告。

IF 1.7 3区医学 Q3 SURGERY

Microsurgery

Pub Date : 2025-11-05 DOI: 10.1002/micr.70141

Akatsuki Kondo, Hiroki Umezawa, Marie Taga, Rei Ogawa

Free-flap reconstruction of head-and-neck defects is often complicated by a vessel-depleted neck after prior surgery or radiotherapy. Conventional alternatives—such as using contralateral vessels, distant recipient vessels, or interpositional vein grafts—are technically demanding and associated with additional risks. We present two salvage reconstructions in which the vascular pedicle of a previously transferred free flap was reused as recipient vessels when standard options were unavailable. A 79-year-old man developed exposure of a titanium mandibular plate 6 years after mandibular resection reconstructed with a free anterolateral thigh (ALT) flap. Preoperative ultrasonography and contrast-enhanced computed tomography confirmed patency of the ALT flap pedicle despite dense fibrosis. After removal of the exposed plate, the pedicle was carefully dissected, and a scapular osteocutaneous flap (9 × 12 cm skin, 2.5 × 11 cm bone) was anastomosed to the lateral circumflex femoral artery and vein of the existing pedicle. Both flaps survived, and postoperative cholecystitis was managed conservatively. In another case, a 63-year-old man with a history of reconstruction using a free ALT flap for recurrent temporal meningioma developed another recurrence 2 years later. Imaging confirmed patency of the previous pedicle. During salvage surgery, the pedicle was dissected, and a free rectus-abdominis flap (9 × 20 cm) was harvested. Arterial anastomosis was performed to the artery of the previous ALT pedicle, and venous drainage was established directly into the internal jugular vein due to insufficient pedicle vein caliber. Intraoperative indocyanine green fluorescence angiography confirmed flap perfusion, and both flaps healed uneventfully. These cases show that reusing the vascular pedicle of a prior free flap may provide a practical salvage option in vessel-depleted necks. Careful preoperative imaging, intraoperative assessment of flap viability, and meticulous microsurgical technique are essential for success. This approach suggests that pedicle reuse may simplify salvage reconstruction while preserving previously transferred flaps when conventional recipient vessels are unavailable.

头颈部缺损的自由皮瓣重建常因先前手术或放疗后颈部血管衰竭而复杂化。传统的替代方法，如使用对侧血管、远端受体血管或间置静脉移植，在技术上要求很高，并且有额外的风险。我们提出了两种打捞重建，其中先前转移的自由皮瓣的血管蒂在标准选择不可用时被重用为受体血管。一名79岁男性在用游离大腿前外侧皮瓣重建下颌骨切除6年后出现钛下颌骨板外露。术前超声检查和增强计算机断层扫描证实，尽管有致密纤维化，但ALT皮瓣蒂通畅。取出暴露钢板后，仔细解剖椎弓根，将9 × 12 cm皮肤，2.5 × 11 cm骨的肩胛骨皮瓣与现有椎弓根的旋股外侧动脉和静脉吻合。两个皮瓣存活，术后胆囊炎得到保守治疗。另一例患者为63岁男性，曾行游离ALT皮瓣重建颞叶脑膜瘤，2年后再次复发。影像学证实前椎弓根通畅。在抢救手术中，切除蒂，收获游离腹直肌皮瓣（9 × 20 cm）。对原ALT蒂动脉进行动脉吻合，因蒂静脉口径不足，直接建立静脉引流至颈内静脉。术中吲哚菁绿荧光血管造影证实皮瓣灌注，两个皮瓣均顺利愈合。这些病例表明，重新使用先前自由皮瓣的血管蒂可能为血管衰竭的颈部提供实用的挽救选择。仔细的术前影像，术中评估皮瓣的生存能力和细致的显微手术技术是成功的关键。该方法表明，当传统的受体血管不可用时，蒂重复使用可以简化修复重建，同时保留先前转移的皮瓣。

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引用次数: 0

Donor Site Morbidity in Fibula Free Flaps: A Technique-Dependent Comparative Analysis of Donor Site Wound Healing 腓骨游离皮瓣供区发病率：供区伤口愈合的技术依赖性比较分析。

IF 1.7 3区医学 Q3 SURGERY

Microsurgery

Pub Date : 2025-11-05 DOI: 10.1002/micr.70139

Jakob Fenske, Henri Kreiker, Philipp Lampert, Claudius Steffen, Steffen Koerdt, Susanne Nahles, Kilian Kreutzer, Max Heiland, Carsten Rendenbach, Norbert Neckel

Background

The fibula free flap (FFF) is a mainstay in maxillofacial reconstruction, yet donor site morbidity remains a significant clinical concern. Closure technique is a key factor influencing complication rates, but comparative data remain heterogeneous. This study provides a technique-dependent analysis of 60-day donor site wound healing in FFF with skin paddles and reports a two-stage closure approach.

Methods

A retrospective review of 211 patients undergoing FFF between 2017 and 2024 was conducted. Donor site complications within the first 60 postoperative days were assessed and stratified by closure technique: one-stage split-thickness skin grafting (STSG) with or without negative pressure wound therapy (NPWT), and a two-stage closure consisting of one-week NPWT followed by STSG. Multivariate logistic regression was applied to identify independent predictors for complications.

Results

Overall, 50.2% of patients experienced donor site complications, with wound healing disorders (31.8%) and (partial) skin necrosis (23.7%) most prevalent. Regarding wound closure, STSG coverage without NPWT was associated with the highest morbidity and a complication rate of 91.0%. Despite being limited in sample size, the two-stage closure, despite larger skin defects, showed complication rates comparable to one-stage closure with NPWT. Multivariate analysis identified STSG with NPWT (OR 0.1 [0.01; 0.4], p = 0.002) and two-stage closure (OR 0.1 [0.01; 0.5], p = 0.01) as protective factors for wound healing complications.

Conclusion

Donor site morbidity following FFF harvest with skin paddles is significantly impacted by closure technique. Wound management using one- or two-stage STSG with NPWT is preferred. Initial results of the two-stage closure indicate potentially beneficial outcomes for extensive defects and warrant further prospective validation.

背景：腓骨游离皮瓣（FFF）是颌面部重建的主流，但供体部位的发病率仍然是一个重要的临床问题。闭合技术是影响并发症发生率的关键因素，但比较数据仍不一致。本研究提供了一项基于技术的FFF供体部位皮肤划片60天伤口愈合分析，并报告了一种两阶段闭合方法。方法：回顾性分析2017年至2024年211例FFF患者。术后前60天内供体部位并发症通过闭合技术进行评估和分层：一期裂厚皮肤移植（STSG）加或不加负压伤口治疗（NPWT），两期闭合，包括一周NPWT后STSG。应用多元逻辑回归确定并发症的独立预测因素。结果：总体而言，50.2%的患者出现供体部位并发症，其中伤口愈合障碍（31.8%）和（部分）皮肤坏死（23.7%）最为常见。关于伤口闭合，无NPWT的STSG覆盖与最高的发病率和91.0%的并发症相关。尽管样本量有限，两阶段闭合，尽管较大的皮肤缺损，显示出与NPWT一期闭合相当的并发症发生率。多因素分析发现，STSG合并NPWT （OR 0.1 [0.01; 0.4], p = 0.002）和两期缝合（OR 0.1 [0.01; 0.5], p = 0.01）是伤口愈合并发症的保护因素。结论：闭合技术可显著影响皮肤划片取FFF后供区发病率。首选采用一阶段或两阶段STSG + NPWT进行伤口管理。两阶段封闭的初步结果表明对广泛缺陷的潜在有益结果，并保证进一步的前瞻性验证。

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引用次数: 0

Addressing Binocular Vision Challenges in Microsurgery 解决显微外科中的双目视觉挑战。

IF 1.7 3区医学 Q3 SURGERY

Microsurgery

Pub Date : 2025-11-05 DOI: 10.1002/micr.70135

Alfredo Dente, Emanuela Manna, Sara Poggi, Stefano Bacchini, Alberto Bolletta, Emanuele Cigna

引用次数: 0

Use of Lateral Intercostal Artery Perforator Flap for the Donor Site Closure of Latissimus Dorsi Muscle Flap 肋间外侧动脉穿支皮瓣在背阔肌皮瓣供区闭合中的应用。

IF 1.7 3区医学 Q3 SURGERY

Microsurgery

Pub Date : 2025-11-04 DOI: 10.1002/micr.70137

Takashi Kageyama, Akio Kawamoto, Hokuto Morii, Koichi Inokuchi

引用次数: 0

Robotic-Assisted Lymphovenous Anastomosis: A Systematic Review of Surgical Outcomes 机器人辅助淋巴静脉吻合术：手术结果的系统回顾

IF 1.7 3区医学 Q3 SURGERY

Microsurgery

Pub Date : 2025-11-01 DOI: 10.1002/micr.70136

Suat Morkuzu, Berk B. Ozmen, Ceyda Buyuker, Ahmet Ozturk, Elif Arzum Fidan, Mehmet Ozdemir, Risal S. Djohan, Graham S. Schwarz, L. Scott Levin

Background

Lymphovenous anastomosis (LVA) is an established microsurgical treatment for lymphedema. Robotic assistance in LVA procedures (RoboLVA) has emerged as a promising advancement, yet its effectiveness and clinical outcomes have yet to be systematically evaluated.

Methods

A systematic review following PRISMA guidelines was conducted using PubMed and manual searching for studies published between January 2000 and December 2024. Included studies reported outcomes of robotic-assisted LVA procedures. Risk of bias was assessed using appropriate tools including RoB 2 and ROBINS-I.

Results

Thirteen studies comprising 257 patients who underwent 225 robotic-assisted lymphovenous anastomoses were included. Mean anastomosis duration ranged from 16 to 25.3 min. Initial patency rates were 97%–100%, with a 12-month patency of 66.6% for RoboLVA versus 81.8% for manual LVA. Volume reduction was achieved in 86% of upper extremity cases (mean: −7.6%) and 72% of lower extremity cases (mean: −1.4%). Complications were minimal, primarily including vessels anastomotic thrombosis and wound infections. Surgeon satisfaction scores were lower for RoboLVA (3.1 ± 0.6) compared to manual LVA (3.8 ± 0.8), though ergonomic benefits were noted.

Conclusions

RoboLVA demonstrates comparable technical success and clinical outcomes to manual techniques, with high initial patency rates and a significant number of patients who experienced volume reductions in treated limbs. While operative times are longer, a clear learning curve effect suggests improved efficiency with experience. The technology shows promise for lymphedema treatment, though larger randomized trials with longer follow-up are needed to establish long-term comparative efficacy.

背景淋巴静脉吻合（LVA）是一种成熟的显微外科治疗淋巴水肿的方法。机器人辅助LVA手术（RoboLVA）已经成为一个有前途的进步，但其有效性和临床结果尚未得到系统的评估。方法根据PRISMA指南，使用PubMed和人工检索2000年1月至2024年12月间发表的研究进行系统评价。纳入的研究报告了机器人辅助LVA手术的结果。使用适当的工具评估偏倚风险，包括rob2和ROBINS-I。结果纳入13项研究，257例患者接受了225例机器人辅助淋巴静脉吻合术。平均吻合时间16 ~ 25.3 min。初始通畅率为97%-100%，RoboLVA的12个月通畅率为66.6%，而手动LVA为81.8%。86%的上肢病例（平均：- 7.6%）和72%的下肢病例（平均：- 1.4%）实现了体积缩小。并发症极少，主要包括血管吻合口血栓和伤口感染。与手动LVA（3.8±0.8）相比，RoboLVA的外科医生满意度得分（3.1±0.6）较低，尽管注意到符合人体工程学的益处。结论：RoboLVA在技术上取得了与手工技术相当的成功和临床结果，具有较高的初始通畅率和大量患者经历了治疗肢体体积缩小。虽然手术时间较长，但明显的学习曲线效应表明，随着经验的增加，效率有所提高。这项技术显示了淋巴水肿治疗的前景，尽管需要更大规模的随机试验和更长的随访时间来确定长期的比较疗效。

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引用次数: 0

Efficacy of Indocyanine Green Angiography for Predicting Subclinical Intraoperative Thrombosis During Head and Neck Microvascular Free Tissue Transfer 吲哚菁绿血管造影预测头颈部微血管游离组织移植术中亚临床血栓形成的疗效。

IF 1.7 3区医学 Q3 SURGERY

Microsurgery

Pub Date : 2025-10-29 DOI: 10.1002/micr.70133

Aaron L. Zebolsky, Daron Harrison, Travis Clarke, Tate Naylor, Anas Eid

Background

Traditional intraoperative flap assessments like capillary refill and distal bleeding can provide insight on flap viability and circulation; however, it is difficult to assess the cause of the vascular compromise or detect early “subclinical” thrombosis. This study was designed to determine the sensitivity and specificity of indocyanine green angiography (ICGA) in detecting subclinical intraoperative thrombosis during HN-MFTT.

Methods

A retrospective cohort study was performed on HN-MFTT cases at a single institution. Flaps where ICGA was employed after completing the anastomosis were reviewed. The frequency of subclinical intraoperative thrombosis was compared between cases with normal and abnormal ICGA prompting vessel exploration.

Results

A total of 67 patients who had intraoperative ICGA were included (male, 55 [82.1%]; median age, 64 [interquartile range, 56–72]). Most underwent anterolateral thigh (n = 56, 83.6%), fibula (n = 13, 19.4%), or radial forearm (n = 12, 17.9%) reconstruction. Of the flaps included, 11 (16.5%) had abnormal ICGA and 9 (13.4%) had subclinical thrombosis. For predicting subclinical thrombosis, abnormal ICGA had a sensitivity of 100% (95% CI: 66.4–100), specificity of 96.6% (95% CI: 88.1–99.6), positive predictive value of 81.8% (95% CI: 48.2–97.7), and negative predictive value of 100% (95% CI: 93.6–100). There was no significant difference in takebacks, flap loss, and complications between those with normal and abnormal ICGA (p > 0.05 for all tests).

Conclusion

ICGA is a sensitive and specific technique for detecting intraoperative, subclinical thrombosis during HN-MFTT in properly selected patients. This warrants future research to define indications for ICGA use and evaluate how this technology affects clinical outcomes.

传统的术中皮瓣评估，如毛细血管充盈和远端出血，可以深入了解皮瓣的活力和循环；然而，很难评估血管受损的原因或发现早期“亚临床”血栓形成。本研究旨在确定吲哚菁绿血管造影（ICGA）检测HN-MFTT术中亚临床血栓形成的敏感性和特异性。方法：对同一医院的HN-MFTT病例进行回顾性队列研究。对吻合完成后采用ICGA的皮瓣进行了回顾性分析。比较ICGA正常与异常提示探查血管的患者术中亚临床血栓形成的频率。结果：共纳入术中ICGA患者67例（男性55例[82.1%]，中位年龄64例[四分位数范围56 ~ 72]）。大多数接受了股骨前外侧重建（n = 56, 83.6%）、腓骨重建（n = 13, 19.4%）或前臂桡骨重建（n = 12, 17.9%）。其中11个（16.5%）瓣有ICGA异常，9个（13.4%）瓣有亚临床血栓形成。异常ICGA预测亚临床血栓的敏感性为100% (95% CI: 66.4-100)，特异性为96.6% (95% CI: 88.1-99.6)，阳性预测值为81.8% (95% CI: 48.2-97.7)，阴性预测值为100% （95% CI: 93.6-100）。正常和异常ICGA患者的反止、皮瓣丢失和并发症无显著差异（p < 0.05）。结论：ICGA是一种灵敏、特异的检测HN-MFTT术中亚临床血栓形成的技术。这保证了未来的研究，以确定ICGA使用的适应症，并评估该技术如何影响临床结果。

{"title":"Efficacy of Indocyanine Green Angiography for Predicting Subclinical Intraoperative Thrombosis During Head and Neck Microvascular Free Tissue Transfer","authors":"Aaron L. Zebolsky, Daron Harrison, Travis Clarke, Tate Naylor, Anas Eid","doi":"10.1002/micr.70133","DOIUrl":"10.1002/micr.70133","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Traditional intraoperative flap assessments like capillary refill and distal bleeding can provide insight on flap viability and circulation; however, it is difficult to assess the cause of the vascular compromise or detect early “subclinical” thrombosis. This study was designed to determine the sensitivity and specificity of indocyanine green angiography (ICGA) in detecting subclinical intraoperative thrombosis during HN-MFTT.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective cohort study was performed on HN-MFTT cases at a single institution. Flaps where ICGA was employed after completing the anastomosis were reviewed. The frequency of subclinical intraoperative thrombosis was compared between cases with normal and abnormal ICGA prompting vessel exploration.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 67 patients who had intraoperative ICGA were included (male, 55 [82.1%]; median age, 64 [interquartile range, 56–72]). Most underwent anterolateral thigh (<i>n</i> = 56, 83.6%), fibula (<i>n</i> = 13, 19.4%), or radial forearm (<i>n</i> = 12, 17.9%) reconstruction. Of the flaps included, 11 (16.5%) had abnormal ICGA and 9 (13.4%) had subclinical thrombosis. For predicting subclinical thrombosis, abnormal ICGA had a sensitivity of 100% (95% CI: 66.4–100), specificity of 96.6% (95% CI: 88.1–99.6), positive predictive value of 81.8% (95% CI: 48.2–97.7), and negative predictive value of 100% (95% CI: 93.6–100). There was no significant difference in takebacks, flap loss, and complications between those with normal and abnormal ICGA (<i>p</i> > 0.05 for all tests).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>ICGA is a sensitive and specific technique for detecting intraoperative, subclinical thrombosis during HN-MFTT in properly selected patients. This warrants future research to define indications for ICGA use and evaluate how this technology affects clinical outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":18600,"journal":{"name":"Microsurgery","volume":"45 8","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145391214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Donor Site Morbidity Assessment Using Elastography Following Peroneal Artery-Based Flap Harvest: A Pilot Study 腓骨动脉皮瓣摘取后用弹性成像评估供体部位发病率：一项初步研究。

IF 1.7 3区医学 Q3 SURGERY

Microsurgery

Pub Date : 2025-10-29 DOI: 10.1002/micr.70132

Ying-Sheng Lin, Chih-Chien Hung

Introduction

Peroneal artery-based free flaps, including fibula and peroneal flaps, are commonly used in reconstructive surgeries. Despite their clinical utility, donor site morbidity remains a concern. Elastography is a non-invasive imaging technique that quantifies the elasticity or stiffness of soft tissues. This study aimed to utilize elastography to assess muscle stiffness changes at donor sites following peroneal artery-based flap harvest.

Patients and Methods

Between 2020 and 2022, nine patients underwent peroneal artery-based flap reconstruction for head and neck defects. Donor site morbidity was evaluated using elastography and American Orthopedic Foot and Ankle Society (AOFAS) scores at multiple time points: preoperatively, and at 1 month, 3 months, and 6 months postoperatively. Paired t-tests were used to compare preoperative and postoperative measurements at the flap donor site.

Results

Six of the nine patients completed all postoperative evaluations. Analysis revealed that only the soleus muscle demonstrated a statistically significant increase in stiffness on elastography at the 6-month postoperative assessment (medial soleus: axial measurements increased from 51.5 ± 41.4 kPa preoperatively to 107.9 ± 75.4 kPa postoperatively, p = 0.04; lateral soleus: axial measurements increased from 65.5 ± 42.2 kPa preoperatively to 76.7 ± 43.1 kPa postoperatively, p = 0.04). However, no statistically significant differences were observed between the preoperative and 6-month postoperative AOFAS functional scores.

Conclusion

Peroneal artery-based flap harvest did not result in clinically significant functional impairment at the donor site six months postoperatively, despite objective increases in soleus muscle stiffness detected by elastography.

腓骨动脉游离皮瓣，包括腓骨和腓骨皮瓣，常用于重建手术。尽管它们的临床应用，供体部位的发病率仍然是一个问题。弹性成像是一种量化软组织弹性或刚度的非侵入性成像技术。本研究旨在利用弹性成像来评估腓骨动脉皮瓣切除后供区肌肉僵硬度的变化。患者和方法：在2020年至2022年期间，9例患者接受了以腓动脉为基础的头颈部缺损皮瓣重建。在术前、术后1个月、3个月和6个月的多个时间点，使用弹性成像和美国骨科足踝学会（AOFAS）评分来评估供体部位的发病率。配对t检验用于比较皮瓣供区术前和术后测量值。结果：9例患者中有6例完成了所有术后评估。分析显示，在术后6个月的评估中，只有比目鱼肌的弹性成像刚度有统计学意义的增加（比目鱼内侧：轴向测量从术前51.5±41.4 kPa增加到术后107.9±75.4 kPa, p = 0.04；比目鱼外侧：轴向测量从术前65.5±42.2 kPa增加到术后76.7±43.1 kPa, p = 0.04）。然而，术前和术后6个月的AOFAS功能评分无统计学差异。结论：腓骨动脉皮瓣切除术后6个月没有导致供区明显的临床功能损害，尽管通过弹性成像检测到比目鱼肌僵硬度客观增加。

{"title":"Donor Site Morbidity Assessment Using Elastography Following Peroneal Artery-Based Flap Harvest: A Pilot Study","authors":"Ying-Sheng Lin, Chih-Chien Hung","doi":"10.1002/micr.70132","DOIUrl":"10.1002/micr.70132","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Peroneal artery-based free flaps, including fibula and peroneal flaps, are commonly used in reconstructive surgeries. Despite their clinical utility, donor site morbidity remains a concern. Elastography is a non-invasive imaging technique that quantifies the elasticity or stiffness of soft tissues. This study aimed to utilize elastography to assess muscle stiffness changes at donor sites following peroneal artery-based flap harvest.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Patients and Methods</h3>\u0000 \u0000 <p>Between 2020 and 2022, nine patients underwent peroneal artery-based flap reconstruction for head and neck defects. Donor site morbidity was evaluated using elastography and American Orthopedic Foot and Ankle Society (AOFAS) scores at multiple time points: preoperatively, and at 1 month, 3 months, and 6 months postoperatively. Paired t-tests were used to compare preoperative and postoperative measurements at the flap donor site.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Six of the nine patients completed all postoperative evaluations. Analysis revealed that only the soleus muscle demonstrated a statistically significant increase in stiffness on elastography at the 6-month postoperative assessment (medial soleus: axial measurements increased from 51.5 ± 41.4 kPa preoperatively to 107.9 ± 75.4 kPa postoperatively, <i>p</i> = 0.04; lateral soleus: axial measurements increased from 65.5 ± 42.2 kPa preoperatively to 76.7 ± 43.1 kPa postoperatively, <i>p</i> = 0.04). However, no statistically significant differences were observed between the preoperative and 6-month postoperative AOFAS functional scores.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Peroneal artery-based flap harvest did not result in clinically significant functional impairment at the donor site six months postoperatively, despite objective increases in soleus muscle stiffness detected by elastography.</p>\u0000 </section>\u0000 </div>","PeriodicalId":18600,"journal":{"name":"Microsurgery","volume":"45 8","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145391245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Optimizing Peripheral Nerve Surgeries Using High-Resolution Ultrasonography 利用高分辨率超声技术优化周围神经手术

IF 1.7 3区医学 Q3 SURGERY

Microsurgery

Pub Date : 2025-10-25 DOI: 10.1002/micr.70130

Hilmi Berkan Abacıoğlu, Berkay Yalçınkaya, Ahmet Furkan Çolak, Alp Çetin

引用次数: 0

The Internal Mammary Artery in Tertiary Breast Reconstruction: Still a Reliable Workhorse? 乳腺内动脉在第三次乳房重建术中仍是可靠的工具吗？

IF 1.7 3区医学 Q3 SURGERY

Microsurgery

Pub Date : 2025-10-25 DOI: 10.1002/micr.70134

Ferruccio Paganini, Cristina Garusi

引用次数: 0

Access to Immediate Lymphatic Reconstruction: An Evaluation of the National Trend in 60,451 Patients 获得即时淋巴重建：60451例患者的全国趋势评估。

IF 1.7 3区医学 Q3 SURGERY

Microsurgery

Pub Date : 2025-10-24 DOI: 10.1002/micr.70131

Shahnur Ahmed, Jackson A. Baril, R. Jason VonDerHaar, Carla S. Fisher, Mary E. Lester, Aladdin H. Hassanein, Rachel M. Danforth

引用次数: 0

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