Pub Date : 2021-09-27DOI: 10.24983/scitemed.imj.2021.00146
S. Heredero, M. I. Falguera-Uceda, A. Sanjuan
A thin profunda artery perforator flap harvested from the left thigh is shown in this video. Preoperative computed tomographic angiography is used to assess morphology of the perforators and its branches, pedicle length and vertical location of the two branches from the ischial tuberosity. These measurements are translated on to the patient. Locations of both branches are confirmed with a handheld doppler. The authors concluded that preoperative computed tomographic angiography is a useful technique to provide detailed anatomic information on morphology of perforators, course through the septum or muscle above the deep fascia and skin thickness. Computed tomographic angiography allows quick and easy assessment of the whole vascular anatomy of the leg and helps to arrive at the decision about selection of the best flaps based on the characteristics of the defect and on the individual anatomy of the patient.
{"title":"The Thin Profunda Artery Perforator Flap: Customized Design and Harvest","authors":"S. Heredero, M. I. Falguera-Uceda, A. Sanjuan","doi":"10.24983/scitemed.imj.2021.00146","DOIUrl":"https://doi.org/10.24983/scitemed.imj.2021.00146","url":null,"abstract":"A thin profunda artery perforator flap harvested from the left thigh is shown in this video. Preoperative computed tomographic angiography is used to assess morphology of the perforators and its branches, pedicle length and vertical location of the two branches from the ischial tuberosity. These measurements are translated on to the patient. Locations of both branches are confirmed with a handheld doppler. The authors concluded that preoperative computed tomographic angiography is a useful technique to provide detailed anatomic information on morphology of perforators, course through the septum or muscle above the deep fascia and skin thickness. Computed tomographic angiography allows quick and easy assessment of the whole vascular anatomy of the leg and helps to arrive at the decision about selection of the best flaps based on the characteristics of the defect and on the individual anatomy of the patient.","PeriodicalId":252045,"journal":{"name":"International Microsurgery Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132042467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-02DOI: 10.24983/scitemed.imj.2021.00145
H. Sheriff, Carmen Vega García, J. G. Lorenzo, S. L. Fernández, S. S. Kareem, Christopher Hankins, J. Masià, Manuel Fernández Garrido
The supraclavicular flap has gained popularity in recent years as a reliable and easily harvested flap with occasional anatomical variations in the course of the pedicle. The study shows how the determination of the dominant pedicle may be aided with indocyanine green angiography. Additionally, the authors demonstrate how they convert a supraclavicular flap to a free flap if the dominant pedicle is unfavorable to a pedicled flap design.
{"title":"Indocyanine Green Angiography in Salvage Planning: From Pedicled Supraclavicular Flap to Free Supraclavicular Flap","authors":"H. Sheriff, Carmen Vega García, J. G. Lorenzo, S. L. Fernández, S. S. Kareem, Christopher Hankins, J. Masià, Manuel Fernández Garrido","doi":"10.24983/scitemed.imj.2021.00145","DOIUrl":"https://doi.org/10.24983/scitemed.imj.2021.00145","url":null,"abstract":"The supraclavicular flap has gained popularity in recent years as a reliable and easily harvested flap with occasional anatomical variations in the course of the pedicle. The study shows how the determination of the dominant pedicle may be aided with indocyanine green angiography. Additionally, the authors demonstrate how they convert a supraclavicular flap to a free flap if the dominant pedicle is unfavorable to a pedicled flap design.","PeriodicalId":252045,"journal":{"name":"International Microsurgery Journal","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129274543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-25DOI: 10.24983/scitemed.imj.2021.00141
K. McGarry, M. Larsen, M. Pet, A. Moore
The implications of rebound heparin hypercoagulability following cessation of therapy in microsurgery is unreported. In this article the authors report two cases of late digit circulatory compromise shortly after withdrawal of heparin therapy. The authors also propose potential consideration for changes in perioperative anticoagulation practice to reduce this risk.
{"title":"Digital Vessel Thrombosis After Early Cessation of Heparin Therapy Following Reimplantation: Two Case Reports","authors":"K. McGarry, M. Larsen, M. Pet, A. Moore","doi":"10.24983/scitemed.imj.2021.00141","DOIUrl":"https://doi.org/10.24983/scitemed.imj.2021.00141","url":null,"abstract":"The implications of rebound heparin hypercoagulability following cessation of therapy in microsurgery is unreported. In this article the authors report two cases of late digit circulatory compromise shortly after withdrawal of heparin therapy. The authors also propose potential consideration for changes in perioperative anticoagulation practice to reduce this risk.","PeriodicalId":252045,"journal":{"name":"International Microsurgery Journal","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116460228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-31DOI: 10.24983/SCITEMED.IMJ.2021.00140
Wei F. Chen, Evelyn S Qin, Mindy J. Bowen, A. Little, J. Lensing
ICG lymphography is an invaluable tool in lymphedema management. Both immediate and delayed scans are needed when performing the study. The delayed scan needs to be performed at the time of the lymphographic plateau to appreciate the full extent of the pathology. Using a recumbent cross trainer, the lymphographic plateau can be achieved in 15 minutes following ICG injection. We have found this exercise enhanced ICG lymphography protocol worthwhile of adoption by high volume lymphedema centers to raise diagnostic accuracy and efficiency.
{"title":"Exercise-Enhanced ICG Lymphography: A Fast Approach to Diagnosis and Staging of Lymphedema","authors":"Wei F. Chen, Evelyn S Qin, Mindy J. Bowen, A. Little, J. Lensing","doi":"10.24983/SCITEMED.IMJ.2021.00140","DOIUrl":"https://doi.org/10.24983/SCITEMED.IMJ.2021.00140","url":null,"abstract":"ICG lymphography is an invaluable tool in lymphedema management. Both immediate and delayed scans are needed when performing the study. The delayed scan needs to be performed at the time of the lymphographic plateau to appreciate the full extent of the pathology. Using a recumbent cross trainer, the lymphographic plateau can be achieved in 15 minutes following ICG injection. We have found this exercise enhanced ICG lymphography protocol worthwhile of adoption by high volume lymphedema centers to raise diagnostic accuracy and efficiency.","PeriodicalId":252045,"journal":{"name":"International Microsurgery Journal","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128579503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-23DOI: 10.24983/SCITEMED.IMJ.2021.00139
B. Schwaiger, I. Tinhofer, Johannes Steinbacher, T. Rath, G. Meissl, C. Tzou
This case report describes authors successfully attempt to perform a topographically correct sural nerve transplantation in the extracranial facial nerve stem using the intraneural facial nerve stem topography proposed by Meissl in 1979. This is the first reported case of successful fascicular nerve grafting of the facial nerve stem following extensive laceration.
{"title":"Topographic Facial Nerve Transplantation","authors":"B. Schwaiger, I. Tinhofer, Johannes Steinbacher, T. Rath, G. Meissl, C. Tzou","doi":"10.24983/SCITEMED.IMJ.2021.00139","DOIUrl":"https://doi.org/10.24983/SCITEMED.IMJ.2021.00139","url":null,"abstract":"This case report describes authors successfully attempt to perform a topographically correct sural nerve transplantation in the extracranial facial nerve stem using the intraneural facial nerve stem topography proposed by Meissl in 1979. This is the first reported case of successful fascicular nerve grafting of the facial nerve stem following extensive laceration.","PeriodicalId":252045,"journal":{"name":"International Microsurgery Journal","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116112339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-09DOI: 10.24983/scitemed.imj.2020.00138
J. L. Mendoza, Jose Telich Tarriba, Arianna Ibarra Reyes
This article presented 3 cases diagnosed with chronic fatigue syndrome, severe skin adjuvant infiltration and skin ulcers.
本文报告3例慢性疲劳综合征伴严重皮肤佐剂浸润及皮肤溃疡的病例。
{"title":"Microsurgical Management of Severe Human Adjuvant Disease Due to Mineral Oil Injection","authors":"J. L. Mendoza, Jose Telich Tarriba, Arianna Ibarra Reyes","doi":"10.24983/scitemed.imj.2020.00138","DOIUrl":"https://doi.org/10.24983/scitemed.imj.2020.00138","url":null,"abstract":"This article presented 3 cases diagnosed with chronic fatigue syndrome, severe skin adjuvant infiltration and skin ulcers.","PeriodicalId":252045,"journal":{"name":"International Microsurgery Journal","volume":"6 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115500994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-09-23DOI: 10.24983/SCITEMED.IMJ.2020.00137
Suk-Bae Moon, Duhyeong Kim, S. D. Koh
VSG is a type of bariatric surgery that is accepted as the simplest but most efficient surgical modality to treat morbid obesity. A mouse model of VSG has been widely utilized to investigate the underlying mechanisms of VSG. There are numerous microsurgical techniques for VSG in mice, and we report herein a modified technique with 2 disposable micro-clamps to simplify the surgery.
{"title":"A Modified Technique of Mouse Vertical Sleeve Gastrectomy Using Two Disposable Micro-clamps","authors":"Suk-Bae Moon, Duhyeong Kim, S. D. Koh","doi":"10.24983/SCITEMED.IMJ.2020.00137","DOIUrl":"https://doi.org/10.24983/SCITEMED.IMJ.2020.00137","url":null,"abstract":"VSG is a type of bariatric surgery that is accepted as the simplest but most efficient surgical modality to treat morbid obesity. A mouse model of VSG has been widely utilized to investigate the underlying mechanisms of VSG. There are numerous microsurgical techniques for VSG in mice, and we report herein a modified technique with 2 disposable micro-clamps to simplify the surgery.","PeriodicalId":252045,"journal":{"name":"International Microsurgery Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132354153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-09-08DOI: 10.24983/scitemed.imj.2020.00135
X. Du, Yafei Liu, Xuehai Ou, Yongming Xiong, F. Cong, Yang Liu, T. Song
Avulsion injuries and replantation of the upper arm are particularly challenging in the field of traumatic microsurgery. At present, the functional recovery of the avulsion injuries upper arm after the replantation is generally not ideal enough, and there is no guideline for the surgeries. The aim of this study was to analyze the causes of failure of the upper arm replantation for avulsion injuries, summarize the upper arm replantation’s indications, and improve the replantation methods.
{"title":"Survival Analysis of Upper Arm Replantation After Avulsion Injuries","authors":"X. Du, Yafei Liu, Xuehai Ou, Yongming Xiong, F. Cong, Yang Liu, T. Song","doi":"10.24983/scitemed.imj.2020.00135","DOIUrl":"https://doi.org/10.24983/scitemed.imj.2020.00135","url":null,"abstract":"Avulsion injuries and replantation of the upper arm are particularly challenging in the field of traumatic microsurgery. At present, the functional recovery of the avulsion injuries upper arm after the replantation is generally not ideal enough, and there is no guideline for the surgeries. The aim of this study was to analyze the causes of failure of the upper arm replantation for avulsion injuries, summarize the upper arm replantation’s indications, and improve the replantation methods.","PeriodicalId":252045,"journal":{"name":"International Microsurgery Journal","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131344832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-06-18DOI: 10.24983/scitemed.imj.2020.00130
Audrey José Miranda-Díaz, C. A. Melo-Luna, Raúl Devia-Rodriguez, J. H. Reina, Maria Isabel Cadena-Rios
PEDs can be used as alternative means of magnification in microsurgery training considering that they are superior to surgical loupes in magnification, FOV and WD ranges, allowing greater operational versatility in microsurgical maneuvers, its behavior being closer to that of surgical microscopes in some optical characteristics. These devices have a lower cost than microscopes and some brands of surgical loupes, greater accessibility in the market and innovation plasticity through technological and physical applications and accessories with respect to classical magnification devices. Although PEDs own advanced technological features such as high-quality cameras and electronic loupes applications to improve the visualizations, it is important to continue the development of better technological applications and accessories for microsurgical practice, and additionally, it is important to produce evidence of its application at surgery room.
{"title":"Portable Electronic Device: An Alternative Tool for Surgical Magnification","authors":"Audrey José Miranda-Díaz, C. A. Melo-Luna, Raúl Devia-Rodriguez, J. H. Reina, Maria Isabel Cadena-Rios","doi":"10.24983/scitemed.imj.2020.00130","DOIUrl":"https://doi.org/10.24983/scitemed.imj.2020.00130","url":null,"abstract":"PEDs can be used as alternative means of magnification in microsurgery training considering that they are superior to surgical loupes in magnification, FOV and WD ranges, allowing greater operational versatility in microsurgical maneuvers, its behavior being closer to that of surgical microscopes in some optical characteristics. These devices have a lower cost than microscopes and some brands of surgical loupes, greater accessibility in the market and innovation plasticity through technological and physical applications and accessories with respect to classical magnification devices. Although PEDs own advanced technological features such as high-quality cameras and electronic loupes applications to improve the visualizations, it is important to continue the development of better technological applications and accessories for microsurgical practice, and additionally, it is important to produce evidence of its application at surgery room.","PeriodicalId":252045,"journal":{"name":"International Microsurgery Journal","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130542134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-06-10DOI: 10.24983/scitemed.imj.2020.00128
Pradipkumar R. Atodaria, V. Patel, K. Atodaria, N. Vithalani, Mishal Shah
Authors proposed a simple innovative technique that helps in achieving a clear surgical field at the time of venous repair by diverting the venous bleeding through a glove finger and at the same time preventing venous congestion of the flap.
{"title":"An Innovative Technique to Maintain a Clear Surgical Field During Venous Anastomosis in Free Flap Transfer for Head and Neck Reconstruction","authors":"Pradipkumar R. Atodaria, V. Patel, K. Atodaria, N. Vithalani, Mishal Shah","doi":"10.24983/scitemed.imj.2020.00128","DOIUrl":"https://doi.org/10.24983/scitemed.imj.2020.00128","url":null,"abstract":"Authors proposed a simple innovative technique that helps in achieving a clear surgical field at the time of venous repair by diverting the venous bleeding through a glove finger and at the same time preventing venous congestion of the flap.","PeriodicalId":252045,"journal":{"name":"International Microsurgery Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115804644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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