Adenosquamous carcinoma of the vulva: Rare tumor with unusual clinical presentation.

A 52-year-old female presented with labial ulcer of 4-month duration. Examination showed 1 cm × 1 cm single superficial ulcer in the right labium majus. Excision was done, and histopathologic examination revealed surface ulceration and dermal invasion by epithelial neoplasm formed of biphasic proliferation of squamoid and gland-forming cells.

Microvascular anastomosis in an optical cavity: is it possible?

Microsurgery is one of the highly interesting surgical procedures that can be performed using different applications and in different specialties, including plastic surgery. The endoscope is a popular instrument used in many fields, including plastic surgery. Although the operating microscope is still a must for microsurgical performance, microsurgery could be performed, depending on the experiences and facilities, by using other visual-assisting equipment.

Endoscope-assisted lymphatic microanastomoses: concept, results, expectations, and applications.

Autologous lymph-vessel transplantation is one of the microsurgical procedures that should be performed with good magnification and visualization of the fine lymphatic vessels. It is the preferable surgical intervention in the authors' institute for patients with secondary lymphedema. Although this technique has been performed under the operating microscope, in this study, the authors have experimentally investigated the possibility of performance of lymphatic vessel anastomoses of the rat thoracic duct with the visual assistance of the endoscope, and compared it with the conventional operating microscope, not for its replacement, but as an alternative operating tool which may be preferred in certain situations.

Microscopic vs. endoscopic assisted harvesting and transplantation of free groin flaps: a comparative experimental study in the rat model.

Advances in video technology can now permit the surgeon to view a microsurgical field on a video monitor without the necessity of physically looking through the microscope eyepieces. In this project, we investigated the possibility of the performance of rat groin free-flap harvesting and transplantation with the visual assistance of the endoscope, and compared it with the conventional operating microscope, not for its replacement but as an alternative operating tool that may be preferred by a younger generation of microsurgeons or in certain operative and financial situations. Although there were not many technical differences between the microscope and the endoscope, we recorded significantly shorter operative, harvesting, and transplantation times by using the endoscope.