The efficiency of microsurgical enucleation of zygote and two-cell mice embryos was found to increase sharply 1-1.5 h before cleavage in "late" embryos, and 5-6 h before cleavage in "early" embryos. In "late" embryos, the share of successful enucleations constitutes 80-90%, and in "early" ones, 10-30%. This phenomenon is not connected with cytoskeleton restructuring during the cell cycle, but is determined by the increase in intracellular osmotic pressure at late stages of cell cycle. This process results in the increased elasticity of the embryo and, consequently, the penetration of surgical instruments and removal of karyoplast occurs more efficiently. The artificial increase in the intracellular pressure by addition of distilled water to culture medium also increases the efficiency of microsurgical enucleation.
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J Reconstr Microsurg
January 2025
Division of Plastic and Reconstructive Surgery, University of Wisconsin, Madison, Wisconsin.
Background: High levels of precision, as well as controlled, efficient motions, are important components of microsurgical technique and success. An accurate and objective means of skill assessment is lacking in resident microsurgical education. Here we employ three-dimensional, real-time motion-tracking technology to analyze hand and instrument motion during microsurgical anastomoses.
View Article and Find Full Text PDFClin Adv Periodontics
January 2025
Department of Dentistry and Oral Surgery, Keio University School of Medicine, Tokyo, Japan.
Background: Successful periodontal regeneration depends on primary wound closure and interdental papilla preservation. In this case study, we introduce a novel triangle papilla access approach (T-PAA) performed under a surgical microscope for treating interdental bone defects. In this novel approach, buccal incisions were used to access root surfaces and bone defects, avoiding interdental papilla incisions and preventing papillary collapse and necrosis.
View Article and Find Full Text PDFBrain Sci
December 2024
Department of Neurosurgery, ASST Ovest Milano Legnano Hospital, 20025 Legnano, Italy.
Robotic-assisted surgery has revolutionised modern medicine, enabling greater precision and control, particularly in microsurgical procedures. This systematic review evaluates the current state of robotic-assisted surgery across various specialties, focusing on four major robotic systems: Symani, Da Vinci, ZEUS, and MUSA. The review systematically analyses the effectiveness of these systems in performing vascular, lymphatic, and nervous anastomoses, comparing key metrics such as procedure time, success rates, and learning curves against manual techniques.
View Article and Find Full Text PDFNeurospine
December 2024
Department of Neurosurgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Our research examines the learning curves of various minimally invasive lumbar surgeries to determine the benefits and challenges they pose to both surgeons and patients. The advent of microsurgical techniques since the 1960s, including advances in fluoroscopic navigation and intraoperative computed tomography, has significantly shifted spinal surgery from open to minimally invasive methods. This study critically evaluates surgical duration, intraoperative conversions to open surgery, and complications as primary parameters to gauge these learning curves.
View Article and Find Full Text PDFPlast Reconstr Surg Glob Open
December 2024
From the Division of Plastic Surgery, NewYork-Presbyterian, Weill Cornell Medical Center, New York, NY.
Background: Microsurgical technique is still not readily available in many low- and middle-income countries. Few works in the scholarly literature describe the establishment of microsurgical practice on the African continent, and there are virtually no descriptions of the financial aspects of free flap performance by locally staffed teams in sub-Saharan Africa. The Kapsowar Hospital is a hospital in rural Kenya with 2 plastic and reconstructive surgeons certified by the American Board of Plastic Surgery and has recently expanded clinical practice to include microsurgical procedures.
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