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Robot-assisted microsurgery: a single-center experience of 100 cases.
J Robot Surg
December 2024
Department of Hand, Plastic and Reconstructive Surgery, Department of Hand and Plastic Surgery, BG Trauma Center Ludwigshafen, Heidelberg University, Ludwig Guttmann-Straße 13, 67071, Ludwigshafen, Germany.
The adoption of robot-assisted microsurgery (RAMS) is a cutting-edge advancement in the realm of microsurgery. The Symani Surgical System is CE approved and has recently gained FDA approval. It provides tremor elimination, motion scaling and improved ergonomics.
View Article and Find Full Text PDFClinical, Preclinical, and Educational Applications of Robotic-Assisted Flap Reconstruction and Microsurgery: A Systematic Review.
Microsurgery
November 2024
Charles Wolfson Centre of Reconstructive Surgery, University College London, Royal Free Hospital, London, UK.
Introduction: Microsurgery and super-microsurgery allow for highly technical reconstructive surgeries to be performed, with repairs of anatomical areas of less than 1 mm. Robotic-assisted surgery might allow for further advances within microsurgery, providing higher precision, accuracy, and scope to operate in previously inaccessible anatomical areas. However, robotics is not well-established within this field.
View Article and Find Full Text PDFVarious handcrafted artificial vessels: Evaluation of practicality and feasibility for supermicrosurgery training.
J Plast Reconstr Aesthet Surg
September 2024
Department of Plastic and Reconstructive Surgery, National Center for Global Health and Medicine, Tokyo, Japan. Electronic address:
Background: Supermicrosurgery demands more refined skills compared to traditional microsurgery, necessitating comprehensive training prior to clinical implementation. Despite the existence of various training models, they often fall short in terms of cost, ethical considerations, and infection risk. Our objective was to develop and evaluate novel training models for supermicrosurgery that are cost-effective, ethical, and risk-free.
View Article and Find Full Text PDFLymphaticovenous anastomosis in rabbits: A novel live experimental animal model for supermicrosurgical training.
J Plast Reconstr Aesthet Surg
June 2024
Department of Plastic Surgery, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Background: Lymphaticovenous anastomosis is widely used in lymphedema management. Although its effectiveness in reducing edema in patients can be clinically observed, evaluating the long-term outcomes of this technique can be complex. This study established an animal model to assess the outcomes of lymphaticovenous anastomosis technique at 15 and 30-days post-surgery using indocyanine green lymphography, Patent Blue V dye injection, and histopathological examination.
View Article and Find Full Text PDFTeaching of Microsurgery and Supermicrosurgery for Residents.
J Craniofac Surg
March 2024
Department of Plastic and Reconstructive, Aesthetic Surgery, Toyama University Hospital, Toyama, Japan.
On the basis of our numerous years of experience in teaching residents without microsurgery experience and assisting in the initiation of microsurgery in clinical practice, we herein describe the general procedures and crucial aspects to consider regarding microsurgery and supermicrosurgery training for residents. The description focuses on training methods, surgical skills, and training time and effort. The target audience of the training is residents who have never performed microsurgery.
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