Experimental and Clinical Reconstructive Microsurgery

Abstract: Thromboelastography and Intraoperative Anticoagulation during Reconstructive Microsurgery

INTRODUCTION: Maintaining optimal coagulation is vital for successful microvascular flap transfer. Hypercoagulate states are risk factors for pedicle thrombosis and flap loss.1 Therefore, identifying patients who are at risk for such events is paramount. The viscoelastic Thromboelastography (TEG) is a modern method to assess a patient’s coagulation status and in the past, it has predominantly b...

Acute Arterial Thrombosis in Microsurgery - Clinical and Experimental Studies

Current Limitations of Surgical Robotics in Reconstructive Plastic Microsurgery

Surgical robots have the potential to provide surgeons with increased capabilities, such as removing physiologic tremor, scaling motion and increasing manual dexterity. Several surgical specialties have subsequently integrated robotic surgery into common clinical practice. Plastic and reconstructive microsurgical procedures have not yet benefitted significantly from technical developments obser...

Ectopic Pregnancy Following Reconstructive, Organ-Preserving Microsurgery in Tubal Infertility

Disease or damage of the fallopian tubes accounts for 25% to 35% of reported cases of infertility (Pandian at al., 2008). Decreased fecundity may be caused by tubal occlusion, fimbrial damage, and/or peritubal adhesions, usually related to previous pelvic inflammatory disease, endometriosis, pelvic surgery, salpingitis isthmica nodosa or otherwise unknown causes. A special group of women affect...

Reconstructive transoral laser microsurgery for posterior glottic web with stenosis.

OBJECTIVES/HYPOTHESIS To demonstrate that reconstructive transoral laser microsurgical (R-TLM) techniques can be used for the treatment of symptomatic laryngeal posterior glottic web-based stenosis (PGWS) in a large cohort of patients utilizing a postcricoid mucosal advancement flap (PCMAF). STUDY DESIGN Retrospective cohort review. METHODS A consecutive series of patients with PGWS who und...