Microsurgery is an evolving discipline of surgery that deals with the surgery of very small structures such as blood vessels and nerves typically 1 mm or less in diameter [1]. Despite its relatively recent advent it has created its own niche in the various domains of surgery in no time. Be it the field of vascular surgery, neurosurgery, pediatric surgery, orthopaedic surgery, ophthalmic surgery...

Robotic-assisted microsurgery can be utilized for either intracorporal or extracorporeal surgical procedures. Three-dimensional high-definition magnification, a stable ergonomic platform, elimination of physiologic tremor, and motion scaling make the robotic platform attractive for microsurgeons for complex procedures. Additionally, robotic assistance enables the microsurgeon to take microsurge...

Robotically assisted microsurgery or telemicrosurgery is a new technique using robotic telemanipulators. This allows for the addition of optical magnification (which defines conventional microsurgery) to robotic instrument arms to allow the microsurgeon to perform complex microsurgical procedures. There are several possible applications for this platform in various microsurgical disciplines. Si...

Introduction: Cerebral cavernous malformations (CMs), also known as cavernomas, are brain vascular anomalies that consist of clusters aberrant, hyalinized capillaries surrounded by hemosiderin deposits and a gliotic border. CMs cavernomas. The vasculature is filled with blood can exhibit varying degrees thrombosis. familial form inherited in an autosomal dominant manner caused heterozygous muta...

1 – Master student in Orthopaedics and Traumatology, Medical College, University of São Paulo 2 – Chairman of Hospital das Clínicas’ Orthopaedics and Traumatology Institute, Medical College, University of São Paulo 3 – Associate Professor, Medical College, USP 4 – Assistant Doctor, Group of Hand, and Coordinator to the Microsurgery Laboratory at IOT-HCFMUSP 5 – Volunteer Doctor, Group of Hand a...

Two cases of very rare intramedullary spinal cord metastasis from colon carcinoma and renal carcinoma were treated primarily by microsurgical excision. A 44-year-old female presented with colon carcinoma metastasis manifesting as complete neurological deficit. She had undergone colon resection 2 years previously for colon carcinoma. The tumor was excised by microsurgery with megadose steroid th...

The advent of microsurgical tissue transfer including replantation greatly has expanded the scope of reconstructive surgery. There are few recent innovations in anticoagulation therapies for microsurgery, however, and anastomotic thrombosis remains an occasional cause of surgical failure. No consensus exists on the ideal anticoagulation protocol for microsurgery. This article reviews major phar...

There is increasing interest in organ-preserving options in the management of rectal cancer. Excision of small, early stage cancers by transanal endoscopic microsurgery (TEM) is an important part of this approach. Carefully selected cancers can be treated successfully by TEM with acceptably low risk of recurrent disease and overall cancer outcomes similar to radical surgery. The impact of recur...