Sialendoscopy is established in the diagnostics and treatment of obstructive salivary gland diseases, but has not previously been reported in patients with injuries to Stensen's duct. Sialendoscopy assisted repair of a transected Stensen's duct in zone B is reported. The duct injury itself, its location, and its severity could be visualized and precisely assessed and allowed intraductal assessm...

Varicoceles are a major cause of impaired spermatogenesis and the most common correctable cause of male infertility. They are found in approximately 40% of men with primary infertility and 80% of men with secondary infertility, although they also occur in 12% of men with normal semen parameters. The presence of a varicocele does not always affect spermatogenesis, as it has been reported that on...

UNLABELLED The incidence of vasal injury during inguinal herniorrhaphy is estimated at 0.5%. We sought to assess the patency rates and long-term fertility outcome after microsurgical repair of vasal obstruction related to prior inguinal herniorrhaphy. METHODS Twenty procedures were performed on 13 men diagnosed with infertility and vasal injury secondary to previous inguinal herniorrhaphy. Ei...

Microsurgial suture (Conventional microsurgical suture repair, CMSR) is the most commonly used method for anastomosis of severed peripheral nerves. Functional recovery after this type of repair is often inadequate, however, even though the peripheral nervous system has a remarkable ability to regenerate adequate sizes and numbers of axons. The most significant problems with microsuture repair a...

Microsurgical suturing is the gold standard of nerve coaptation. Although literature on the usefulness of fibrin glue as an alternative is becoming increasingly available, it remains contradictory. Furthermore, no data exist on how both repair methods might influence the morphological aspects (arborization; branching) of early peripheral nerve regeneration. We used the sciatic nerve transplanta...

Abstract Background Radicular cysts may enlarge considerably, cause extensive bone destruction, and jeopardize the integrity of associated vital teeth. The different treatment approaches are aimed mainly at eliminating cystic epithelial membrane while reducing risk injury to structures. Contrary other modalities, preapical surgery offers an unequivocal single occasion resolution for patient. Ho...

Use of indocyanine green angiography in microsurgical subinguinal varicocelectomy lessons learned from our initial experience. Dr. Chak-Lam et al., from China, produce an elegant manuscript that describe the use of intraoperative indocyanine green angiography with infrared fluorescence operative microscope in microsurgical subinguinal varicocelectomy that potentially allows an early identificat...

Microsurgical techniques have been used in many surgical specialties as well as a broad application in surgical research.. It demands high technical skills and continued training. The microsurgical skills should be first mastered in the lab before to be employed in the clinical practice. The microsurgical lab has a dual role: the training of residents and specialized surgeons and the support fo...

Microsurgical repair of transected peripheral nerves is compromised by the formation of scar tissue and the development of a neuroma, thereby limiting the success of regeneration. The aim of this study was to quantify histomorphometrically the structural changes in neural tissue that result from repair, and determine the effect of mannose-6-phosphate (M6P), a scar-reducing agent previously show...

Adult traumatic brachial plexus injuries are devastating, and they are occurring with increasing frequency. Patient evaluation consists of a focused assessment of upper extremity sensory and motor function, radiologic studies, and, most important, preoperative and intraoperative electrodiagnostic studies. The critical concepts in surgical treatment are patient selection as well as the timing an...