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Advancements in robotic assisted microsurgery: Exploring the MUSA robot in reconstructive microsurgical and supermicrosurgical procedures.
Robotic assistance in microsurgery offers increased precision, tremor elimination, motion scaling, and improved ergonomics. Although robots are widely used in other surgical fields, their integration into reconstructive microsurgery has bee…
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Predictors of postoperative complications following staged nipple-sparing mastectomy: A systematic review & meta-analysis.
[INTRODUCTION] In ptotic breasts, patients can undergo breast reduction or mastopexy before nipple-sparing mastectomy (NSM) to improve the esthetic outcomes. Literature also suggests the benefit of staged nipple-sparing mastectomy (SNSM) on…
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Microsurgical versus complex physical decongestive therapy for chronic breast cancer-related lymphoedema.
This is a protocol for a Cochrane Review (intervention). The objectives are as follows: To assess the effects of microsurgery versus complex physical decongestive therapy in people with chronic breast cancer-related lymphoedema.…
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Clinical experience in open robotic-assisted microsurgery: user consensus of the European Federation of Societies for Microsurgery.
This study provides a comprehensive guide to robotic-assisted microsurgery. Following more than 900 clinical cases in 13 centers, this joint project was initiated to summarize and consent to the user experience. Two robotic systems specific…
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Does Dangling the Lower Extremity after Free Flap Reconstruction Reduce Partial Flap Loss? A Multicenter Randomized Controlled Trial.
[BACKGROUND] Controlled, gradually increased venous pressure exposure of lower extremity free flaps (dangling) is common, based on the assumption that this reduces (partial) flap loss. Dangling protocols potentially increase length of hospi…
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The Qaly study: Quality of life and lower extremity lymphedema in 174 patients after inguinal lymphadenectomy.
[BACKGROUND] Lower extremity lymphedema (LEL) can develop in patients who undergo inguinal lymph node dissection (ILND) in the treatment of gynecologic, genitourinary, and skin and soft tissue malignancies. While LEL can negatively impact q…
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The LYMPH trial: comparing microsurgical with conservative treatment for chronic breast cancer-associated lymphoedema - study protocol of a pragmatic randomised international multicentre superiority trial.
[INTRODUCTION] Up to one-fifth of breast cancer survivors will develop chronic breast cancer-related lymphoedema (BCRL). To date, complex physical decongestion therapy (CDT) is the gold standard of treatment. However, it is mainly symptomat…
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Breast Cancer in the Tissue of the Contralateral Breast Reduction.
Breast cancer is the most prevalent malignancy among women worldwide, and the increasing number of survivors is due to advances in early diagnosis and treatment efficacy. Consequently, the risk of developing contralateral breast cancer (CBC…
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First-in-Human Integrated Use of a Dedicated Microsurgical Robot with a 4K 3D Exoscope: The Future of Microsurgery.
Innovative techniques can help overcome the limitations of the human body. Operating on very small structures requires adequate vision of the surgical field and precise movements of sophisticated instruments. Both the human eye and hand are…
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One-Year Outcomes of the First Human Trial on Robot-Assisted Lymphaticovenous Anastomosis for Breast Cancer-Related Lymphedema.
[BACKGROUND] Lymphaticovenous anastomosis, a supermicrosurgical technique, creates bypasses between the lymphatic and venous systems. The quality of lymphaticovenous anastomosis depends on the surgeon's dexterity and precision, and is subje…
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Salvage of a DIEP Flap after Injury to the Inferior Epigastric Vessels after Laparoscopic Surgery.
The problem of previous laparoscopic scars specifically endangering the DIEP flap harvest for breast reconstruction has not been described yet. Even though in our center, preoperative imaging by means of an magnetic resonance angiography (M…
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Delphi survey of intercontinental experts to identify areas of consensus on the use of indocyanine green angiography for tissue perfusion assessment during plastic and reconstructive surgery.
[BACKGROUND] In recent years, indocyanine green angiography (ICG-A) has been used increasingly to assist tissue perfusion assessments during plastic and reconstructive surgery procedures, but no guidelines exist regarding its use. We sought…
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First-in-human robotic supermicrosurgery using a dedicated microsurgical robot for treating breast cancer-related lymphedema: a randomized pilot trial.
Advancements in reconstructive microsurgery have evolved into supermicrosurgery; connecting vessels with diameter between 0.3 and 0.8 mm for reconstruction of lymphatic flow and vascularized tissue transplantation. Supermicrosurgery is limi…
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The Preferred Management of a Single-Digit Distal Phalanx Amputation.
[BACKGROUND] Replantation of a single digit at the distal phalanx level is not routinely performed since it is technically challenging with questionable cost-effectiveness. The purpose of this study was to analyze international microsurgeo…
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The Role of Local Bupivacaine Irrigation in Postoperative Pain Control After Augmentation Mammoplasty: A Systematic Review and Meta-Analysis.
[BACKGROUND] The objective of this study is to analyze the efficacy of local bupivacaine irrigation after augmentation mammoplasty for the control of postoperative pain. [METHODS] A systematic review and meta-analysis was conducted includi…