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Supermicrosurgery

  • Takeshi TodokoroEmail author
  • Isao Koshima
Chapter

Abstract

Microsurgery has been developed from groin flap and other conventional flaps to perforator flaps, which are less invasive and more convenient than conventional ones. Microsurgeons are now acquiring the technique of supermicrosurgery, which is defined as an anastomosis of smaller vessels that have a diameter of less than 0.5 mm. However, there are some difficulties to perform supermicrosurgery, in terms of mechanical, technical and environmental points.

The aim of this work is to evaluate how telemicroscopes would contribute for supermicrosurgery. When telesupermicrosurgery is performed, the difficulties of supermicrosurgery could be overcome. Not only tremor can be cancelled and smaller instrument can provide finer performance, but multi-joint movement and view direction controlling can also make easier and faster anastomosis. Multiple views of different magnifications and different directions can be also helpful.

Telesupermicrosurgery is sure to evoke some breakthroughs to supermicrosurgery and make it easier to perform supermicrosurgical operations.

References

  1. 1.
    Daniel RK, Taylor GI (1973) Distant transfer of an island flap by microvascular anastomoses. A clinical technique. Plast Reconstr Surg 52:111–117PubMedCrossRefGoogle Scholar
  2. 2.
    Harii K, Omori S (1973) Use of the gastroepiploic vessels as recipient or donor vessels in the free transfer of composite flaps by microvascular anastomoses. Plast Reconstr Surg 52:541–548PubMedCrossRefGoogle Scholar
  3. 3.
    Katz RD, Rosson GD, Taylor JA et al (2005) Robotics in microsurgery: use of a surgical robot to perform a free flap in a pig. Microsurgery 25:566–569PubMedCrossRefGoogle Scholar
  4. 4.
    Koshima I, Inagawa K, Urushibara K et al (2000) Supermicrosurgical lymphaticovenular ­anastomosis for the treatment of lymphedema in the upper extremities. J Reconstr Microsurg 16:437–442PubMedCrossRefGoogle Scholar
  5. 5.
    Koshima I, Inagawa K, Yamamoto M et al (2000) New microsurgical breast reconstruction using free paraumbilical perforator adiposal flaps. Plast Reconstr Surg 106:61–65PubMedCrossRefGoogle Scholar
  6. 6.
    Koshima I, Soeda S, Yamasaki M et al (1988) The free or pedicled anteromedial thigh flap. Ann Plast Surg 21:480–485PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag France 2013

Authors and Affiliations

  1. 1.Department of Plastic and Reconstructive SurgeryThe University of TokyoBunkyo-kuJapan

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