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Experimental Basis for Endoscopic Harvesting of Tissues

  • T. P. Szymula von Richter
  • F. F. EavesIII
  • F. Nahai
  • J. BostwickIII
  • M. T. Chrysopoulo
  • D. Staffenberg
  • K. J. Williams
  • R. G. H. Baumeister
  • H. von Gregory
  • L. Porrozzi
Part of the Update in Plastic Surgery book series (UPDATEPLASTIC)

Abstract

The mere reduction of scars, afforded by endoscopic techniques, is not an advantage unless the results are equal to or surpass those attained with open techniques with equal or less morbidity. However, one clear indication for the use endoscopic techniques is minimal incision tissue harvest. Application of any new technology requires an understanding of basic principles and mastery of fundamentals. In endoscopic plastic surgery it is essential that the surgeon has the necessary training, has the mechanical equipment and skills to perform these procedures, is familiar with methods for troubleshooting, and is thoroughly grounded in safety measures. Understanding these basics will save the practitioner time and frustration, shorten the learning curve, and establish a reference to widen the range of applications. The latissimus dorsi muscle, rectus abdominus muscle and other long muscles can be endoscopically harvested if the overlying skin is not required for the reconstruction. Tissues like nerves, veins or others grafts can be endoscopically harvested with benefits of the reduction of scarring and morbidity. With the help of a two-dimensional (2D) endoscope benefits of minimal invasive microsurgery or open microsurgery through the endoscope, the wrongly called “video-assisted microsurgery”, were described in 1995 entitled “endoscopic Microsurgery”. Since 1996 advantages of three-dimensional (3D) endoscopy are being realized. The vision of this article is to simulate the clinical approach in the future concentrating on endoscopic microsurgery in reconstructions of subcutaneous free tissues.

Keywords

Free Flap Recipient Site Latissimus Dorsi Muscle Facial Skeleton Free Flap Reconstruction 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Fujno T, Harashina T, Mikata A (1972) Autogeneous en bloc transplantation of the mammary gland in dogs, using microsurgical technique. Plast Reconstr Surg 50: 376CrossRefGoogle Scholar
  2. Fujno T, Harashina T, Aoyagi F (1975) Reconstruction for aplasia of the breast and pectoral region by microtransfer of a free flap from the buttock. Plast Reconstr Surg 56: 178CrossRefGoogle Scholar
  3. Baumeister RGH, Seifert J (1981) Autotransplantation of lymphatic vessels. Lancet 1: 147PubMedCrossRefGoogle Scholar
  4. Maruyama Y, Urita Y, Onishi K (1985) Rib-latissimus dorsi osteomyocutaneous flap in reconstruction of a mandibular defect. Br J Plast Surg 38(2): 234PubMedCrossRefGoogle Scholar
  5. Nahai F, Bostwick J (1990) Microsurgical techniques. In: Bostwick J (ed). Plastic and Reconstructive Breast Surgery. Quality Med Publishing, St LouisGoogle Scholar
  6. Semm K (1990) Endoscopic appendectomy. In: Advances in Pelviscopic Surgery. Year Book, Med PublishersGoogle Scholar
  7. Eckert P (1992) Endoscopic possibilities in plastic surgery. In: Hinderer UT (ed) Plastic Surgery 1992, Vol II. Proceedings of the 10th Congress of the International Society of Plastic and Reconstructive Surgery, Madrid. Elsevier, AmsterdamGoogle Scholar
  8. Eaves FF, Price C, Bostwick J, Jones G, Carlson GW, Culbertson J (1993) Subcutaneous endoscopic plastic surgery using a retractor-mounted endoscopic system. Perspect Plast Surg 7(2): 1Google Scholar
  9. Eaves FF, Nahai F, Bostwick J, Jones G (1994) Early clinical experience in endoscopic-assisted muscle flap harvest. Invited discussion. Ann Plast Surg 33: 465CrossRefGoogle Scholar
  10. Sawaizumi M, Maruyma Y, Onishi K, Yoshtake M, Okada F (1995) Endoscope-assisted harvesting of rectus abdominis muscle flaps. J Japan Society Plast Reconstr Surg 15: 646Google Scholar
  11. Szymula von Richter TP, Eaves FF, Bostwick J, Nahai F, Sawaizumi M, Maruyama Y, Jones GE, Culbertson JH, Howel RL, Wilhams KJ, Harris S, Januszkiewicz J, Stafifenberg D, Onishi K, Yoshitake M, Iwahira Y, Baumeister RGH (1996) Which free flaps benefit from endoscopic harvesting? Experimental and clinical evaluation of muscle, fascia, subcutaneous tissue and fat as well as grafts. Abstract book of the 3rd Congress of the European Federation of Societies for Microsurgery hosted by the 18th Annual Meeting of the German Speakuing Group for Microsurgery of peripheral Nerves and Vessels, Berlin, p 77Google Scholar
  12. Szymula von Richter TP, Baumeister RGH, Bostwick J, Eaves FF, Nahai F, Maruyama Y, Sawaizumi M, Iwahira Y (1996) Endoscopic microsurgical lymphatic reconstruction in free flaps and lymphatic vessel transplantation. Abstract book of the 3rd Congress of the European Federation of Societies for Microsurgery hosted by the 18th Annual Meeting of the German Speakuing Group for Microsurgery of peripheral Nerves and Vessels, Berlin, p 85Google Scholar
  13. Szymula von Richter TP, Eaves FF, Nahai F, Bostwick J, Wood RJ, Wilhams KJ, Staff’enberg D, Sawaizumi M, Iwahira Y, Maruyama Y, Baumeister RGH (1996) Endoscopic reconstructive microsurgery in the breast, the facial skeleton and the heart. Presented at the 65th Scientific Meeting of the American Society for Plastic and Reconstructive Surgery, the Plastic Surgery Educational Foundation and the American Society of Maxillofacial Surgeons, Dallas, Plastic Surgical Forum XIX 65: 237Google Scholar
  14. Szymula von Richter TP, Eaves FF, Nahai F, Bostwick J, Sawaizumi M, Iwahira Y, Maruyama Y, Baumeister RGH, Bohmert H (1996) The endo TRAM-Endoskopische mikrovaskuläre Brustrekonstruktion. Presented at the 27th Annual Scientific Meeting of the Association of German Plastic Surgeons, Köln, Handchirurgie Mikrochirurgie Plastische Chirurgie 28: K11Google Scholar
  15. Szymula von Richter TP, Baumeister RGH, Bohmert H, Eaves FF, Nahai F, Bostwick J, Sawaizumi M, Iwahira Y, Maruyama Y (1996) Rekonstruktion der weibhchen Brust durch das Endoskop mit freien TRAM-, SIEA-und Latissimus dorsi Muskel-Lappen. Abstract book of the 3rd Scientific Seminar of Surgical Unit of Ludwig-Maximihans-University of Munich, BerchtesgadenGoogle Scholar
  16. Szymula von Richter TP, Eaves FF, Nahai F, Bostwick J, Baumeister RGH (1996) Entwicklungen in der Rekonstruktion der weiblichen Brust und ihre Transplantation mit mikrochirurgischen lymphatischen und nervalen Anastomosen. Abstract book of the Annual Research Festival of Ludwig-Maximilians-University at Grosshadern Clinic, MunichGoogle Scholar
  17. Szymula von Richter TP, Eaves FF, Nahai F, Bostwick J, Wood RJ, Williams KJ, Staffenberg D, Baumeister RGH (1997) The endoscopic vascularized calvarium bone flap — free with endoscopic microvascular reconstruction and pedicled. Abstract book of the International Congress on Cranial and Facial Bone Distraction Progress and the 4th Conference of the Department of maxillofacial Surgery at Faculty Sait-Antoine-University Paris VI, Paris, p 83Google Scholar
  18. Szymula von Richter TP, Eaves FF, Nahai F, Bostwick J, Wood RJ, Baumeister RGH (1997) The endo free vascularized calvarium flap-Endoskopische craniofacial Rekonstruktionen. Proceedings of the 28th Annual Scientific Meeting of the Association of German Plastic Surgeons, Würzburg, Handchirurgie Mikrochirurgie Plastische Chirurgie 28: KGoogle Scholar
  19. Szymula von Richter TP, Eaves FF, Nahai F, Bostwick J, Sawaizumi M, Iwahira Y, Maruyama Y, Baumeister RGH (1997) Endoscopie microsurgical free tissue transplantation with lymphatic and nerve system reconstruction. Presented at the 66th Scientific Meeting of the American Society for Plastic and Reconstructive Surgery, the Plastic Surgery Educational Foundation and the American Society of Maxillofacial Surgeons, San Francisco, Plastic Surgical Forum XX 66: 347–349Google Scholar

Copyright information

© Springer-Verlag Wien 2001

Authors and Affiliations

  • T. P. Szymula von Richter
  • F. F. EavesIII
  • F. Nahai
  • J. BostwickIII
  • M. T. Chrysopoulo
  • D. Staffenberg
  • K. J. Williams
  • R. G. H. Baumeister
  • H. von Gregory
  • L. Porrozzi

There are no affiliations available

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