Supermicrosurgery: History, Applications, Training and the Future.
Supermicrosurgery: History, Applications, Training and the Future.
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DOI：
10.3389/fsurg.2018.00023
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发表时间：
2018
影响因子：
1.8
通讯作者：
Patel KM
中科院分区：
文献类型：
--
作者：
Badash I;Gould DJ;Patel KM
超显微外科是一种解剖和吻合0.3至0.8 mm小血管的技术，它彻底改变了水肿治疗和软组织重建领域。该技术为显微外科医生提供了几个明显的好处，包括能够操纵以前无法触及的小血管，并通过在筋膜上平面解剖短蒂来最大限度地减少供体部位的发病率。因此，超显微外科近年来越来越受欢迎，自20年前首次引入以来，其应用范围已大大扩展。虽然超显微外科最初是为涉及手指尖挽救的手术而开发的，但该技术现在常规用于各种显微外科病例，包括淋巴静脉瘤、血管化淋巴结转移和穿支-穿支瘤。随着不断的实验，超显微外科培训的标准化，以及对这些新手术结果的高质量研究，超显微外科手术可以成为每个显微外科医生实践的常规和有价值的组成部分。
Supermicrosurgery, a technique of dissection and anastomosis of small vessels ranging from 0.3 to 0.8 mm, has revolutionized the fields of lymphedema treatment and soft tissue reconstruction. The technique offers several distinct benefits to microsurgeons, including the ability to manipulate small vessels that were previously inaccessible, and to minimize donor-site morbidity by dissecting short pedicles in a suprafascial plane. Thus, supermicrosurgery has become increasingly popular in recent years, and its applications have greatly expanded since it was first introduced 20 years ago. While supermicrosurgery was originally developed for procedures involving salvage of the digit tip, the technique is now routinely used in a wide variety of microsurgical cases, including lymphovenous anastomoses, vascularized lymph node transfers and perforator-to-perforator anastomoses. With continued experimentation, standardization of supermicrosurgical training, and high quality studies focusing on the outcomes of these novel procedures, supermicrosurgery can become a routine and valuable component of every microsurgeon’s practice.
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