Video microsurgery: evaluation of standard laparoscopic equipment for the practice of microsurgery.

Abstract:

:Traditional microsurgery involves the use of bulky and expensive stereo microscopes that have limited portability. Recent advances in video technology have enabled the exploration of alternative visualization methods. The purpose of this study was to evaluate standard laparoscopic equipment for microvascular anastomoses. Eight surgeons completed anastomoses on rat femoral and synthetic vessels using stereo microsurgery and video microsurgery visualization systems. All surgeons had previous experience with stereo microsurgery and none had ever used video microsurgery. Data were collected on overall anastomosis and individual suture times. A sample of completed anastomoses was placed in a video database and evaluated by use of a quality rating scale (8 to 10, excellent; 6 to 7, adequate; less than 6, poor). All surgeons subjectively evaluated the video microsurgery system. A total of 48 anastomoses were completed. The average total anastomosis time for the stereo microsurgery was 1018.9 +/- 463.2 seconds versus 1738.9 +/- 460.1 seconds for the video microsurgery. The average individual suture placement time was 114.6 +/- 60.6 seconds for the stereo microsurgery versus 211.7 +/- 128.4 seconds for the video microsurgery (p < 0.05). Twenty-five of the anastomoses underwent quality review. The overall score of the stereo microsurgery group was 8.1 +/- 1.7, and the video microsurgery group had an overall score of 7.3 +/- 1.6. Survey results revealed that 75 percent of the participants thought that the video microsurgery would be useful for human operations and would improve surgeon comfort, but 87.5 percent would not use the present video microsurgery system over stereo microsurgery in their practice. Although significant differences exist in overall anastomosis and individual suture completion times, no difference was found in the overall quality. Video microsurgery could become a useful tool on the basis of surgeon ergonomics; however, optical parameters require further refinement.

journal_name

Plast Reconstr Surg

authors

Gorman PJ,Mackay DR,Kutz RH,Banducci DR,Haluck RS

doi

10.1097/00006534-200109150-00008

subject

Has Abstract

pub_date

2001-09-15 00:00:00

pages

864-9

issue

4

eissn

0032-1052

issn

1529-4242

journal_volume

108

pub_type

杂志文章
  • The Caudal Septum Columellar Strut Graft: An Alternative for Tip Support.

    abstract:UNLABELLED:The authors describe a convenient option for obtaining a columellar strut graft without the need for harvesting septal or auricular cartilage. Its utility has been shown by use in almost 10 percent of 569 patients in the senior author's (D.A.H.) series. CLINICAL QUESTION/LEVEL OF EVIDENCE:Therapeutic, V. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000001457

    authors: Hidalgo DA,Doft MA

    更新日期:2015-09-01 00:00:00

  • Use of Closed-Incision Negative-Pressure Therapy in Obstetrics.

    abstract:BACKGROUND:Cesarean delivery is one of the most commonly performed surgeries in the United States. Compared with other surgical procedures, surgical site infection tends to be a relatively uncommon outcome after cesarean delivery in the general population with an incidence rate between 1.46 and 3.82% in the United Stat...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0000000000005309

    authors: Feinstein GI

    更新日期:2019-01-01 00:00:00

  • The Efficacy of Platelet-Rich Plasma Dressing for Chronic Nonhealing Ulcers: A Meta-Analysis of 15 Randomized Controlled Trials.

    abstract:BACKGROUND:Several randomized controlled trials comparing platelet-rich plasma to standard wound care for chronic wounds have been published. Previous articles have revealed that the role of platelet-rich plasma in promoting chronic wound healing is uncertain. This quantitative meta-analysis was conducted to evaluate w...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,meta分析

    doi:10.1097/PRS.0000000000006281

    authors: Xia Y,Zhao J,Xie J,Lv Y,Cao DS

    更新日期:2019-12-01 00:00:00

  • True median cleft of the upper lip associated with three pedunculated club-shaped skin masses.

    abstract::A rare case of true median cleft of the upper lip associated with three skin masses is reported. While 114 cases of median cleft of the upper lip have been reported, in our literature review we found only 1 case, reported by Sharma, in which the median cleft was associated with skin masses. The embryology of this case...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198505000-00022

    authors: Nakamura J,Tomonari H,Goto S

    更新日期:1985-05-01 00:00:00

  • Time Interval Reduction for Delayed Implant-Based Cranioplasty Reconstruction in the Setting of Previous Bone Flap Osteomyelitis.

    abstract:BACKGROUND:Reinfections following implant-based cranioplasty, in the setting of previous bone flap osteomyelitis, are common and associated with significant morbidity. The timing of reconstruction following initial osteomyelitic bone flap removal remains controversial; most advocate for prolonged time intervals of appr...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000475770.14396.1e

    authors: Lopez J,Zhong SS,Sankey EW,Swanson EW,Susarla H,Jusue-Torres I,Huang J,Brem H,Auwaerter PG,Gordon CR

    更新日期:2016-02-01 00:00:00

  • Salvage of externally exposed ventricular assist devices.

    abstract::Although externally exposed ventricular assist devices are associated with extremely high mortality rates, salvage may be accomplished by early aggressive wound debridement, transposition of a well-perfused autologous tissue (such as omentum), dead space obliteration, and adequate external coverage using vascularized ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199812000-00025

    authors: Turowski GA,Orgill DP,Pribaz JJ,Eriksson E,Couper GS

    更新日期:1998-12-01 00:00:00

  • The effects of heparin and dietary fish oil on embolic events and the microcirculation downstream from a small-artery repair.

    abstract::In recent studies we demonstrated that platelet emboli induced by arterial injury impair the microcirculation. The present study was performed to determine if heparin or dietary cod liver oil reduces the incidence of emboli following the same arterial injury and, in turn, whether these agents prevent the associated de...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199302000-00020

    authors: Barker JH,Gu JM,Anderson GL,O'Shaughnessy M,Pierangeli S,Johnson P,Galletti G,Acland RD

    更新日期:1993-02-01 00:00:00

  • Intralesional corticosteroid therapy for infantile hemangiomas.

    abstract::Intralesional corticosteroid injections were performed in 31 hemangiomas in 30 infants aged 1 to 10 months at first injection. One to five injections were given, spaced 6 weeks apart. Lesions were located throughout the head and neck region, except one that was on the buttock. A mixture of betamethasone acetate and tr...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198903000-00009

    authors: Sloan GM,Reinisch JF,Nichter LS,Saber WL,Lew K,Morwood DT

    更新日期:1989-03-01 00:00:00

  • Simple technique for correction of inverted nipple.

    abstract::The described method for correction of the inverted nipple adds both bulk and structural stability to the nipple. This is done by means of a dermal sling and creation of a narrow base to prevent inversion of the nipple. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198004000-00020

    authors: Teimourian B,Adham MN

    更新日期:1980-04-01 00:00:00

  • The chin: skeletal and soft-tissue components.

    abstract::The quantity of soft tissue overlying the symphysis menti affords an important attribute that can aid in determination of the correct surgical approach for optimal facial harmony. Xerograms of the facial profile of 100 patients with normal occlusion were analyzed by accepted radiographic cephalometric techniques. The ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Michelow BJ,Guyuron B

    更新日期:1995-03-01 00:00:00

  • Evaluation of a simplified water mattress in the prevention and treatment of pressure sores.

    abstract::Using a simplified pressure-measuring device, we determined the pressures under 4 anatomical sites in 11 human subjects to compare 3 commercially available sleeping surfaces. The 3 surfaces tested were a water mattress, a water bed, and our standard hospital bed. There were no significant differences in the recorded p...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197710000-00016

    authors: Sloan DF,Brown RD,Larson DL

    更新日期:1977-10-01 00:00:00

  • Salvage of seeing eyes after avulsion of upper and lower lids.

    abstract::It is often stated that any injury severe enough to avulse both lids will inevitably destroy the globe. Two cases are presented in which the globe was uninjured but exposed, requiring immediate coverage. Local skin flaps placed over mobilized conjunctiva were used for emergency cover. One was eventually made into func...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198501000-00003

    authors: Achauer BM,Menick FJ

    更新日期:1985-01-01 00:00:00

  • Are systemic antibiotics indicated in aesthetic breast surgery? A systematic review of the literature.

    abstract:BACKGROUND:The use of systemic prophylactic antibiotics to reduce surgical-site infection in aesthetic breast surgery remains controversial. The aim of this review is to weigh the available evidence with respect to reducing surgical-site infection. METHODS:Two literature searches were performed to analyze the availabl...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0b013e31828bd752

    authors: Hardwicke JT,Bechar J,Skillman JM

    更新日期:2013-06-01 00:00:00

  • Role of Early Application of Pressure Garments following Burn Injury and Autografting.

    abstract:BACKGROUND:Pressure garment therapy, used for reduction of postburn scarring, is commonly initiated after complete healing of the wound or autograft. Although some clinicians have suggested that earlier treatment may improve outcomes, the effect of early initiation of therapy has not been studied in a controlled enviro...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000005270

    authors: DeBruler DM,Baumann ME,Blackstone BN,Zbinden JC,McFarland KL,Bailey JK,Supp DM,Powell HM

    更新日期:2019-02-01 00:00:00

  • Clinical experience with Heyer-Schulte inflatable implants in breast augmentation.

    abstract::Following breast augmentation, 100 patients with inflatable saline implants were followed for a period of 6 months to 8 1/2 years. Capsular contracture rate, Baker II or greater, was 3.4 percent. This low rate of capsular contracture is attributed to early manipulation of the implant. The deflation rate was also 3.4 p...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198605000-00014

    authors: Capozzi A

    更新日期:1986-05-01 00:00:00

  • Management of postneurosurgical bone flap loss caused by infection.

    abstract:LEARNING OBJECTIVES:After studying this article, the participant should: 1. Be able to define indications and timing for secondary cranioplasty. 2. Understand the surgical options for reconstructing the cranium and overlying soft-tissue defect including their advantages and disadvantages. 3. Be able to apply this knowl...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0b013e3181858eee

    authors: Baumeister S,Peek A,Friedman A,Levin LS,Marcus JR

    更新日期:2008-12-01 00:00:00

  • The basic science of vascular biology: implications for the practicing surgeon.

    abstract::A thorough understanding of vascular biology will assist the reconstructive surgeon in both operative planning and development of novel surgical approaches to treat chronic wounds and tissue loss, and to optimize regenerative strategies for tissue reconstruction. In this review, several fundamental concepts of the bas...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0b013e3181ef8ccf

    authors: Glotzbach JP,Levi B,Wong VW,Longaker MT,Gurtner GC

    更新日期:2010-11-01 00:00:00

  • Using the dorsal, cavernosal, and external pudendal arteries for penile transplantation: technical considerations and perfusion territories.

    abstract:BACKGROUND:Penile transplantation may provide improved outcomes compared with autogenous phalloplastic reconstruction. The optimal approach to vascularizing penile allografts is unknown. In penile replantation, typically only the dorsal arteries are repaired, but using the cavernosal and external pudendal arteries may ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000000277

    authors: Tuffaha SH,Sacks JM,Shores JT,Brandacher G,Lee WPA,Cooney DS,Redett RJ

    更新日期:2014-07-01 00:00:00

  • The effect of unilateral partial facial paralysis on nasofrontal sutural growth: an experimental study in the rabbit.

    abstract::In a previous study in the rabbit, it was demonstrated that paralysis of the midfacial musculature results in decreased anteroposterior growth of the snout. At the end of growth, these animals showed macroscopically striking similarities to animals with unilateral fusion of the nasofrontal suture. In this study, wheth...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199906000-00013

    authors: Sinsel NK,Guelinckx PJ,Opdebeeck H

    更新日期:1999-06-01 00:00:00

  • A head-to-head comparison of quality of life and aesthetic outcomes following immediate, staged-immediate, and delayed oncoplastic reduction mammaplasty.

    abstract:BACKGROUND:Oncoplastic reduction mammaplasty offers patients breast conservation with the added benefit of functional improvement in symptoms related to macromastia. The reduction can be performed in the immediate setting with the lumpectomy, in a staged-immediate fashion after final pathology has been confirmed or in ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3182131c1c

    authors: Patel KM,Hannan CM,Gatti ME,Nahabedian MY

    更新日期:2011-06-01 00:00:00

  • The vascularized pig fibula bone flap model: effects of multiple segmental osteotomies on growth and viability.

    abstract::Previous work by this laboratory introduced the pig fibula bone flap as a model for the study of the pathophysiology of vascularized bone flaps. Anatomic and hemodynamic studies demonstrated a significant (p < 0.05) decrease in vascular perfusion after a series of segmental osteotomies and rigid fixation (lag screws a...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199904050-00012

    authors: Gur E,Chiodo A,Pang CY,Mendes M,Pritzker KP,Neligan PC,Shpitzer T,Forrest CR

    更新日期:1999-04-01 00:00:00

  • Evidence-Based Medicine: Wound Closure.

    abstract:LEARNING OBJECTIVES:After reading this article, the participant should be able to: 1. Describe various wound closure techniques available to the modern plastic surgeon, including the indications and contraindications of each. 2. Explain the fundamental concepts of wound healing as it relates to reconstruction. 3. Under...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0000000000002775

    authors: Buchanan PJ,Kung TA,Cederna PS

    更新日期:2016-09-01 00:00:00

  • Separation of Craniopagus Twins over the Past 20 Years: A Systematic Review of the Variables That Lead to Successful Separation.

    abstract:BACKGROUND:Attempted separation of craniopagus twins has continued to be associated with devastating results since the first partially successful separation with one surviving twin in 1952. To understand the factors that contribute to successful separation in the modern era of neuroimaging and modern surgical technique...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0000000000002269

    authors: Harvey DJ,Totonchi A,Gosain AK

    更新日期:2016-07-01 00:00:00

  • Shaping the breast in aesthetic and reconstructive breast surgery: an easy three-step principle. Part IV--aesthetic breast surgery.

    abstract:SUMMARY:This is part IV of four articles describing the three-step principle for easy shaping of the breast in reconstructive and aesthetic breast surgery. This article may seem overdue because aesthetic corrections are routinely performed, frequently written about, and easier to execute, as no prior ablative surgery o...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181aeeb21

    authors: Blondeel PN,Hijjawi J,Depypere H,Roche N,Van Landuyt K

    更新日期:2009-08-01 00:00:00

  • Systematic Review of the Impact of Acellular Dermal Matrix on Aesthetics and Patient Satisfaction in Tissue Expander-to-Implant Breast Reconstructions.

    abstract:BACKGROUND:Acellular dermal matrix is used in most postmastectomy implant-based breast reconstructions in the United States. It is believed to be safe, despite a slightly increased complication rate. Although never established in a unifying study, the primary advantage of acellular dermal matrix is believed to be an en...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,meta分析

    doi:10.1097/PRS.0000000000006212

    authors: DeLong MR,Tandon VJ,Farajzadeh M,Berlin NL,MacEachern MP,Rudkin GH,Da Lio AL,Cederna PS

    更新日期:2019-12-01 00:00:00

  • Contrast-enhanced ultrasound combined with three-dimensional reconstruction in preoperative perforator flap planning.

    abstract:BACKGROUND:Along with technical advancements in perforator flap surgery, great interest has been recently focused on the accuracy of preoperative perforator location through the assessment of the donor-site vascular network. The goal of the present study was to investigate the usefulness of contrast-enhanced ultrasound...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3182729e9e

    authors: Su W,Lu L,Lazzeri D,Zhang YX,Wang D,Innocenti M,Qian Y,Agostini T,Levin LS,Messmer C

    更新日期:2013-01-01 00:00:00

  • Reducing Decisional Conflict and Enhancing Satisfaction with Information among Women Considering Breast Reconstruction following Mastectomy: Results from the BRECONDA Randomized Controlled Trial.

    abstract:BACKGROUND:Deciding whether or not to have breast reconstruction following breast cancer diagnosis is a complex decision process. This randomized controlled trial assessed the impact of an online decision aid [Breast RECONstruction Decision Aid (BRECONDA)] on breast reconstruction decision-making. METHODS:Women (n = 2...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/PRS.0000000000002538

    authors: Sherman KA,Shaw LE,Winch CJ,Harcourt D,Boyages J,Cameron LD,Brown P,Lam T,Elder E,French J,Spillane A,BRECONDA Collaborative Research Group.

    更新日期:2016-10-01 00:00:00

  • The brachioradialis forearm flap: anatomy and clinical application.

    abstract::The blood supply to the brachioradialis muscle and the skin of the forearm was studied in latex-injected arms. The dominant perforator to the muscle arose from the brachial artery (27.3 percent), radial recurrent artery (33.3 percent), or radial artery (39.4 percent). In all cases, adequate perforators exist from the ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199410000-00015

    authors: Sanger JR,Ye Z,Yousif NJ,Matloub HS

    更新日期:1994-10-01 00:00:00

  • Sedation analgesia during office-based plastic surgery procedures: comparison of two opioid regimens.

    abstract:BACKGROUND:The combination of sedative and analgesic drugs is increasingly being used during minimally invasive surgery. The authors compared the clinical efficacy of two different fentanyl regimens, in combination with midazolam, for sedation analgesia in patients undergoing office-based plastic surgery procedures und...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/01.prs.0000260754.59310.38

    authors: Cinnella G,Meola S,Portincasa A,Parisi D,Morgese F,Pavone G,Dambrosio M

    更新日期:2007-06-01 00:00:00

  • Orbicularis oculi myocutaneous advancement flap for upper eyelid reconstruction.

    abstract:BACKGROUND:Reconstruction of large full-thickness defects of the upper eyelids is challenging because of their complex anatomy and specialized functions. The authors present and discuss a new, simple surgical technique for upper eyelid reconstruction. This is a single-stage procedure and has produced satisfactory to ex...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000297649.71049.ae

    authors: Demir Z,Yüce S,Karamürsel S,Çelebioğlu S

    更新日期:2008-02-01 00:00:00