Comparison of the Operating Microscope and Loupes for Free Microvascular Tissue Transfer

Jm, Serletti; Ma, Deuber; Pm, Guidera; Reading, George; Hr, Herrera; Vf, Reale; Rc, Wray; Vy, Bakamjian

doi:10.1097/00006534-199502000-00006

Cited by 64 publications

(37 citation statements)

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“…4 Inevitably, some surgeons attempted to use loupe magnification for microvascular anastomoses and reported successful results. [5][6][7] One of us (S.A.) had stopped using the microscope and turned to operating loupes in 1981 for free flaps and replants because of the ease of use. This provided us with the perfect opportunity to compare the results of the 2 techniques.…”

mentioning

confidence: 99%

Use of the Operating Microscope and Loupes for Head and Neck Free Microvascular Tissue Transfer

Ross

Ariyan²,

Restifo³

et al. 2003

Arch Otolaryngol Head Neck Surg

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A review of the literature validates the usefulness of loupe magnification in free tissue transfer surgery. To our knowledge, this is the largest number of head and neck reconstruction cases presented comparing these techniques. Loupes offer the surgeon comfort and easy access to and uncomplicated visualization of the operating field. Furthermore, loupes may decrease operating time and help avoid complicated equipment. Therefore, loupe magnification should be considered in head and neck reconstruction without the fear of increased morbidity.

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mentioning

confidence: 99%

Use of the Operating Microscope and Loupes for Head and Neck Free Microvascular Tissue Transfer

Ross

Ariyan²,

Restifo³

et al. 2003

Arch Otolaryngol Head Neck Surg

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“…The use of loupe magnification permitted to perform anastomosis with greater mobility, adaptation, and accessi- bility of the surgeon and assistant to the surgical field, making the procedure quicker and easier. 8,9 In conclusion, we believe that free flaps, although seldom necessary for reconstruction of thoracic defects, 6,7 in rare situations, such as this uncommon case of chest wall fasciitis, can be the best option. Latissimus dorsi myocutaneous free flap offered a well vascularized tissue for full-thickness reconstruction with good functional and esthetic result.…”

Section: Discussionmentioning

confidence: 86%

Microsurgical reconstruction of chest wall defect after necrotizing fasciitis

et al. 2006

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Chest wall necrotizing fasciitis is a rare and often fatal infection that usually requires extensive debridements and reconstructive procedures. We describe the therapeutical course of an uncommon case of perforating thoracic wound complicated with necrotizing fasciitis, with consecutive debridements and a resultant full-thickness subscapular defect. We agree that free flaps, although seldom required, must be considered when treating more complex defects. Latissimus dorsi free-flap was enough for pleural reconstruction and wall stabilization. There are no previous references in the literature to primary chest wall fasciitis treated successfully with microsurgical reconstruction.

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“…Most microvascular free-tissue transfers can be performed under either loupe or microscope magnification with equal rates of success. 9 At present, we consider Varioscope a potential means of anastomotic magnification in most free-tissue transfers, it has specific characteristics that combine the microscope and loupe philosophies.…”

Section: Discussionmentioning

confidence: 99%

A new type of magnification system in free microvascular tissue transfer: Varioscope M5

et al. 2007

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Free microvascular tissue transfers have become today a key instrument for the surgical treatment of wide loss of tissue. These procedures can provide definitive treatment in a single operation but they are expensive and require specialized practitioners. The operating microscope traditionally has provided this requirement; our study is focusing on the prospect of using a new visual system-Varioscope M5-in the reconstructive microsurgery field. Varioscope M5 (Life Optics, Vienna, Austria) has been employed in 21 microvascular anastomoses, where different free flaps were used in head and neck reconstruction. The necessity to operate in a different department, not provided with an operating microscope, brought along the idea of exploring an alternative procedure to classical visualization systems. Specific advantages such as reduced cost, freedom of movement, autofocus, minimal upkeep, a variable range of magnification from 2x to 9x are some of the reasons that convinced the authors to use this new type of magnification system. Increasing interest in microsurgery magnification highlights the need for further technical development in that field. We consider Varioscope M5 a future mean of anastomotic magnification in most free-tissue transfers with specific characteristics that combine the microscope and loupe philosophies.

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Comparison of the Operating Microscope and Loupes for Free Microvascular Tissue Transfer

Cited by 64 publications

References 0 publications

Use of the Operating Microscope and Loupes for Head and Neck Free Microvascular Tissue Transfer

Use of the Operating Microscope and Loupes for Head and Neck Free Microvascular Tissue Transfer

Microsurgical reconstruction of chest wall defect after necrotizing fasciitis

A new type of magnification system in free microvascular tissue transfer: Varioscope M5

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