Microvascular surgery utilizing the endoscope as the sole source of visual assistance

Jain, Ashish; Sasaki, Satoshi; Engels, Beatrice; Oldenbeuving, N. Berber; Poindexter, Byron D.; Vásconez, Luis O.

doi:10.1002/(sici)1098-2752(1998)18:2<86::aid-micr5>3.0.co;2-s

Cited by 11 publications

(18 citation statements)

References 7 publications

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“…1,[3][4][5] They all reported the possibility of performing vascular microsurgery in an open operative field with visual on-screen assistance, either with endoscopes, video microscopes, or threedimensional video imaging. No one has reported a trial to perform microsurgery in a closed operative field (optical cavity).…”

Section: Discussionmentioning

confidence: 99%

“…Jain et al 3 in 1998 concluded that no endoscopically assisted anastomosis was performed in an open field in less than 35 minutes. In our series, we spent less time, with a mean time of 27.7 minutes for the vascular anastomoses and a mean of 19.2 minutes for the neural anastomoses.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, it enables invasive techniques using smaller incisions. 3 Recently, the explosion in digital technology has affected all surgical specialties. In particular, with progress in endoscopic surgery, the concept of performing complex surgical procedures with the guidance of video imaging is now well-established.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Microvascular Anastomosis in an Optical Cavity: Is It Possible?

El-Shazly

Elsonbaty

Kamel

et al. 2004

Plastic and Reconstructive Surgery

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Microsurgery is one of the highly interesting surgical procedures that can be performed using different applications and in different specialties, including plastic surgery. The endoscope is a popular instrument used in many fields, including plastic surgery. Although the operating microscope is still a must for microsurgical performance, microsurgery could be performed, depending on the experiences and facilities, by using other visual-assisting equipment. From this point of view, the authors tried to find less costly and more widespread equipment suitable for performing microsurgery that can, furthermore, be applied in special situations and indications, such as operating in an optical cavity. The authors investigated this issue with the endoscope. In this experimental project, the authors performed vascular microsurgical anastomoses of the rats' femoral vessels to create an optical cavity in a prefabricated skin retraction model in the groin area of 10 Sprague-Dawley male rats. The microsurgical anastomoses of the femoral vessels and nerves were performed easily in a reasonable time, without recorded difficulties, and with maximum physical and visual comfort for the surgeon. The authors spent a mean time of 28.1, 27.3, and 19.2 minutes for the arterial, venous, and neural anastomoses, respectively. In this group of animals, 90 percent vascular patency and 100 percent accurate neural anastomoses were recorded. The advantage the authors noted was that this new technique of operating in the field of microsurgery, with its feasibility and difficulties, would be a point of research and application for the young generations of microsurgeons.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Microvascular Anastomosis in an Optical Cavity: Is It Possible?

El-Shazly

Elsonbaty

Kamel

et al. 2004

Plastic and Reconstructive Surgery

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“…We wrote a paper years ago indicating that microvascular surgery could be done with the endoscope. 10 That is something that I think we need to reevaluate to save our necks because one of the professional hazards for us is neck problems. Now with a Da Vinci robot, we can do the vascular anastomosis very easily, but it is very expensive and cumbersome.…”

Section: Areas Of Our Specialty Which Are Ready For Improvementsmentioning

confidence: 96%

2005 Jurkiewicz Lecture

Vásconez¹

2006

Annals of Plastic Surgery

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“…Furthermore, it enables invasive techniques utilizing smaller incisions. 2 The main advantages of the endoscope are the lack of bulk, almost unrestricted mobility, sterility, and the absence of necessity for eye accommodation. Moreover, the endoscope is a versatile and cost-effective tool that can be used by both plastic surgeons and other surgeons.…”

mentioning

confidence: 99%

Microscopic vs. Endoscopic assisted harvesting and transplantation of free groin flaps: A comparative experimental study in the rat model

El-Shazly¹,

Kamel²,

Elsonbaty³

et al. 2002

Microsurgery

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Advances in video technology can now permit the surgeon to view a microsurgical field on a video monitor without the necessity of physically looking through the microscope eyepieces. In this project, we investigated the possibility of the performance of rat groin free-flap harvesting and transplantation with the visual assistance of the endoscope, and compared it with the conventional operating microscope, not for its replacement but as an alternative operating tool that may be preferred by a younger generation of microsurgeons or in certain operative and financial situations. Although there were not many technical differences between the microscope and the endoscope, we recorded significantly shorter operative, harvesting, and transplantation times by using the endoscope. The endoscope seems to be a promising new tool in performing microsurgery, with better handling and greater physical comfort for the surgeon. It is reliable, time-efficient, and cost-effective.

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Microvascular surgery utilizing the endoscope as the sole source of visual assistance

Cited by 11 publications

References 7 publications

Microvascular Anastomosis in an Optical Cavity: Is It Possible?

Microvascular Anastomosis in an Optical Cavity: Is It Possible?

2005 Jurkiewicz Lecture

Microscopic vs. Endoscopic assisted harvesting and transplantation of free groin flaps: A comparative experimental study in the rat model

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