Single-handed free tissue transfer without a microscope

Spyriounis, Petros K.

doi:10.1007/s00238-003-0514-9

Cited by 3 publications

(1 citation statement)

References 8 publications

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“…Unfortunately, a hospital must have an adequately trained and experienced microsurgical team and specialised equipment to do these microvascular operations, which do not exist in all hospitals worldwide [17,18].…”

Section: Discussionmentioning

confidence: 99%

Anterior rectus fascia back cut: A new modification to relieve the pressure in fascial closure of the superior pedicle of a transverse rectus abdominis myocutaneous flap

Shalom

Schein

Westreich

2012

Journal of Plastic Surgery and Hand Surgery

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The maintenance of vascular patency is one of the key points to be considered after a pedicled transverse rectus abdominis myocutaneous (TRAM) flap has been raised and when closing the anterior rectus fascia to avoid a hernia. In this study we describe a new approach to closing the most superior part of the fascia to help insure vascular patency. Forty patients who had their breasts reconstructed with TRAM flaps made up the study group. The new back cut technique was used in 25 patients. Of the remaining 15 patients, four required early revision on the day of operation for severe venous congestion or ischaemia. None of the patients who had the back cut technique required early revision. We found the back cut technique to be safe and easy, and we think that it can reduce the incidence of flap ischaemia and still achieve tight fascial closure.

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Section: Discussionmentioning

confidence: 99%

Anterior rectus fascia back cut: A new modification to relieve the pressure in fascial closure of the superior pedicle of a transverse rectus abdominis myocutaneous flap

Shalom

Schein

Westreich

2012

Journal of Plastic Surgery and Hand Surgery

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Use of varioscope in free microvascular tissue transplants

Spyriounis¹

2005

Microsurgery

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Since July 2002, the author has performed 12 consecutive free flaps using a new device, the Varioscope AF3, in order to evaluate its efficacy. The Varioscope is a world-patent novelty by Life Optics (Vienna, Austria) that combines the philosophy of microscopes and loupes. Specific advantages such as reduced cost, freedom of movement, portability, and a magnification range between 3.6-7,2x are some of the reasons that convinced the author to use the Varioscope initially. The overall success rate is similar to that obtained with a microscope or high-power loupes. The results show that the Varioscope AF3 could be safely employed in the majority of free-tissue transfers as sole means of magnification. However, for digital replantations or vessels with a diameter of less than 1 mm, a microscope might be necessary.

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The use of the reverse sural neurovenocutaneous flap in distal tibia, ankle and heel reconstruction

Spyriounis

2005

Eur J Plast Surg

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Single-handed free tissue transfer without a microscope

Cited by 3 publications

References 8 publications

Anterior rectus fascia back cut: A new modification to relieve the pressure in fascial closure of the superior pedicle of a transverse rectus abdominis myocutaneous flap

Anterior rectus fascia back cut: A new modification to relieve the pressure in fascial closure of the superior pedicle of a transverse rectus abdominis myocutaneous flap

Use of varioscope in free microvascular tissue transplants

The use of the reverse sural neurovenocutaneous flap in distal tibia, ankle and heel reconstruction

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