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International Microsurgery Journal (IMJ)

Tommy Nai-Jen Chang(Editor-in-Chief) David Chwei-Chin Chuang, Isao Koshima, Zeng-Tao Wang (王增涛)(Honorary Editor-in-Chief)
DOI:10.24983/scitemed.imj
Online ISSN: 2574-1527

International Microsurgery Journal (IMJ)

Tommy Nai-Jen Chang(Editor-in-Chief) David Chwei-Chin Chuang, Isao Koshima, Zeng-Tao Wang (王增涛)(Honorary Editor-in-Chief)

International Microsurgery Journal (IMJ) is an open access journal with a comprehensive peer review policy and a rapid publication process. IMJ provides a global platform for scientists, clinicians, researchers and scholars to interact and share their latest research in all fields of microsurgery, including head and neck reconstruction, breast reconstruction, trunk and torso reconstruction, hand and upper extremities reconstruction, lower extremities reconstruction, lymphatic surgery, peripheral nerve, vascularized composite tissue allotransplantation, experimental microsurgery, microsurgical education, or other related topics.

IMJ is the official journal of International Microsurgery Club (IMC) and Internationl Course on Supermicrosurgery (国际超级显微外科学会, ICSM). International Microsurgery Club was created to facilitate discussion of complex cases and share knowledge of microsurgical techniques amongst experts around the world. Since its inauguration in May 2016, IMC now counts 5000 members and is one of the largest online educational platforms for microsurgery around the world. IMJ aims to make these educational case discussions available in written format to maximize the scholarly outreach and access to these valuable resources. IMJ welcomes submission of case reports, original articles, review papers, clinical studies, editorials, expert opinion and perspective articles, commentaries, and book reviews.

Tommy Nai-Jen Chang, MD

Dr. Tommy Nai-Jen Chang is an Assistant Professor in the Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Microsurgery, Chang-Gung Memorial Hospital, Linkou Medical Center, Taiwan. Dr. Chang finished his residency at Chang-Gung Memorial Hospital in 2011 and was appointed as staff of the department. Between March 2015 and January 2017, Dr. Chang completed a peripheral nerve research fellowship at the Hospital for Sick Children (SickKids) in Toronto, Canada, which was supervised by Dr. Gregory Borschel, Dr. Tessa Gordon and Dr. Ronald Zuker.

Clinically, Dr. Chang works with Professor David Chwei-Chin Chuang and Dr. Johnny Chuieng-Yi Lu for peripheral nerve reconstruction for adult and pediatric brachial plexus injury, facial paralysis, and reconstruction of upper and lower extremity defects. Dr. Chang also performs microvascular surgeries for Head and Neck reconstruction, perineal reconstruction, hand surgery and vascularized composite tissue allotranplantation. His research interests include peripheral nerve reconstruction, vascularized composite tissue allotransplantation, and the use of social media for surgical education such as online platform and questionnaire study.


Tommy Nai-Jen Chang, MD
Editor-in-Chief
International Microsurgery Journal
E-mail:  imj.chief@scitemed.net

David Chwei-Chin Chuang, MD

Professor David Chwei-Chin Chuang is the first plastic surgeon who concentrated on peripheral nerve science that incorporated injuries, reconstruction, and researches in Taiwan. It took him 30 years to be recognized as a world expert in the field of peripheral nerve injury and reconstruction. He started his microsurgical career in 1984 and became an academic professor in 2000. His phenomenal career was inspired largely by mentors namely: Dr. Samuel Noordhoff who motivated him to become a plastic surgeon, Dr. Fu-Chan Wei who influenced him to become a micro-surgeon; Dr. Julia K Terzis (USA), Dr. H. Millesi (Austria), Dr. A. Narakas (Switzerland), and Dr. Toru Kondo (Japan) - all four of whom had primed him to become a peripheral nerve microsurgeon.

In the process of aiming to make a solid contribution in the world of microsurgery, Prof. Chuang has developed many concepts and techniques related to the following: peripheral nerve reconstruction that deals with the classification level of brachial plexus injury; classification of level of radial nerve injury; classification of severity of post-paralysis facial synkinesis and strategy for treatment; the classification of traction avulsion amputation of the major limb; the technique of gracilis myocutaneous flap harvest; the technique revolution of FFMT for facial nerve reconstruction; the surgical treatment of thoracic outlet syndrome; the subfascial anterior transfer for cubital tunnel syndrome; the operative methods of nerve transfer for irreparable brachial plexus avulsion injury; the contralateral C7 transfer with free vascularized ulnar nerve graft; the intercostals nerve transfer to the musculocutaneous nerve, and other nerve transfer procedures.

Despite his already quite hectic schedule, he still found the time to get involved in many types of researches, which are related to peripheral nerve and free functioning muscle transplantation. Also, his numerous experimental types of research have been published in Plastic and Reconstructive Surgery, one of which is the research for arterialized venous flaps using vaso vasorum changes that he completed in 2015.

Because of his unique field of medical expertise, Prof. Chuang has been invited in countless local and worldwide meetings for special lectures, symposiums and panels in Japan, Korea, China, Thailand, Singapore, Indonesia, India, Argentina, Italy, Finland, Kuwait, Hong Kong, Mexico, Turkey, Germany and the USA. Furthermore, he also co-authored a chapter in three versions of the textbook entitled “Plastic Surgery” (2nd version 2006, third version 2013, and a new coming fourth version). Aside from these seemingly untiring achievements, he did several presentations locally and internationally, which were profiled in quite a number of publications for different medical journals.

Prof. Chuang has been similarly sought as the International Associate Editor of Plastic and Reconstructive Surgery from 2014 to 2016, and his term has been extended from 2016 to 2018. In relation to the foregoing, Professor Chuang has twice hosted the "Instructional Course" for adult brachial plexus injury in 2009, and facial paralysis reconstruction in 2011. The third part (adult brachial plexus injury) of which, is coming soon this 2017.

To make his career in micro surgery more fulfilling, Prof. Chuang engaged himself with the Fellow Training Program of Chang Gung Memorial Hospital as one of the teachers, for hundreds of international foreign fellows. Along with this, he has treated international patients (approximately 100) from 20 different countries around the world.

As an authority figure in the field of micro-surgery, Prof. Chuang held vital positions as follows: Chief of Department of Plastic Surgery, Chang Gung Memorial Hospital, Taipei-Linkou; 13th President of Taiwan Plastic Surgical Association (2006-2008); 10th President of Taiwan Society for Surgery of the Hand (2009-2010); and First (1st) President of Taiwan Society for Reconstructive Microsurgery (2014-2016). At present, he is the 9th President of World Society for Reconstructive Microsurgery (WSRM) from March 2015 to June 2017. Prof. Chuang is undertaking every workable means and ways to fortify the relationship between the WSRM central office and the four regional societies (ASRM, ALAM, EFSM and APFSRM).

Prof. Chuang’s high hope is for the International Microsurgery Club and the International Microsurgery Journal to truly become the “World Society.”


David Chwei-Chin Chuang, MD
Honorary Editor-in-Chief
International Microsurgery Journal
President Emeritus, World Society for Reconstructive Microsurgery


Isao Koshima, MD

Prof. Koushima, president of World Society for Reconstructive Microsurgery from 2017 to 2019, graduated from Okayama Prefectural Tsuyama High School and Faculty of Medicine Tottori University in the 70s, finished his resident training as a plastic surgeon at Tokyo Women's Medical University Surgery department and The University of Tokyo Hospital Plastic surgery.

In 1983, he joined University of Tsukuba Plastic Surgery Faculty of Medicine as a lecturer. By the year of 1990, he became an associate professor at Kawasaki Medical School Plastic Surgery. He was then sent to Harvard University for further education in 1996 and became a professor at Okayama University Faculty of Medicine Plastic Reconstruction Surgery, The University of Tokyo Plastic Reconstruction Surgery, and National University of Singapore in the early 2000s. In 2010, he was the associate dean at The University of Tokyo Hospital and became emeritus professor at The University of Tokyo Hospital as well as distinguished professor at Hiroshima University International Lymphedema Treating Center in 2017.

Throughout his academic career, he performed live surgeries in 22 hospitals through invitations from international societies since 1997, including Ghent University Hospital, Belgium (twice), Louisiana State University, USA , Kuwait University hospital, München , Universidade de São Paulo hospital, Sant Pau Hospital, Barcelona, Ankara Medicine University, Turkey, China-Japan Friendship Hospital, Beijing (twice), National University of Singapore, Planas Hospital, Barcelona, Coimbatore city hospital, India, Versailles, France (2009/Feb), Utrecht University Hospital, Nederland (2009/May), Tomsk State University, Russia (2009/Sep), Planas Hospital, Barcelona(2010/Mar), University of Picardie Jules Verne, France (2010/Jul), Mahidol University, Thailand (2010/Aug), Hospital General Dr. Manuel Gea González (2010/Oct), The Chinese University of Hong Kong( 2010/Nov), National University of Singapore (2010/Dec), and Mumbai, India (2011/Mar).

Prof. Koushima’s contribution to the field can be divided into basic medical sciences and clinical medical sciences. He specializes in neuro-degeneration and neuro-regeneration, nerve grafting, tendon transplantation, and vascular pedicle nerve grafting. He is very well known in multiple clinical fields, such as perforator flap reconstruction, microvascular anastomosis, head and neck reconstruction, facial nerve palsy reconstruction, extremities’ reconstruction, lymphedema surgeries, as well as transgender surgeries for those with gender identity disorders. He has performed penis reconstruction, hand reconstruction, breast reconstruction, and aesthetic plastic surgery.

Prof. Koushima is affiliated with many societies as he is the reviewer of Plastic & Reconstructive Surgery Journal of American Society of Plastic Surgeons and Japanese Society of Plastic Reconstruction Surgery, and the founder and operator of International perforator flap conference 1997, Asia Pacific super micro conference in Singapore 2007, and Europe super micro conference in Barcelona 2010. He was the chairman of Japanese Society for Surgery of the Hand, Japanese Society of Reconstructive Microsurgery, and Japanese Society for Lymphoreticular Tissue. He is the supervisor of Japanese Society of Tissue Transplantation and members of Japan Society for Head and Neck Surgery and Japanese Research Society of Clinical Anatomy.

Honorary Editor-in-Chief
International Microsurgery Journal
Pesident, World Society for Reconstructive Microsurger


Zeng-Tao Wang (王增涛), MD

Prof. Wang is the world-famous microsurgeon in China. He is currently the chief of Shandong Provincial Hospital Extremities Surgery Department, professor and chief physician of Chinese Association of Microsurgery, vice chairman of Chinese Medical Association Branch of Microsurgery and Branch of Hand Surgery, and committee member of Shandong Province Society for Surgery of the Hand, committee member of Chief Shandong Province Society for Trauma surgery, vice chief physician of Shandong Province Society for Reconstruction Surgery, and editorial board member of Chinese Journal of Clinical Anatomy.

Prof. Zeng-Tao Wang’s work is filled with creativity, mainly focusing on a combination of clinical research and basic medical research. He has published several world-class original results based on innovative techniques in the clinical medical field. For instance, Dr. Wang’s research made great improvements regarding low temperature organ preservation. He successfully replanted three cases of low temperature-preserved severed finger at -196°C. Moreover, he created assembled digit reconstruction, a procedure that brought to light a whole new vision to the traditional procedure which has been used for thirty years in the world by replanting digits through cutting off the index toe. This new technique allows reconstructed fingers to resemble original digits instead of toes. His creativity and innovative visionary leads the field of reconstructive surgery into a new era.

Even more, Prof. Wang exceeded expectations as he placed extra hard work in reviewing and revising microsurgery anatomy, which helped clarify several anatomy structures related to microsurgery. His contribution has an exceptional impact on the improvement of the field of reconstructive microsurgery. He also has many literary works regarding such matters, for instance, the “Clinical Anatomy Atlas of Microsurgery”.

To include Prof. Wang as the honorary editor-in-chief of International Microsurgery Journal is the breakthrough of the global microsurgery since we successfully overcome the barrier of language and platform, so people can learn the masterpieces from Chinese microsurgery masters. In the future we will have more cooperation not only in the journal, but also the conference, and the online platform. Hope the knowledge pooling and exchange can benefit the global microsurgeons and the patients.

Honorary Editor-in-Chief
International Microsurgery Journal

    Coming Soon...

Editorial Board

  • Angela Cheng, MD

    Emory University School of Medicine
    Assistant Professor of Surgery, Division of Plastic and Reconstructive Surgery, Department of Surgery
    United States
    Dr. Cheng is a double board certified in general and plastic surgery. She attending at Emory University since 2012 and teach both medical students and residents. Her practice includes both general plastic surgery and complex microvascular reconstruction (especially of the breast including SIEA, DIEP, TRAM and lymphatic bypass). Dr. Cheng works also at Grady Memorial hospital where she treat patients for traumatic craniofacial, hand and extremity injuries; cosmetic concerns, and perform breast and oncologic reconstruction. She trained in general surgery at University of Texas in Houston. At the University of Virginia and completed plastic surgery residency, she finished breast/microsurgery fellowship at UT Southwestern.
  • Kihyun Cho, MD, MSC

    Department of Plastic Surgery
    Cleveland Clinic Foundation
    United States
    Dr. Cho is a plastic and reconstructive surgeon with expertise in aesthetic surgery and reconstructive microsurgery. His research focuses on scar treatment, vascularized composite allotransplantation (VCA) and virtual surgical planning (VSP). He completed a plastic surgery residency at Hallym University School of Medicine, Seoul, South Korea. Then he completed an aesthetic surgery fellowship at the University of Toronto. He is currently a microsurgery instructor and research fellow at Cleveland Clinic, Cleveland, OH, USA. Dr. Cho is a member of several prestigious medical societies including The American Society of Plastic Surgery, Korean Society of Plastic & Reconstructive Surgery and Korean Society of Aesthetic Surgery.
  • Ruben Coelho, MD

    Department of Plastic Surgery
    Lisbon Central Hospital
    Portugal
    Dr. Ruben Coelho is a Plastic Surgeon from Lisbon-Portugal. He's an enthusiast of Reconstructive Microsurgery who, after the basic training in Coimbra and Lisbon, completed the International Microsurgical Fellowship at Akademiska Sjukhuset in Uppsala-Sweden. His specific fields of interest and knowledge are breast, hand and lower limb reconstruction and he aims to contribute to the scientific development of Microsurgery and to the standardization of the high level of patient care all around the world.
  • Gabriel Del Corral, MD, FACS

    Assistant Chair, Department of Plastic Surgery
    Sinai Hospital
    United States
    Dr. Del Corral focuses on providing patients with the safest and most advanced surgical techniques. He is committed to using his artistic eye to help his patients obtain a natural looking aesthetic enhancement. Dr. Del Corral currently serves as the assistant chair of plastic surgery at Sinai Hospital of Baltimore. Dr. Del Corral was recently named doctor of the year at Carroll Hospital Lifebridge and named “Top Doctor” by the prestigious Baltimore Magazine for aesthetic, breast reconstruction, general plastic surgery and body contouring. Dr. Del Corral has a specific interest in working with patients diagnosed with breast cancer, and performs a wide variety of breast reconstruction procedures. These procedures include the DIEP (deep inferior epigastric artery perforator), TUG/PAP/TDAP flaps and lymphedema procedures including lymphovenous bypass and lymph node transfers. Dr. Del Corral is the author of “The new breast procedure, Microsurgical breast reconstruction “book. Del Corral is also highly skilled in treating patients with post-surgical lymphedema with the most advanced microsurgical techniques. He is the exclusive plastic and reconstructive surgeon for Lifebridge Health and Medstar in Baltimore, Maryland, where he works in conjunction with a multidisciplinary cancer team to provide highly personalized treatment plans for every patient.
  • Steffen U. Eisenhardt, MD

    Department of Plastic and Hand Surgery
    University of Freiburg
    Germany (Deutschland)

    Dr. Eisenhardt is a Professor of Plastic Surgery at the University of Freiburg/Germany. He graduated from Freiburg University in 2005 and after his postdoctoral studies in Melbourne/Australia completed his Plastic surgery and microsurgery training at the University of Freiburg Medical Centre. He is specializing in complex reconstructive microsurgery, particularly facial paralysis reconstruction and extremity reconstruction. Dr. Eisenhardt has a strong passion for student and resident training and he is responsible for the Microsurgery training program at his institution. Dr. Eisenhardt is PI of several major grants of the German Research Foundation (DFG) investigating multiple aspects of microsurgery and microcirculation and was awarded a Heisenberg Fellowship in 2014, the most prestigious personal fellowship awarded by the DFG, honoring his scientific contribution to the field of microcirculation research.

  • Mohamed A. Ellabban, MD, MBBCh, MSC, MRCS, FEBOPRAS

    Associate Professor, Division of Plastic and Reconstructive Surgery, Department of Surgery
    Suez Canal University Hospital
    Egypt (‫مصر‬‎)
    Dr Ellabban’s educational background and international training have provided a solid base for him to develop an acknowledged expertise in the field Plastic and Reconstructive Surgery. He received his medical education from Suez Canal University with the degree of “Excellent with Honours”. He then undertook one year of house-officer’ rotation in Suez Canal University Hospitals. He completed his basic surgical training in general and plastic surgery at Suez Canal University Hospitals and was awarded a Master Degree in Surgery in 2004 on a study of “Body Contouring After Restrictive Bariatric Surgery”. The study had received the best research award from the Egyptian Society of Surgeons (ESS) in 2005. Dr Ellabban was appointed as Specialty Registrar in Plastic and Reconstructive Surgery in Suez Canal University Hospitals. He was also appointed as Assistant Lecturer of Plastic Surgery in Faculty of Medicine, Suez Canal University. By the end of 2005, he was awarded a scholarship from the Egyptian Ministry of Higher Education to have post-graduate degree of Doctorate in Medicine (MD) in University of Glasgow, United Kingdom. He then joined plastic surgery team of Canniesburn Plastic Surgery Unit based at Glasgow Royal Infirmary Hospitals as Head and Neck Oncoplastic Fellow for almost three years. During this period, he had a great opportunity to get advanced training in head and neck surgical oncology and reconstructive microsurgery under supervision of Mr David Soutar, a world-renewed Consultant Head and Neck Plastic Surgeon. He also performed his MD study on “Quality of Life After Surgical Management of Oral Cancer”. In 2008, he became member of Royal College of Physicians and Surgeons of Glasgow (MRCS Glas) after completion of its exam. He then undertook two years of training in plastic and reconstructive surgery as Specialty Registrar in number of Scottish teaching hospitals as well as periods spent as visiting fellow in specialist centers in Belgium and United States of America. In 2009, he had a “University Diploma in Free Flap Dissection on Living Tissue” from Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. In 2010, He became Fellow of European-Board of Plastic, Reconstructive and Aesthetic Surgery (FEBOPRAS) after completion of its exam. By the end of 2010, Dr Ellabban was appointed as a Consultant Plastic, Aesthetic and Reconstructive Surgeon in Suez Canal University Hospitals, he was also appointed as a Lecturer of Plastic Surgery from Suez Canal University. He is currently an Associate Professor of Plastic and Reconstructive Surgery at Suez Canal University. Dr Ellabban’s main interests are facial surgery including facial reanimation, breast surgery, body contouring and reconstructive microsurgery after cancer ablation and limb trauma. He has continued to publish his work within the plastic surgery and scientific literature, and present nationally and internationally at plastic surgery conferences. He has received various academic and research field awards during his career. He regularly teaches and supervises postgraduate studies of junior plastic surgeons as in facial beauty, limb trauma and head and neck reconstruction. Dr Ellabban’s is an active member of the Egyptian Society of Plastic and Reconstructive Surgeons (ESPRS) and executive board member of the Egyptian Society of Head and Neck Oncology (ESHNO).
  • Abdulla Fakhro, MD, MRCS

    Division of Plastic Surgery, Department of Surgery
    Baylor College of Medicine
    United States
    Abdulla Fakhro, MD, MRCS is a board certified surgeon and current fellow plastic and reconstructive surgeon at Baylor College of Medicine in Houston Texas. His interests are primarily in reconstructive microsurgery with a particular expertise in performing breast reconstruction using both SIEA and DIEP flaps, two of the most demanding procedures for breast reconstruction surgery. He has presented at many international meetings including the ACS Clinical Congress which is among the largest annual medical meetings in the world. It attracts more than 8,000 surgeons from around the globe, and is dedicated to the presentation of original research related to surgery by investigators in clinical and basic science. The ACS is a scientific and educational association of surgeons that was founded in 1913 to improve the quality of care for the surgical patient by setting high standards for surgical education and practice.He has also presented at prior American Society of Plastic Surgery (ASPS) and the American Societry of Reconstructive Microsurgery (ASRM) meetings as well as other regional plastic surgery meetings such as the Northeastern Society of Plastic Surgery, the Texas Society of Plastic Surgery and the Houston Society of Plastic Surgery meetings.
  • Margaret Fok, FRCSEd (Ortho), FHKAM (Orthopaedic Surgery), FHKCOS MBChB (Otago)

    Honorary Clinical Assistant Professor, Division of General Orthopaedics and Oncology
    The University of Hong Kong
    China (中国)
    Dr Margret Fok is an orthopaedic specialist with a special interest in hand, wrist and soft tissue coverage. During her orthopaedic training In the University of Hong Kong, she has the privilege to be mentored by Professor SP Chow, a world class hand surgeon. After completing the orthopaedic training, she undertook post-fellowship training in hand and wrist and microsurgeries in 2011. She has worked under numerous esteemed world class professors, including: 1. Professor Fu-Chan Wei, Taipei, Taiwan, on microsurgery and soft tissue coverage, 2. Professor David Chuang, Taipei, Taiwan on brachial plexus reconstruction and peripheral nerve reconstruction, 3. Professor Diego Fernandez, Bern, Switzerland on the study of Hand and wrist surgery, and 4. Professor Yuen Kwan Tu, Kaoshiung, Taiwan, on soft tissue reconstruction. Dr Margaret Fok is currently working in Queen Mary Hospital, a teaching hospital of the University of Hong Kong. Her work comprises of the management of hand and wrist conditions, as well as the management of peripheral nerve injures and bone and soft tissue defects. She is an active member in the hand committee of SICOT, hand, wrist and elbow committee of ISAKOS, and international wrist investigator’s workshop. She has given many presentations / lectures in international meetings and has been published in esteemed journals. She is a reviewer in numerous indexed journals including hand, journal of orthopaedic surgery, journal of paediatric surgery.
  • Raymond Goh, MD

    Valley Plastic Surgery
    Fortitude Valley, Queensland, Australia
    Australia

    Dr Ray Goh completed his medical studies and graduated with Honours from the University of Queensland School of Medicine. Developing an interest in the field of surgery from the very onset of residency, he spent most of his junior doctor years at the Princess Alexandra Hospital, rotating through various surgical subspecialties, and completing his Basic Surgical Training, before progressing onto Advanced Training in General Surgery. After General Surgery, Dr Goh was immediately accepted into the training scheme of Plastic and Reconstructive Surgery, working through all the major tertiary hospitals in Brisbane. He then undertook advanced training in Plastic Surgery in Melbourne for two years, working at St Vincent’s Hospital and the Royal Melbourne Hospital, focusing on the specialty of Hand Surgery and Microsurgery. After attaining his fellowship in Plastic and Reconstructive Surgery from the Royal Australasian College of Surgeons (RACS) in 2007, Dr Goh undertook a two-year international fellowship in Asia and North America, focusing on the fields of craniomaxillofacial and Cosmetic Surgery. During this time abroad, Dr Goh had the opportunity and privilege of working alongside world leaders in plastic surgery in internationally renowned plastic surgery units. He still keeps in close contact with his mentors and always looks forward to catching up with them at international meetings. Dr Goh is an active member of the Australian Society of Plastic Surgeons (ASPS), the Australian Society of Aesthetic Plastic Surgeons (ASAPS), the American Society of Plastic Surgeons, the American Society of Aesthetic Plastic Surgery, the International Confederation for Plastic, Reconstructive & Aesthetic Surgery (IPRAS), the Queensland Hand Surgery Society (QHSS), and the Royal Australasian College of Surgeons (RACS). Dr Goh believes in being at the forefront of evolution in plastic surgery research and surgical techniques. He enjoys regularly participating in select national and international plastic surgery meetings and master classes. Dr Goh believes that a fervent desire to learn and to continue to improve patient outcome is absolutely essential to a surgeon’s development no matter what level of experience they are at. In addition to ongoing professional development, Dr Goh is also involved in the training of local surgeons through mentorship, registrar teaching, and as a senior lecturer for the University of Queensland School of Medicine. Dr Goh enjoys writing and has published extensively, both informally in community and general practice literature, as well as in international peer-reviewed plastic surgery journals and textbooks. Dr Goh believes that the key to a successful outcome in many plastic surgery procedures often narrows down to a simplified equation. Firstly, both the patient and surgeon must be able to define and outline the areas they are not happy with or that require restoration/improvement. Secondly, the goals of surgery and expectations on what is reasonably achievable must be clearly defined. And finally, the surgeon must possess the experience and technical expertise to be able to achieve the stated goals, and also to be able to deal with any potential complications should they arise. Dr Goh's areas of special interest and expertise include rhinoplasty, aesthetic breast surgery, facial enhancement surgery, body contouring, skin cancer, and hand surgery.

  • Sherif Abou Bakr Ahmed Hantash, MD

    Department of Plastic and Reconstructive Surgery
    Tanta University
    Egypt (‫مصر‬‎)
    Dr. Sherif received his medical education from Tanta University, where he completed his residency and developed a great interest in the field of plastic surgery. He completed his residency in Plastic and Reconstructive Surgery in 2009, he then he became a demonstrator in the department of plastic surgery. Dr. Sherif is currently a lecturer at Tanta University. He is pursuing his doctoral thesis on the clinical applications of thoracodorsal artery perforator free flap.
  • Jung-Ju Huang, MD

    Associate Professor, Division of Plastic and Reconstructive Surgery, Department of Surgery
    Chang Gung Memorial Hospital
    Taiwan (台灣)

    Dr. Jung-Ju Huang is a board-certified plastic surgeon from Taiwan. Currently, she is associate professor of Department of Plastic and Reconstructive Surgery and director of breast reconstruction center at Chang Gung Memorial Hospital in Taiwan. She majors in reconstructive microsurgery, in particular, microsurgical breast reconstruction, gynecological reconstruction, and surgical treatment for lymphedema. She also performs aesthetic breast surgeries. Dr. Huang does basic and clinic researches along with her clinical work. Her researches were highly recognized by the society of plastic surgery in Taiwan and USA and being awarded several times. She was selected as one of the ten outstanding young women in Taiwan for 2017 and the raising star in the aforementioned fileds.

  • Jamil Al-Jamali, MD

    Department of Plastic and Reconstructive Surgery
    Mediclinic Welcare Hospital
    Germany (Deutschland)
    Dr. Jamil Aljamali is a plastic, reconstructive and hand surgeon with an experience in microsurgery since 2000 . He obtained his plastic surgery training in different countries starting in Egypt , where he worked in a very busy University hospital in Tanta Faculty of Medicine . During the period from 2000 till 2004 , he exposed to all kinds of complicated hand surgeries and got a very good experience in dealing with congenital craniofacial surgeries like cleft lip and palate surgeries. After that he moved to Germany to University Hospitals of Freiburg , where he got his advanced plastic , reconstructive and hand surgeries. As a famous referral Centres of all complicated surgeries , his training was covering all kind of reconstructive surgeries like hand , sarcoma surgeries , peripheral nerve surgeries , lymphedema management , chronic wounds surgeries , breast reconstructive surgeries and paediatric plastic surgeries. After spending 5 years in Plastic surgery department, he got special intensive training in the department of maxillofacial surgeries in one of the best department in Europe, where navigation assisted facial surgeries and minimal invasive fractures management and microsurgery of the head and neck were one of the best AO fellowships all-over the World. He obtain his Facharzt degree in Plastic surgery and fellowship in hand surgery and 3 years fellowships in Maxillofacial surgery. Since 2013 he is working as the head of department of Plastic , hand , reconstructive and aesthetic surgery in Mediclinc Welcare hospital in Dubai.
  • Kidakorn Kiranantawat

    Plastic and maxillofacial surgery
    Faculty of Medicine Ramathibodi hospital, Mahidol university
    Thailand (ไทย)
    Dr. Kiranantawat is a lecturer of Plastic surgery at Ramathibodi hospital, Mahidol university, Thailand and a faculty member of Society of Plastic and Reconstructive Surgeons of Thailand. He is dedicated to improving the patient care and plastic surgery education in Thailand. His research interests are in the areas of reconstructive microsurgery, lymphatic surgery, nose reconstruction, Rhinoplasty, facial aesthetic and reconstructive surgery.
  • Georgios Kolios, MD, MBA

    Chief, Department of Reconstructive and Aesthetic Surgery
    Hanse Chirurgie Hamburg
    Germany (Deutschland)
    Dr. Georgios Kolios is the head of the Unit for Plastic, Reconstructive and Aesthetic Surgery, Facial Plastic Surgery in a hospital close to Hamburg, which is predominantly a teaching hospital for three German Universities. Upon completion of Plastic Surgery training in 2012, he completed a 16 month Reconstructive Microsurgery and Aesthetic Surgery Fellowship in 2014 under Professor Fu-Chan Wei at the Chang Gung Memorial Hospital in Taiwan. Followed closely by a 2 month Advanced Facial Aesthetic Fellowship with Dr. Bryan Mendelson in Melbourne Australia in 2015. He was invited to complete a 6 month Fellowship of the Dutch Association of Facial Plastic and Reconstructive Surgery (DAFPRS) where he worked with World Renowned Plastic Surgeons in London (Royal Free, Wellington, Harley Street) and Germany. In 2016 he was awarded the first German Plastic Surgeon with the International Fellowship by the American Society of Aesthetic Surgery (ASAPS). This scholarship provided him the opportunity to learn from highly reputable American Plastic Surgeons throughout the USA. Additionally, Dr. Georgios Kolios is a Consultant for Reconstructive and Aesthetic Surgery for the Holsteinisches Breast Cancer Center (4 departments) and the Breast Cancer Center of Marienhospital Hamburg. He was recently honoured with the leading position in Plastic and Aesthetic Surgery in the Hanse Chirurgie which is a group of celebrated surgeons from all fields in Hamburg.
  • William Lao, MD

    Division of Plastic and Reconstructive Surgery, Department of Surgery
    Chang Gung Memorial Hospital
    Taiwan (台灣)
    Dr. Lao earned his Doctorate of Medicine degree (M.D.) from Johns Hopkins University, where he completed undergraduate studies and received his bachelor’s degrees in Biomedical Engineering and Computer Science. He then completed six years of integrated residency training in Plastic and Reconstructive Surgery at the Medical College of Wisconsin. During his residency, he spent one year in research and clinical microsurgery under the guidance of Dr. Fu-Chan Wei. After residency, he further completed an aesthetic surgery fellowship in Manhattan, New York under the guidance of Dr. Sherrell J. Aston. Dr. Lao is licensed in both the United States and in Taiwan and double boarded in Plastic Surgery in both countries. He returned home to Taiwan and currently serves as an Attending Physician in the Department of Plastic Surgery in Chang Gung Memorial Hospital in Taipei and Linkou. Dr. William Lao specializes in microsurgical reconstruction and cosmetic surgeries of the face and body.
  • Dimitri Liakos, MD

    Department of Plastic and Reconstructive Surgery
    WITS Donald Gordon Medical Centre
    South Africa
    Dr Dimitri Liakos is plastic and reconstructive microsurgeon with special interest in breast and head and neck reconstruction. He is currently a consultant in the department of plastic surgery at the University of the Witwatersrand in Johannesburg, South Africa, specializing in free flap surgery. He also has a private practice at the WITS Donald Gordon Medical Centre focused on breast reconstruction. Dr Liakos completed his undergraduate medical degree at the University of Pretoria and his plastic surgery training at WITS University in Johannesburg. He then went on to complete a fellowship in advanced reconstructive microsurgery with Prof. Hung-chi Chen in Taiwan. Furthermore, Dr Liakos has completed observerships at the MD Anderson Cancer Centre in Houston, Texas and UZ Brussels with Prof M Hamdi in Belgium. Dr Liakos is a member of the Association of Plastic, Reconstructive and Aesthetic Surgeons of South Africa.
  • Allen S Liu, MD

    Staff surgeon
    Arizona Center for Hand Surgery
    United States
    Dr. Allen S. Liu obtained a dual degree in Biochemistry and English Literature at University of California, Los Angeles. He thereafter pursued his medical studies at Harvard Medical School. During his medical school years, he received a scholarship to spend two years in Paris, France to do research in gene therapy. It is upon his return to Harvard Medical School to complete his clinical years that he became fascinated by the technical complexity and creativity in reconstructive plastic surgery. Dr. Liu completed his residency training in plastic and reconstructive surgery at Harvard and thereafter a hand and microsurgery fellowship at University of California, Los Angeles. Dr. Liu has been a staff surgeon at Arizona Center for Hand Surgery since the completion of his training, specializing in complex orthopedic and soft tissue reconstructions for the upper extremity. His clinical practice also encompasses soft tissue reconstruction for the lower extremity and head and neck.
  • Andrés Rodríguez Lorenzo

    Sweden (Sverige)
    Dr. Andrés Rodríguez Lorenzo, after plastic surgery residency in Spain, completed his two-year microvascular fellowship at the Cannieburn Plastic Surgery Unit in Glasgow and Chang Gung Memorial Hospital in Taiwan. He is Associate Professor for Plastic Surgery and Chief of Plastic Surgery at Uppsala University Hospital, leading one of the most active microsurgical centers in Scandinavia. He is the program director of the International Fellowship Program in Microsurgery at the Uppsala University and his main focus of research is head and neck reconstruction including preclinical studies on face transplantation, virtual planning and facial paralysis.
  • Stefan Meng, MD

    Austria (Österreich)
    As a specialist in radiology, Dr. Meng's main clinical focus in daily routine is on neuromuscular and head/neck imaging, especially using ultrasound. As a senior scientist his research projects are focused on nerve ultrasound. In pre- and postgraduate ultrasound courses, anatomical courses and in scientific lectures he shares and puts issues to discussion regarding the neuromuscular system. Dr. Meng is an active member in the Austrian Society for Ultrasound in Medicine as well (www.oegum.at).
  • Alejandro Maciel-Miranda, MD

    Department of Plastic and Reconstructive Surgery
    Instituto Nacional del Cancerologia
    Mexico (México)
    Dr. Alejandro is a Mexican plastic surgeon. He completed a fellowship in Advanced Breast Reconstruction and Microsurgery at Dalhousie University at Halifax, Nova Scotia, Canada; and further training in Oncoplastic Breast Surgery by Complexo Hospitalario Universitario, La Coruña, Spain. He works at National Cancer Institute of Mexico, were he performs complex oncological reconstruction and advanced breast reconstruction, in a high volume hospital, the most important cancer treatment center in the Mexico. He also leads the Oncologic Reconstruction and Microsurgery Fellowship Program, at the same Hospital.

Assistant Editors

  • Soo-Ha Kwon, MD

    Chang Gung Memorial Hospital
    Taiwan (台灣)

    Dr. Soo-Ha Kwon was born in Korea and moved to Taiwan at the age of 10. She graduated from National Yang-Ming University and currently is the resident of the Department of Surgery, Chang Gung Memorial Hospital, Linkou Medical Center, Taiwan. Her research interests have included peripheral nerve, microsurgery, aesthetic surgery and the questionnaire study. Dr. Kwon is currently the admin of International Microsurgery Club (IMC) and will continue working on IMJ, in order to push the new journal to the top of the filed of microsurgery.

  • Che-Hsiung Lee, MD

    Division of Plastic and Reconstructive Surgery, Department of Surgery
    Chang Gung Memorial Hospital
    Taiwan (台灣)

    Dr. Lee is a surgeon specializes in plastic and reconstructive surgery, served as a resident in Chang Gung Memorial Hospital, Linkou, Taiwan. The main focus of interests were reconstructive microsurgery of head and neck, nerve reconstruction, hand reconstruction, trauma reconstruction as well as evidence-based medicine. He attended the international meeting presentation of WSRM, ASRM and IFSSH as well as domestic department of plastic surgery and surgical concepts regarding to vulvar reconstruction, vascularized joint transfer, breast reconstruction, head and neck reconstruction and the prevention of its related complications. He also won the silver award of 16th Healthcare Quality Improve Campaign- National EMB competition- Clinical literature search group, 2015. Dr. Lee obtained his medical degree from China Medical University in Taichung, Taiwan. Currently, he is working on international journal articles in the field of plastic surgery. Dr. Lee have devoted the time in reconstructing and optimizing functional and aesthetic outcomes for over 2,000 patients in 4 years of resident training period.

  • Kevin Zuo, MD

    University of Toronto
    Canada

    Dr. Kevin Zuo is a resident in the Division of Plastic & Reconstructive Surgery, Department of Surgery at the University of Toronto. He completed medical school at the University of Alberta (Edmonton, Canada) and has worked as a Research Student at McGill University (Montreal, Canada). He is currently working towards a Master’s degree investigating peripheral nerve injury and regeneration under the supervision of Dr. Gregory Borschel at the Hospital for Sick Children, Toronto, Canada. Dr. Zuo is interested in all areas of reconstructive microsurgery and is honoured to serve as an Assistant Editor for IMJ.

  • Cheng-Feng Chu

    Chang Gung Memorial Hospital
    Taiwan (台灣)

    Cheng-Feng Chu is a medical student from Chang Gung Medical College and Chang Gung University, Taoyuan, Taiwan. IMJ is a groundbreaking journal co-established by Dr. Tommy NJ Chang on 2017, associated with the biggest online microsurgery media—International Microsurgery Club (IMC). The educational open resource has become one of the most successful online discussion groups for surgeons around the world. Mr. Chu has made great contributions to the development of IMC by website construction, data analysis and cases organization; furthermore. Mr. Chu built a IMC Case Library, a digital reservoir commits to the long-term preservation of and access to IMC’s valuable collection. As an assistant editor pointed by the founder of IMC, the world’s largest microsurgeon community, Cheng-Feng Chu would like to contribute his comprehensive set of skills for International Microsurgery Journal to better spread knowledge, support research, assist collaboration, and facilitate learning networks in the field of microsurgery. Cheng-Feng Chu’s main interests are reconstructive surgery, craniofacial surgery, and hand surgery. He has wide range of research interests from basic laboratory research to meta-analysis. Cheng-Feng Chu is currently working on research studies and projects led by Dr. Tommy NJ Chang and Dr. Jung Ju Huang.

  • Angela Ting-Wei Hsu

    Mackay Medical College
    Taiwan (台灣)

    Angela Ting-Wei Hsu is a sixth-year medical student graduating in 2018 June from Mackay Medical College and currently doing the clerkship in Mackay Memorial Hospital, Taipei, Taiwan. Being interested in head and neck surgery, she has been to Massachusetts Eye and Ear Infirmary, Boston, the US for international clerkship exchange program in 2016. Her research interests from head and neck in otolaryngology to reconstruction via 3D-model, microsurgery, aesthetic surgery and questionnaire study in the plastic and reconstructive surgery department. During her student career, she has been to several international academic meetings for free paper presentations, including 2016 ASRM, TSA, and WSRM. Being a core member of International Microsurgery Club, she will continue working with other core members to make IMJ the top one journal in microsurgery.

  • Mark Shafarenko

    University of Toronto
    Canada

    Mark Shafarenko is currently a second-year medical student at the University of Toronto. Mark completed his undergraduate studies at the University of Western Ontario in Biomedical Sciences. Since beginning medical school, Mark has taken a keen interest in plastic and reconstructive surgery and microsurgery, conducting observerships and multiple research projects in the field. Mark hopes to be accepted into a plastic surgery training program in the near future.

  • Johannes Steinbacher, MD

    Division of Plastic and Reconstructive Surgery
    Medical University of Vienna
    Austria (Österreich)
    Dr. Johannes Steinbacher graduated from the Medical University of Vienna in 2012 and has been trained at the Division of Plastic and Reconstructive Surgery of the Medical University of Vienna. He broadened his surgical training in General Surgery and Trauma Surgery. His research focuses on the surgical treatment of lymphedema, in which Dr. Steinbacher was inspired during a visit to Chang Gung Memorial University Hospital in Taipei, Taiwan. This clinical interest is reflected in his numerous contributions to national and international congresses and publications in this field.
  • Evelyn Ting-Hsuan Tang

    Mackay Medical College
    Taiwan (台灣)

    Evelyn Ting-Hsuan Tang, is a 6th year medical student of Mackay Medical College ,New Taipei city, Taiwan. Between 2007 to 2011, she earned her bachelor’s degree in Pharmacy from National Taiwan University, Taipei City, Taiwan. Currently, she is receiving training in Mackay Memorial Hospital, Taipei City, Taiwan. After completing clerkship in the Department of Obstetrics and Gynecology, Pediatrics, Surgery, and Internal Medicine in Mackay Memorial Hospital, she went on observership in Department of Plastic Surgery of the Hospital for Sick Children, Toronto, Canada, which was supervised by Dr. Tommy Nai-Jen Chang and Dr. Gregory Borschel from July 2016 to August 2016. Also, she finishing short-term clerkship in the Department of Plastic Surgery in Chang Gung Memorial Hospital, Linkou Medical Center, Taiwan, which was supervised by Dr. Chih-Hung Lin in June, 2016. Evelyn Ting-Hsuan Tang’s medical and research interests focus on microsurgery, social media for surgical education and online questionnaire study. She serves as assistant manager of International Microsurgery Club(IMC) instructed by Dr. Tommy Nai-Jen Chang since May 2016 and investigates online medical consultation system via social media. She is going to attend the World Society of Reconstructive Microsurgery(WSRM) to present the successful experience of IMC in June 2017 and post a poster about negative pressure treatment which are instructed by Dr. Tommy Nai-Jen Chang. Also, she serves as staff of 2nd instructional course for adult brachial plexus injuries in November 2017. In addition, Evelyn enjoys online questionnaire study, including designing the model and analyzing the data. She had oral presentation experience in aesthetic surgery at annual conference of Taiwan Surgical Association and Taiwan Society of Plastic Surgery in December 2016 and March 2017, respectively. During medical school life, she received twice presidential award for academic excellence within top three grades in whole class in 2013 and 2016. She had publication in the field of medical chemistry, attended international carbohydrate symposium and was awarded undergraduate research grant while studying in Pharmacy. Besides, she dedicates to international health care and participated in medical mission team in Kiribati in March 2017. She is always enthusiastic about learning and is a highly motivated hard worker who is dedicated to discovering innovation in medical research and development.

Early View

Current Issue

Volume 3, Issue 3

  • Vascularized Lymph Vessel Transfer for Extremity Lymphedema - Is Transfer of Lymph Node Still Necessary?

    LVA and vascularized lymph node transfer VLNT are established lymphedema treatments. However, LVA is only effective for early disease and VLNT can cause donor-site lymphedema and contour deformity. VLVT is free of these limitations. The authors described their experience of a new VLVT technique.

    International Microsurgery Journal. 2019;3(3):1
    DOI: 10.24983/scitemed.imj.2019.00119
    Article Type: Original Article
  • Comprehensive Analysis of Profunda Artery Perforator Flap Thickness Based on CTA

    The ALT and AMT flaps are the most commonly used thigh free flaps for intraoral reconstruction. Recently, PAP flap has been proposed as an alternative. This study aimed to compare the thickness of these thigh flaps and to identify the factors influencing flap thickness in our population.

    International Microsurgery Journal. 2019;3(3):2
    DOI: 10.24983/scitemed.imj.2019.00120
    Article Type: Original Article

Archive

  • Inaugural Editorial

    Our belief is: “Stronger microsurgeons for a better world.”

    International Microsurgery Journal. 2017;1(1):1
    DOI: 10.24983/scitemed.imj.2017.00001
    Article Type: Editorial
  • Microsurgery Practice in Developing Countries

    The progress of microsurgery in developing low-income countries.

    International Microsurgery Journal. 2017;1(1):2
    DOI: 10.24983/scitemed.imj.2017.00007
    Article Type: Editorial
  • Welcome Message for the Second Instructional Course for Adult Brachial Plexus Injuries

    Professor David Chwei-Chin Chuang sincerely welcomes you to join them for this instructional course on Nov. 13-16, 2017 at Chang-Gung Memorial Hospital.

    International Microsurgery Journal. 2017;1(1):3
    DOI: 10.24983/scitemed.imj.2017.00018
    Article Type:
  • Chang’s Technique of Sequential End-to-Side Microvascular Anastomosis

    A novel technique of sequential ETS micro-venous anastomoses using three vessel loops for IJV occlusion and a single vascular clamp to retract and hold the anastomoses sites in position.

    International Microsurgery Journal. 2017;1(1):4
    DOI: 10.24983/scitemed.imj.2017.00021
    Article Type: How I Do It
  • Experience with Robotic-assisted Microsurgery

    A personal experience in robotic microsurgery.

    International Microsurgery Journal. 2017;1(1):5
    DOI: 10.24983/scitemed.imj.2017.00022
    Article Type: Editorial
  • Knowledge Revolution through Online Interactive Platform: International Microsurgery Club

    A Fantastic platform for learning, professional development, and camaraderie. It's all just a few clicks away.

    International Microsurgery Journal. 2017;1(2):1
    DOI: 10.24983/scitemed.imj.2017.00023
    Article Type: Editorial
  • The Lateral Plantar Artery as Recipient Vessel for Microsurgical Lateral Plantar Forefoot Reconstruction: Case Report

    Division of the lateral plantar artery does not jeopardize the foot circulation because of anastomosis of the lateral plantar artery with the dorsalis pedis artery at the first intermetatarsal space. However, care should be taken with patients with peripheral artery occlusive disease and the flow of dorsalis pedis artery should be confirmed before surgery. Given the advantages of sizable vessel, easy dissection, and proximity to the defect, we believe that the lateral plantar artery might be a valuable option as recipient vessel for lateral plantar forefoot reconstruction.

    International Microsurgery Journal. 2017;1(2):2
    DOI: 10.24983/scitemed.imj.2017.00036
    Article Type: Case Report
  • Staged Hand Salvage and Reconstruction with Three Free Tissue Transfers: A Ten-year Follow-up

    Health care systems in many countries are confronted with increasing economic limitations. Thus, complex microsurgical procedures and extensive rehabilitation programs are poorly compensated. However, this case demonstrates a dramatic reduction of socioeconomic expenses by allowing a potential radiocarpal amputee to return to work for another estimated 30 years.

    International Microsurgery Journal. 2017;1(2):3
    DOI: 10.24983/scitemed.imj.2017.00037
    Article Type: Case Report
  • A Great Opportunity to Meet and Learn from Peripheral Nerve Experts

    The 2nd instructional course for adult brachial plexus injuries is a fantastic opportunity to meet and learn from experts in the field. We cordially invite you to visit Chang Gung Memorial Hospital to participate in this unique learning experience.

    International Microsurgery Journal. 2017;1(2):4
    DOI: 10.24983/scitemed.imj.2017.00019
    Article Type:
  • The Versatility of Pedicled Anterolateral Thigh Flap: A Tertiary Referral Center Experience from India

    Pedicled anterolateral thigh flap is a versatile option for reconstruction of complex soft tissue defects in varied anatomical regions. Its wide arc of rotation and less donor site morbidity are its added advantages.

    International Microsurgery Journal. 2017;1(2):5
    DOI: 10.24983/scitemed.imj.2017.00040
    Article Type: Original Article
  • The Number of Lymph Nodes That Can Be Added to an Abdominal Flap for Breast Reconstruction: Review of Enhanced MDCT Images

    The authors reviewed the MDCT images to show the number of lymph nodes superior to the saphenofemoral junction. In this study, on average, 3.67 nodes existed. However, there were 4 percent of cases with no countable nodes. This result indicates that appropriate preoperative screening is needed for this procedure.

    International Microsurgery Journal. 2017;1(3):1
    DOI: 10.24983/scitemed.imj.2017.00041
    Article Type: Rapid Communication
  • From Virtuality to Reality - Social Media Facilitates the Interaction Between Global Microsurgeons

    The communication among international microsurgeons have switched from one direction (from paper, textbook) to multiway interactions through the internet. The authors believe the online platform will play an immensely important role in the learning and development in the field of microsurgery.

    International Microsurgery Journal. 2017;1(3):2
    DOI: 10.24983/scitemed.imj.2017.00045
    Article Type: Letter to the Editor
  • Double Functioning Free Muscle Transfer as a Salvage Procedure for Brachial Plexus Injury After Failed Nerve Transfer

    A 29-year-old male suffered from total loss of function of his left shoulder and upper limb after a traffic accident while riding a motorcycle. He was treated by a brachial plexus specialist at another hospital and managed surgically under the impression of total root avulsion.

    International Microsurgery Journal. 2017;1(3):3
    DOI: 10.24983/scitemed.imj.2017.00046
    Article Type: Image
  • Novel and Efficient Synthetic Microvascular Anastomosis Training Model

    The authors present a novel synthetic vascular model for microanastomosis training. This model is suitable for trainees with intermediate level of microsurgical skills, and useful as a bridging model between simple suturing exercise and in vivo rat vessel anastomosis during pre-clinical training.

    International Microsurgery Journal. 2017;1(3):4
    DOI: 10.24983/scitemed.imj.2017.00048
    Article Type: Idea and Innovation
  • Strategic Incision Placement to Facilitate Successful Supermicrosurgical Lymphaticovenular Anastomoses

    Combining intraoperative ICG lymphography with NIR vein visualization can aid supermicrosurgeons in identifying lymphatic vessels and superficial venules to guide LVA incision placement. This guided approach significantly improves successful creation of LVAs when compared to the blind (anatomic) approach. In addition, the absence of linear ICG lymphographic patterns does not prevent formation of successful LVAs.

    International Microsurgery Journal. 2018;1(3):5
    DOI: 10.24983/scitemed.imj.2018.00049
    Article Type: Original Article
  • Innovative Management Strategy for Combined Proximal Median and Ulnar Nerve Extensive Injury: A Case Report

    Authors present a case of combined proximal median and ulnar nerves extensive injury that was successfully managed using a novel safe strategy implemented.

    International Microsurgery Journal. 2018;1(4):1
    DOI: 10.24983/scitemed.imj.2018.00051
    Article Type: Case Report
  • Efficacy of Vein Mapping in Lymphaticovenular Anastomosis

    Authors report a case of lower extremity lymphedema treated by LVA that preoperatively mapped not only lymphatic vessels by PDE, but also veins and venules using Veinsite™ .

    International Microsurgery Journal. 2018;1(4):2
    DOI: 10.24983/scitemed.imj.2018.00053
    Article Type: Case Report
  • Role of Trapezius Transfer for Shoulder Reconstruction in Adult Traumatic Brachial Plexus Injuries: Literature Review

    Shoulder instability and lack of shoulder mobility are common and exhausting problems in adult patients with traumatic brachial plexus injury. Although primary nerve reconstruction remains the “gold standard” for brachial plexus management, secondary shoulder reconstruction by trapezius transfer is needed in neglected cases.

    International Microsurgery Journal. 2018;1(4):3
    DOI: 10.24983/scitemed.imj.2018.00058
    Article Type: Review Article
  • Immediate Limb Compression Following Supermicrosurgical Lymphaticovenular Anastomosis – Is It Helpful or Harmful?

    Immediate limb compression following the LVA procedure facilitates lymphatic drainage and increases the surgical efficacy by increasing the number of functioning anastomoses, and is a recommended postoperative practice.

    International Microsurgery Journal. 2018;2(1):1
    DOI: 10.24983/scitemed.imj.2018.00063
    Article Type: Original Article
  • A Low Cost Microsuction Tip Cannula in Microvascular Surgery

    Optimum operating conditions are an integral part of a successful microvascular surgery. We hereby introduce a new technique to make a low- cost microsuction cannula, which will be helpful for microvascular surgeons.

    International Microsurgery Journal. 2018;2(1):2
    DOI: 10.24983/scitemed.imj.2018.00067
    Article Type: Letter to the Editor
  • Improving Microvascular Anastomosis Efficiency by Combining Open-Loop and Airborne Suture Techniques

    Improving efficiency of microvascular anastomosis by combination of open-loop and airborne suture techniques.

    International Microsurgery Journal. 2018;2(1):3
    DOI: 10.24983/scitemed.imj.2018.00069
    Article Type: How I Do It
  • Microsurgical Flaps in Nipple Sparing Mastectomy: Surgical Techniques and Aesthetic Principles

    The authors describe various patient and breast-related factors that influence surgical outcomes while also addressing some techniques and principles for aesthetic microsurgical reconstruction.

    International Microsurgery Journal. 2018;2(1):4
    DOI: 10.24983/scitemed.imj.2018.00071
    Article Type: Review Article
  • Supraclavicular Artery Island Flap: Relation Between Length and Distal End Necrosis

    Supraclavicular flap is an excellent fasciocutaneous flap for head and neck reconstruction due to its close color and texture match. In general, long flaps are required, but with the risk of distal necrosis. The aim of this study is to assess the relationship between the length and distal end necrosis of the supraclavicular flap.

    International Microsurgery Journal 2018;2(1):5
    DOI: 10.24983/scitemed.imj.2018.00089
    Article Type: Original Article
  • Lymphaticovenular Anastomosis for Persistent Immunosuppressant-Related Eyelid Edema

    This case report demonstrates an important supermicrosurgical technique for lymphedema, which was established by Isao Koshima in 1994. So far, over 2,000 cases of limb edema have been treated by this surgical method.

    International Microsurgery Journal. 2018;2(2):1
    DOI: 10.24983/scitemed.imj.2018.00090
    Article Type: Case Report
  • Computer-Assisted Reconstruction of the Hemimaxillectomy Defects With a Composite Iliac Crest Bone Free Flap: Case Reports

    The authors present a revised application of the composite iliac crest bone free flap for hemimaxillectomy defects. This flap solely can give a support to the eye globe and the dental implants without osteotomies and titanium meshes. The upper ridge of the flap can be shaped to replicate the curvature of the orbital floor. The inner oblique muscle and the deep fascia can serve as an additional material for separation of the oral cavity from the nasal airway. Utilization of the Customized Contour Implants gives a surgeon a refining instrument for aesthetic correction of facial projection.

    International Microsurgery Journal. 2018;2(2):2
    DOI: 10.24983/scitemed.imj.2018.00092
    Article Type: Case Report
  • First Metatarsal Artery Capillary Perforator Flaps

    The authors proposed a new less invasive island flap, namely the first metatarsal artery capillary perforator flap. The advantages of this flap include the preservation of the first metatarsal artery and the adiposal tissue in the web space, thereby preventing compression around the remaining deep peroneal nerve.

    International Microsurgery Journal. 2019;3(1):1
    DOI: 10.24983/scitemed.imj.2019.00093
    Article Type: Original Article
  • Technique and Outcomes of Pedicled Latissimus Dorsi Myocutaneous Flap for Oncologic Defects Around the Clavicle

    The authors present a retrospective review of 7 patients who underwent wide excision of the malignant tumors around the clavicle. Patient demographics, clinical details, the arc of rotation, outcome, and complications were analyzed.

    International Microsurgery Journal. 2019;3(1):2
    DOI: 10.24983/scitemed.imj.2019.00098
    Article Type: Case Series
  • Pedicled Anterolateral Thigh Flap for Abdominal Reconstruction Following Surgical Resection of Gynecological Abdominal Wall Malignancy

    Patients with gynecological abdominal wall malignancies can benefit significantly from radical resection and autologous reconstruction. The pedicled anterolateral thigh flap is the preferred donor site, offering a reliable solution to abdominal wall reconstruction in this setting. The satisfactory results should prompt a more aggressive surgical approach for these patients. This article describes the authors' experiences with the abdominal reconstruction following surgical resection of gynecological abdominal wall malignancy using pedicled anterolateral thigh flap.

    International Microsurgery Journal. 2019;3(1):3
    DOI: 10.24983/scitemed.imj.2019.00102
    Article Type: Original Article
  • The ‘Orochi’ Flap Concept: Multi-Stage Combined Flap Using Sequential Flaps

    Prof. Koushima, president of World Society for Reconstructive Microsurgery, proposes an innovative concept and technique of the multi-stage ‘Orochi’ combined flaps (sequential flaps in parallel). The technique opens a new vista in reconstructive microsurgery.

    International Microsurgery Journal. 2019;3(1):4
    DOI: 10.24983/scitemed.imj.2019.00108
    Article Type: Idea and Innovation
  • Role of Magnetic Resonance Imaging in Localization of Acute Brachial Plexus Injury

    Brachial plexus imaging is challenging due to its anatomical complexity. Multiple sequences of MRI may be performed pre-operatively for an accurate radiological diagnosis of brachial plexus injury. This image shows the useful role of MRI in localization of acute brachial plexus injury.

    International Microsurgery Journal. 2019;3(1):5
    DOI: 10.24983/scitemed.imj.2019.00111
    Article Type: Image
  • Sutureless Microvascular Anastomosis: Literature Review

    Traditionally, suturing techniques have been the mainstay for microvascular anastomoses, but owing to its technical difficulty and labour intensity, considerable work has gone into the development of sutureless microvascular anastomoses. In this review, the authors take a brief look at the developments of this technology through the years, with a focus on the more recent developments of laser-assisted vascular anastomoses, the unilink system, vascular closure staples, tissue adhesives, and magnets. Their working principles, with what has been found concerning their advantages and disadvantages are discussed.

    International Microsurgery Journal. 2019;3(2):1
    DOI: 10.24983/scitemed.imj.2019.00112
    Article Type: Review Article
  • Microvascular Free Tissue Transfer in Vessel-Compromised Neck: Techniques and Recommendations

    Vessel-compromised neck is a challenge for the microvascular surgeon planning for a free tissue transfer. This study describes the authors’ experience regarding a successful free tissue transfer in a vessel-compromised neck. The authors also propose an algorithm for management of vessel-compromised neck.

    International Microsurgery Journal. 2019;3(2):2
    DOI: 10.24983/scitemed.imj.2019.00113
    Article Type: Original Article
  • Hemi-Intravascular Stenting Technique for Super Microsurgical Anastomosis in Pediatric Thumb Replantation

    The authors demonstrated the utility of hemi-intravascular stenting technique in a pediatric thumb replant.

    International Microsurgery Journal. 2019;3(2):3
    DOI: 10.24983/scitemed.imj.2019.00114
    Article Type: Image
  • Dynamic Reanimation of Smile in Facial Paralysis With Gracilis Functioning Free Muscle Flap Innervated By Masseteric Nerve: The First Vietnamese Series

    Facial palsy affects both the functional and aesthetic aspects of the face. Many techniques for both static and dynamic facial reanimation have been described. Authors present their series of facial reanimation using the functioning free gracilis muscle flap innervated by the masseteric nerve.

    International Microsurgery Journal. 2019;3(2):4
    DOI: 10.24983/scitemed.imj.2019.00116
    Article Type: Case Report
  • Modalities for Chest Wall Reconstruction Following Cancer Ablation: A Single Center Experience

    This study reviews the reconstruction modalities within the multidisciplinary approach for chest wall reconstruction. The authors have proposed an algorithm that is formulated based on their experience to manage chest wall defects following cancer resection.

    International Microsurgery Journal. 2019;3(2):5
    DOI: 10.24983/scitemed.imj.2019.00117
    Article Type: Case Series