International Microsurgery Club

A personal experience in robotic microsurgery.

This article describes 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, thus gaining access to posterior wall and perform the operation independently.

Venous anastomosis is the most challenging part of fingertip replantation, where vein-to-vein anastomosis should be considered as the first-line option for its restoration. If the sizable vein cannot be identified, arterial-venous shunting and two-staged subdermal pocket procedure shall be the alternative surgical options. Arterial anastomosis-only replantation technique is an option when the vein is unavailable.

Clinicians should remain on high alert for oropharyngeal masses while evaluating chronic cough patients. When a mass lesion is observed in the tongue base, ectopic lingual thyroid must be considered in the differential diagnosis, and the diagnosis must be verified using USG and scintigraphy.

Complete extirpation of the mucocele may be guaranteed by performing surgical excision of the lesion along with the associated glandular components to avoid recurrences. This is because the Blandin-Nuhn glands are not encapsulated, but are embedded to the musculature of the anterior tongue ventrum.

Disorders of mucociliary clearance (MCC) occur from thickening of the mucus so that cilia function is impaired. Or cilia may be impaired directly, as in chlorine exposure. Increased attention to MCC will aid in the reduction of antibiotic abuse.

3D bio-model can assist surgeons to evaluate the size of the defect, design osteotomies tailored to the defect, and shaping of the titanium plate to fit the mandible pre-operatively, which shortens the operative time.

Reconstruction with a pedicled anterolateral thigh flap and a pedicled groin flap (sandwich style inset) constitutes a sandwich flap for a degloving hand injury.

Educational forums and groups about microsurgery or plastic reconstructive surgery on social networks, like "International Microsurgery Club" as well as open access journals, like "International Microsurgery Journal", are offering invaluable opportunities for microsurgical surgeons in developing countries to overcome some of their problems.