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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)
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 currently an Associate 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.

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, extremities reconstruction, and vascularized composite tissue allotransplantation. His research interests include peripheral nerve regeneration and reconstruction, and social media for microsurgery education. In 2016, Dr. Chang created International Microsurgery Club (IMC) on Facebook; until now, this group is the biggest online microsurgery platform, with over 14000 members worldwide. In 2017, Dr. Chang invited as the editor in chief of the International Microsurgery Journal (IMJ); in 2018, Dr. Chang created International Microsurgery Website (IMW) to achieve the essential educational resources. In 2020, Dr. Chang handles the IMC Webinar Series during the COVID-19 pandemic to provide continuous education for global microsurgeons. Until now, around 50 events were held, and all the recorded webinar talks were archive on the IMW for members to free access. Not only IMC, in Sep 2020, but Dr. Chang also integrates the main microsurgery webinar hosts and creates International Microsurgery Webinar League. Over 300 free accessed microsurgery related free webinar talks were then connected online automatically, and the power of online learning continues to expand.
Between 2015 and 2016, Dr. Chang completed a peripheral nerve research fellowship at the Hospital for Sick Children (SickKids) in Toronto, Canada, supervised by Dr. Gregory Borschel, Dr. Tessa Gordon Dr. Ronald Zuker. After a few years of peripheral nerve learning from prof. David Chuang and Gregory Borschel, now Dr. Chang can perform all kinds of peripheral nerve surgeries. Not only the motor nerve, but he also extends the knowledge and techniques to the area rarely mentioned, including sensory reconstruction, autonomic reconstruction, and robotic peripheral nerve surgery, and the results are very encouraging.

Tommy Nai-Jen Chang, MD
International Microsurgery Journal


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

Deputy Editors

  • Aleksandra M. McGrath, MD, PhD

    Department of Hand and Plastic Surgery
    Norrland's University Hospital
    Sweden (Sverige)
    Dr. McGrath graduated from Medical University of Warsaw, Poland and trained subsequently in the UK, Sweden and Taiwan. Dr. McGrath completed her residency training in Department of Hand and Plastic Surgery, Norrland's University Hospital in Umeå and defended her PhD thesis 'Development of biosynthetic conduits for peripheral nerve repair' at Umeå University. After her residency, she was accepted into a world-renowned fellowship program at Chang Gung Memorial Hospital in Taipei, Taiwan and worked with Prof. David Chuang, who is a leading expert in brachial plexus and peripheral nerve surgery and free functioning muscle transplantation. Dr. McGrath works now as a Senior Consultant at the Department of Hand and Plastic Surgery in Umeå, which is a national centre for brachial plexus surgery in Sweden. Dr. McGrath has been awarded in European Board of Hand Surgery Diploma Examination, FESSH in 2012 as best candidate. Combining rigorous research and application of the results in clinical practice is, what Dr. McGrath believes, a driving force in achieving excellence in peripheral nerve microsurgery.
  • Wei F. Chen, MD, FACS

    Division of Plastic and Reconstructive Surgery, Department of Surgery
    University of Iowa Hospitals and Clinics
    United States
    Dr. Chen is a plastic surgeon with expertise in reconstructive micro- and supermicro-surgery. After graduating from University of California at Berkeley with honor, he completed a general surgery residency at State University of New York at Stony Brook. He went on to complete a plastic surgery training at University of Illinois at Chicago, and then advanced microsurgical training at the world-renowned Chang Gung Memorial Hospital, Taiwan. Dr. Chen is U.S. Board-certified in both general surgery and plastic surgery. Dr. Chen is a pioneer in the field of lymphedema reconstruction and is known for many technical innovations as well as having accomplished multiple regional firsts. Dr. Chen assumes leadership roles in many professional plastic surgery organizations and is the current president of the Midwestern Association of Plastic Surgeons.
  • Johnny Chuieng-Yi Lu, MD

    Division of Plastic and Reconstructive Surgery, Department of Surgery
    Chang Gung Memorial Hospital
    Taiwan (台灣)
    Dr. Lu received his Medical degree in Kaohsiung Medical University, Taiwan in 2006. He completed his surgical residency in Department of Plastic and Reconstructive Surgery(PRS), Chang Gung Memorial Hospital (CGMH), Taiwan in 2013. The PRS department in CGMH is a world-renowned program that has earned its reputation in the vast experiences related to microsurgical reconstruction led by Professor Fu-Chan Wei, and craniofacial reconstruction led by Professor Yu-Ray Chen. Dr. Lu’s main specialty lies in microsurgical reconstruction, and the primary focus of his clinical work is in peripheral nerve injuries reconstruction including brachial plexus nerve reconstruction, facial palsy reanimation, compressive neuropathy managements. Dr. Lu has had the privilege of learning from his mentor Professor David Chwei-Chin Chuang, and for the past two years as Professor David Chwei-Chin Chuang’s fellow, Dr. Lu has gained considerable knowledge and experiences in peripheral nerve injuries management. Professor Chuang is currently serving as the acting President of the World Society of Reconstructive Microsurgery (WSRM) and is a recognized leader in brachial plexus surgery and facial palsy reanimation in the world. PRS department in CGMH has authored many clinical articles detailing its experiences in >2000 brachial plexus injuries, > 500 obstetric palsy injuries and >350 facial reanimation reconstructions. Dr. Lu has gained expertise in clinical process-assessment, diagnosis, and treatment through rigorous and extensive surgical experiences. Dr. Lu strives to pursue the highest potential in the field of microsurgery and he firmly believes that in order to achieve better clinical outcomes, researches studies needed to be continuously conducted to improve surgeons’ techniques and knowledge.
  • Yen-Chou Chen, MD

    Department of Plastic and Reconstructive Surgery
    China Medical University Hospital
    Taiwan (台灣)
    Dr. Yen-Chou Chen, a boarded-certificated Plastic surgeon in Taiwan Plastic Society has enthusiasm in microsurgical reconstruction. He completed plastic residency training in Chang Gung Memorial Hospital, Kaohsiung, Taiwan. After that, he had oversea fellowship training in Beth Israel Deaconess Medical Center and Massachusetts General Hospital. Currently, He work in China Medical University Hospital. His clinical microsurgical practices focus on head and neck, extremity and breast reconstruction. The microsurgical perforator flaps, such as posteromedial thigh flap, anterolateral thigh flap, medial sural artery perforator flap, peroneal artery perforator flap and deep inferior epigastric artery perforator flap are his workhorse flaps. Particularly, He is interested in refinement of the current microsurgical anastomosis technique for a better patency rate and have several innovative techniques published, such as the rolled-up sleeve technique in venous anastomosis in head and neck reconstruction. Dr. Chen feels it’s pleasure and honor to join the editorial board of the International Microsurgery Journal(IMJ) and expects IMJ can provide boundaryless education to surgeons with passion in microsurgery.
  • Ketan M Patel, MD

    Division of Plastic and Reconstructive Surgery, Keck School of Medicine
    University of Southern California, Los Angeles, California, USA
    United States

    Dr. Patel is an Assistant Professor of Plastic Surgery at the University of Southern California specializing in complex reconstructive surgery, particularly breast reconstruction, lymphedema surgery, and extremity reconstruction. He completed his Plastic Surgery training at Georgetown University following by advanced microsurgery training at Chang Gung Memorial Hospital in Taiwan.

  • Christopher G. Wallace, MD, MS, FRCS

    Department of Reconstructive & Aesthetic Surgery
    Royal Devon and Exeter Hospital
    United Kingdom
    Dr. Chris Wallace is a Consultant Plastic, Reconstructive and Aesthetic Surgeon specializing in complex reconstruction particularly for the face, head and neck, as well as skin cancer, trauma and microsurgery. He graduated in 2000 from the University of Edinburgh (United Kingdom) with Batchelor Degrees in Medicine, Surgery and in Science with Honors, completed his General Surgical Training in Edinburgh, and was awarded Membership of the Royal College of Surgeons of Edinburgh in 2004 before continuing to specialize in Plastic Surgery. He gained advanced clinical and academic microsurgical training at Chang Gung Memorial Hospital (Taiwan), and there achieved his Masters degree with research medal. Dr. Wallace returned to England in 2008 to complete Specialist Plastic Surgery training and was awarded Fellowship to the Royal College of Surgeons of Edinburgh in Plastic Surgery in 2012. He undertook additional subspecialist fellowships covering complex reconstruction for face, head and neck, craniofacial aesthetics, and cosmetic surgery. In 2014, Dr Wallace was appointed Consultant Plastic, Reconstructive and Aesthetic Surgeon at the Royal Devon & Exeter Hospital (United Kingdom). He is a full member of the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS), Rhinoplasty Society of Europe, British Association of Head and Neck Oncologists (BAHNO), Founding Member of the American Society of Reconstructive Transplantation (ASRT), and Surgical Quality Review Panel Member for Smile Train, the world's largest Cleft Lip and Palate charity. Dr Wallace has published more than 60 papers in peer-reviewed medical journals, 15 book chapters in plastic surgery reference textbooks, and contributed more than 50 international level presentations to Plastic Surgery Societies worldwide.

Editorial Board

  • Beniamino Brunetti, MD, PhD

    Department of Plastic and Reconstructive Surgery
    The Campus Bio-Medico University
    Italy (Italia)
    Beniamino Brunetti, MD, PhD, is a consultant working at the Plastic and Reconstructive Surgery Department, Campus Bio-Medico University, Rome Italy. He received the medical and the specialist degree in Plastic and Reconstructive Surgery at Campus Bio-Medico University, Rome, Italy, in 2007 and 2013, respectively. He received further surgical training working as microsurgery fellow at Plastic Surgery Departments in Chelmsford, UK (2012) and Gent, Belgium (2015). He received the EURAPS Young Plastic Surgeons Scholarship in 2014. He is member of the Italian societies of Plastic Surgery (SICPRE) and Microsurgery (SIM). He is author of 40 publications in the field of Plastic and Reconstructive Surgery. His main interests are oncoplastic reconstruction; melanoma; sarcoma; skin cancer; flaps physiology; perforator flaps; propeller flaps; microsurgery.
  • C. Can Cedidi, MD, PhD

    Director, Department of Plastic and Reconstructive Surgery
    The Hospital Bremen-Mitte
    Germany (Deutschland)
    Prof. Dr. C. Can Cedidi received his Medical Degree from University of Heidelberg and completed one year medical training from Universities of Texas and University of Illinois in 1990. He then completed surgical residency in the Department Abdominal and Transplantation Surgery at Medizinische Hochschule Hannover during 1991-1992, Mayo Graduate School of Medicine at Mayo Clinic during 1993-1994 as well as BG-Trauma Center at University Heidelberg during 1995-1999. He served as a staff surgeon in the Department Plastic- Hand and Reconstructive Surgery in Medizinische Hochschule Hannover from 1999-2001 and became an assistant director at the Clinic for Plastic- and Hand Surgery in Helios Clinic Wuppertal of University Witten Herdecke from 2001-2005. Prof. Cedidi have been given the Professor for Plastic Surgery here in 2008. Currently, he has been a clinical director at the Clinic for Plastic, Reconstructive & Aesthetic Surgery in Klinikum Bremen-Mitte gGmbH of University Hospital Göttingen since 2006.
  • Chao Chen, MD, PhD

    Department of Hand and Foot Surgery
    Shandong University
    China (中国)
    Dr. Chao Chen is an attending doctor in Department of Hand and Foot Surgery of Shandong Provincial Hospital affiliated to Shandong University. He graduated from Shandong University, School of Medicine and got master degree of orthopedic in 2012. He got PhD degree of Clinical Anatomy in Southern Medical University in 2015, and his major research subject during PhD’s study is microsurgical anatomy, which dramatically improves his level of microsurgery. Dr. Chen has been a microsurgeon since he finished orthopedic training in 2014. His department is one of the most famous microsurgical center in China, and he got good microsurgical training with guide of Professor Zengtao Wang and Dr. Liwen Hao. His specialties including hand surgery, limb replantation, thumb and finger esthetic reconstruction, vascularized tissue transplantation. He can successfully anastomose small vessel with caliber of 0.2mm. He has performed over 150 supermicrosurgeries (including fingertip replantation and mini-flap transplantation) and has total success rate more than 90%. Of all his more than 100 vascularized tissue transplantation surgeries, only one case failed. Dr. Chen has intense study in microvascular anatomy associated with mini flaps in hand and foot. He has extensive experience in the mini perforator flaps harvested from hand and foot, especially for primary reconstruction of composite tissue defect in finger. He has published 4 SCI articles (coauthor in 3 articles) associated with microsurgery.
  • Young Woo Cheon, MD, PhD

    Department of Plastic and Reconstructive Surgery
    Gachon University School of Medicine
    South Korea (대한민국)
    Dr. Young Woo Cheon bases his private practice at the Department of Plastic and Reconstructive Surgery in Gil Medical Center as an associate professor. The scope of his care includes complex reconstructions of all kinds of major defects, as well as microvascular breast reconstruction and head and neck reconstruction. In addition to general plastic and reconstructive surgery, he has a special interest in facial palsy reconstruction, and tissue engineering and regenerative medicine for plastic, reconstructive, and aesthetic purposes. In particular, Dr. Cheon has studied on wound healing, angiogenesis, and adipogenesis with adipose-derived stem cells as well as hair regeneration using epithelial stem cells and dermal papilla cells. Dr. Cheon is an accomplished plastic surgeon in Gil Medical Center. He has been extensively trained in wide aspects of plastic and reconstructive surgery. As a prolific author, he has published more than 50 scholarly articles and co-authored book chapters. He has been called upon to speak at professional meetings across the country.
  • Yung Cheng Chiu, MD, PhD

    Chief, Division of Limb Reconstructive Microsurgery, Orthopaedic Department
    China Medical University Hospital
    Taiwan (台灣)
    Dr. Yung-Cheng, Chiu earned his Medical degree from China Medical University, Taichung, Taiwan in 1998. Then, he continued to serve his military obligation from 1998 to 2001 in Zouying Navy General Hospital. His orthopedic surgery residency (from 2001 to 2007) was completed at the Taichung Veterans General Hospital. In the meanwhile, he achieved his board certification in orthopedic surgery and in hand surgery. After his orthopedic residency, Dr. Chiu was promoted as Attending Staff in orthopedic department of Taichung Veterans General Hospital from 2007 to 2016 and mainly dedicated in the practice of orthopedic trauma, hand surgery. Dr. Chiu’s current job position is Chief of Hand and Reconstructive Microsurgery (from 2016 till now) in China Medical University Hospital, Taichung, Taiwan. Dr. Chiu’s specialty interest includes reconstructive microsurgery of the limb trauma and all kinds of hand, wrist and elbow surgery. He also participated on the teaching faculty for IRCAD wrist arthroscopy courses (from 2012 till now). In addition, Dr. Chiu have extensive experiences in oversea fellowship training. He has ever been to Mainland China, Hong Kong, Spain, Singapore, United States (Indiana hand to shoulder center) and finished 3-5 months training in each country. Because of his rich clinical experiences, he was invited as a speaker or chairman for many courses and has also written numerous scientific articles. He also holds a clinical teaching appointment at China Medical University. He is actively involved with the Taiwan Society for Surgery of the Hand as well as the Taiwan Society for Orthopedic Trauma Association, serving on a variety of committees, coordinating academic sessions and scientific presentations. Dr. Chiu is married and has one son. After work, his hobby includes playing basketball (he played for school during his college years) and playing violin. He is also a sincere Christian and live his life following Bible’s principle. Dr. Chiu is passionate about giving the highest level of care to his patients. He values the doctor-patient relationship, and the quality of services.
  • Eva Placheta Györ, MD, PhD

    Division of Plastic and Reconstructive Surgery, Department of Surgery
    Medical University of Vienna
    Austria (Österreich)
    Dr. Eva Placheta Györi graduated from the Medical University of Vienna, Austria in 2010, and completed her research fellowship from 2011 to 2012 at the Department of Plastic Surgery at The Hospital for Sick Children, University of Toronto with Prof. Dr. Gregory Borschel and Prof. Dr. Tessa Gordon. She subsequently completed a Ph.D. in Clinical Neuroscience at the Medical University of Vienna in the field of peripheral nerve regeneration and facial reanimation. Since 2008, Dr. Györi has been focusing on research and published papers in facial palsy, facial reanimation, peripheral nerve regeneration and microsurgery. She is a member of the Aesthetic and Reconstructive Facial Surgery Team at the Division of Plastic and Reconstructive Surgery, Medical School of Vienna. Since 2014 she has been involved in medical student teaching and thesis student supervision. Dr. Györi gave several presentations at plastic surgery meetings in Europe, Canada and the United States. Education and training as scientific plastic surgeon and integrating basic science research in plastic surgery practice are her main interests going forward.
  • Shan Shan Qiu, MD, PhD

    Department of Plastic and Reconstructive Surgery
    Maastricht University Medical Center
    Netherlands (Nederland)
    Dr. Shan Shan Qiu is plastic surgeon since 2013. She performed her training in Spain, Pamplona where she combined with her phD project about hypertrophic scars in nude mice model and obtained cum laude at her dissertation. During her training she spent three months with Dr. Piñal with whom she got the opportunity to learn microsurgical hand surgery. She went for an external rotation to Canniesburn, Glasgow, in order to continue learning Microsurgery. She was admitted as a year-microsurgical fellow in Chang-Gung Memorial Hospital in July 2013 till July 2014. Thanks prof Fu-Chan Wei and all his outstanding team, she learned microsurgery from the best team of the world. She is working as attending in the Plastic Surgery Department in Maastricht University Medical Center since 2015. Her passion for microsurgery brings her to be in charge of the lymphedema unit of this hospital, leading research and bringing new technologies to the Netherlands. Her department is the only one in the Netherlands that performed the lymphatic-venous anastomosis under local anesthesia. She is also involved in the Brachial Plexus procedures, where she performed nerve reconstruction. Since the beginning of her training as plastic surgeon her motivation and passion for microsurgery was notorius and is currently active on performing research to bring the best treatment for the patients.
  • Amine Rafik, MD, PhD

    Department of Experimental Microsurgery and Breast Microsurgery
    Ibn Rochd University Hospital
    Morocco (‫المغرب‬‎)
    Dr. Rafik is a Senior Consultant in Plastic and reconstructive surgery, at National Center for Plastic surgery at university hospital Ibn Rochd, Casablanca, with more than 3 years of experimental and clinical practice in microsurgery in Medical school of Rabat. His PhD program is focus on Genetic and molecular pathology at University Hassan II, Casablanca, Morocco. Dr. Rafik is a Fellow of Breast surgery in Marien Hospital, Düsseldorf Germany, and in Faculte of Wellnesskliniek in Genk, Belgium. He has been an invited speaker in various international conferences in Plastic surgery and Maxillo-facial in France, Germany, Morocco, UK, and has conducted an international conferences in London.
  • Daniel Tilkorn, MD, PhD

    Handsurgery, Alfried- Krupp Krankenhaus, Essen
    Consultant Plastic surgeon, Department of Plastic, Reconstructive and Aesthetic Surgery,
    Germany (Deutschland)
    Dr. med. Daniel Tilkorn Graduated from Medical school in Münster Germany. Following his qualification as general surgeon, he commenced his further career in plastic and reconstructive surgery at the Ruhr University of Bochum Germany. From 2005 till 2007 he worked as a microsurgery fellow at the world reknown Bernard O`Brien Institute of Microsurgery in Melbourne, Australia and was awarded the Dame Elizabeth Murdoch Scholarship. In 2009 he achieved his board certification in plastic and reconstructive surgery. 2011 he qualified as handsurgeon. In 2013 he received his postdoctoral lecture qualification for plastic and reconstructive surgery at the Ruhr University of Bochum/ Germany. In 2014 he obtained the Herbert - Junghans scholarship of the German Surgical Society (DGCH) and was a visiting fellow at the Department of Plastic Surgery / Reconstructive Microsurgery Chang Gung Memorial Hospital, Chang Gung University in Taipei, Taiwan. For his research in the field of tissue engineering and cancer research he was awarded the Hans-von-Seemen research award of the German Society for Reconstructive Surgery (DGPW) as well a the reseach award of the German Association of Plastic, Reconstructive and Aesthetic surgery (DGPRÄC).
  • Chieh-Han John Tzou, MD, PhD, MBA

    Director, Plastic and Reconstructive Reconstructive Surgery
    Hospital of Divine Savior Vienna; Sigmund Freud University Vienna; TZOU MEDICAL., Facial Palsy and Lymphedema Center Vienna
    Austria (Österreich)

    Assoc.-Prof. Priv.-Doz. Dr. Chieh-Han John TZOU, MBA completed his medical education and plastic surgery residency at the Medical University of Vienna, Austria, followed by a one-and-a-half-year microvascular fellowship at the Chang Gung Memorial University Hospital in Taiwan. Currently, he is the director of the Plastic Reconstructive Surgery Clinic of the Hospital of the Divine Savior and TZOU MEDICAL, Facial Palsy and Lymphedema Center, and is affiliated as an Associate Professor for Plastic and Reconstructive Surgery at the Medical Faculty of the Sigmund Freud University, Vienna, Austria. His focus in clinical work and research is microsurgical and supermicrosurgical reconstruction in facial paralysis, lymphedema, nerve, and tumor patients. He is the co-director of the biennial course "Facial Palsy: A hands-on Course –" in Vienna, Austria.

  • Yasin Abdurehim, MD, MS

    Associate Chief, Associate Professor, Department of Otolaryngology Head & Neck Surgery
    First Teaching Hospital of Xinjiang Medical University
    China (中国)
    Dr. Yasin Abdurehim is an Associate Professor of Otolaryngology and Facial Plastic Surgery at the First Teaching Hospital of Xinjiang Medical University, Urumqi, China. He earned his medical degree from Xi’an Jiaotong University and then completed residency in Otolaryngology-Head & Neck Surgery. He then went on further training in Facial Plastic and Reconstructive Surgery in McGill University, Montreal. Currently he is a consultant and focuses mainly on Facial Aesthetic and Reconstructive surgery and Endoscopic Ear Surgery.
  • Matteo Amoroso, MD

    Department of Plastic and Reconstructive Surgery
    Sahlgrenska University Hospital
    Sweden (Sverige)
    Dr. Matteo Amoroso, is a consultant in Gothenburg, Sweden, at the department of Plastic and Reconstructive Surgery, Sahlgrenska University Hospital and PhD student at Sahlgrenska Academy. His clinical interest focus on reconstructive microsurgery of the breast, head and neck, lower and upper extremities. Since 2015, he is a board certified Plastic Surgeon in both Sweden and Italy where he completed his Plastic and Reconstructive Surgery residency training (2009-2015). He received further surgical training working in 2014-2015 with Prof. Ömer Özkan focusing on experimental microsurgery , head and neck reconstruction including the face transplant patients, operated at the Akdeniz University Hospital, Antalya, Turkey. In 2017, he moved in Taiwan for a one-year Clinical Fellowship in Microsurgery at the China Medical University Hospital directed by Professor Hung-Chi Chen. Dr. Amoroso´s research area focus physiology and hemodynamic in perforator flaps and as well as in tissue engineering. Indeed, he has an active collaboration with Chalmers University of Technology in Sweden, on 3D Bioprinting of human cartilage. He is member of the Swedish societies of Plastic Surgery (SPKF) and Microsurgery (SFRM), author of several book chapters and articles published on international journals.
  • Katerina Anesti, MD, MRCS, FRCS

    Department of Reconstructive and Aesthetic Plastic Surgery
    Royal Devon & Exeter NHS Foundation Trust
    United Kingdom
    Dr. Anesti is a Consultant Plastic & Reconstructive Surgeon at the Royal Devon & Exeter Hospital since 2015. Her special interests include head and neck reconstruction and microsurgery, facial paralysis, skin cancer, hand surgery. She trained extensively in plastic surgery before becoming a Consultant in the NHS. Having graduated from Greece, she completed her surgical training in teaching hospitals in the Midlands, gaining her Membership of the Royal College of Surgeons of Edinburgh (MRCS) in 2005. Her plastic surgical training in Greece, UK, and New Zealand provided experience in all aspects of reconstructive surgery. In 2014 she passed the intercollegiate examination in plastic surgery – FRCS (Plast) – and was awarded a Certificate of Completion of Surgical Training with accreditation on the General Medical Council’s specialist register for Plastic Surgery. Dr. Anesti has completed Plastic, Reconstructive & Aesthetic Surgery Fellowships in International Centres of Excellence, in USA with Prof Julia Terzis, in Taiwan with Prof Fu-Chan Wei, at the Guy’s & St Thomas’s NHS Foundation Trust in London and the St Andrew’s Centre in Broomfield. She is a member of several specialist professional bodies, including the Royal College of Surgeons of England (RCSEng) and the British Society for Surgery of the Hand (BSSH) and the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS). Research interests focus on nerve regeneration and facial paralysis reconstructive strategies. Through her role as a Subspecialty Clinical Lead at the NIHR CRN would like to serve as an advocate of clinical research in South West Peninsula.
  • Kongkrit Chaiyasate, MD, FACS

    Director, Reconstructive Microsurgery and Craniomaxillofacial Surgery, Department of Surgery
    Oakland University William Beaumont School of Medicine
    United States
    Dr. Kongkrit Chaiyasate is double board certified by The American Board of Plastic Surgery and The American Board of Surgery with dual fellowships in craniofacial Surgery/Pediatric Plastic Surgery (Washington University in St. Louis, USA 2010), and Reconstructive Microsurgery, James Cancer Center/Ohio State University, Columbus Ohio, USA 2011). He is a Fellow of the American College of Surgeons. He is an active member of the American Society of Reconstructive Microsurgeons, American Society of Maxillofacial Surgeons, and American Society of Plastic Surgeons. He has special interests in complex reconstruction in children with craniofacial syndromes using CAT/CAD technique. He also performs soft tissue and skeleton reconstruction of children with hemifacial microsomia, and Parry Romberg syndrome using composite free tissue transfer. In addition, He has extensive experience in using perforator flap for head and neck reconstruction, breast reconstruction, and sarcoma reconstruction. He received “2014 Best Case Award” from the American Society of Reconstructive Microsurgeons. He is a fellowship program director of a one- of-a-kind Integrated Craniomaxillofacial and Reconstructive Microsurgery fellowship (CMFMicro) at William Beaumont Hospital and Oakland University William Beaumont School of Medicine. He is a co-director of the Ian Jackson Cleft Palate and Craniofacial Clinic. He is also a course director of OUWB Basic and Advanced Microsurgery Course.

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

    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

    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

    Plastic and Reconstructive Surgery, Department of Surgery
    Hospital of Divine Savior, Vienna, Austria
    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

  • The Thin Profunda Artery Perforator Flap: Customized Design and Harvest

    A thin profunda artery perforator flap harvested from the left thigh is shown in this video. Preoperative computed tomographic angiography is used to assess morphology of the perforators and its branches, pedicle length and vertical location of the two branches from the ischial tuberosity. These measurements are translated on to the patient. Locations of both branches are confirmed with a handheld doppler. The authors concluded that preoperative computed tomographic angiography is a useful technique to provide detailed anatomic information on morphology of perforators, course through the septum or muscle above the deep fascia and skin thickness. Computed tomographic angiography allows quick and easy assessment of the whole vascular anatomy of the leg and helps to arrive at the decision about selection of the best flaps based on the characteristics of the defect and on the individual anatomy of the patient.

    International Microsurgery Journal. 2021;5(1):5
    DOI: 10.24983/scitemed.imj.2021.00146
    Article Type: Video
  • Indocyanine Green Angiography in Salvage Planning: From Pedicled Supraclavicular Flap to Free Supraclavicular Flap

    The supraclavicular flap has gained popularity in recent years as a reliable and easily harvested flap with occasional anatomical variations in the course of the pedicle. The study shows how the determination of the dominant pedicle may be aided with indocyanine green angiography. Additionally, the authors demonstrate how they convert a supraclavicular flap to a free flap if the dominant pedicle is unfavorable to a pedicled flap design.

    International Microsurgery Journal. 2021;5(1):4
    DOI: 10.24983/scitemed.imj.2021.00145
    Article Type: Case Report
  • Digital Vessel Thrombosis After Early Cessation of Heparin Therapy Following Reimplantation: Two Case Reports

    The implications of rebound heparin hypercoagulability following cessation of therapy in microsurgery is unreported. In this article the authors report two cases of late digit circulatory compromise shortly after withdrawal of heparin therapy. The authors also propose potential consideration for changes in perioperative anticoagulation practice to reduce this risk.

    International Microsurgery Journal. 2021;5(1):3
    DOI: 10.24983/scitemed.imj.2021.00141
    Article Type: Case Report
  • Exercise-Enhanced ICG Lymphography: A Fast Approach to Diagnosis and Staging of Lymphedema

    ICG lymphography is an invaluable tool in lymphedema management. Both immediate and delayed scans are needed when performing the study. The delayed scan needs to be performed at the time of the lymphographic plateau to appreciate the full extent of the pathology. Using a recumbent cross trainer, the lymphographic plateau can be achieved in 15 minutes following ICG injection. We have found this exercise enhanced ICG lymphography protocol worthwhile of adoption by high volume lymphedema centers to raise diagnostic accuracy and efficiency.

    International Microsurgery Journal. 2021;5(1):2
    DOI: 10.24983/scitemed.imj.2021.00140
    Article Type: Original Article
  • Topographic Facial Nerve Transplantation

    This case report describes authors successfully attempt to perform a topographically correct sural nerve transplantation in the extracranial facial nerve stem using the intraneural facial nerve stem topography proposed by Meissl in 1979. This is the first reported case of successful fascicular nerve grafting of the facial nerve stem following extensive laceration.

    International Microsurgery Journal. 2021;5(1):1
    DOI: 10.24983/scitemed.imj.2021.00139
    Article Type: Idea and Innovation

Current Issue

Volume 4, Issue 2


  • 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
  • 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
  • A Novel Approach Using a Silicone Tube to Assist Microsurgical Anastomosis Training in Animal Models

    Authors discuss a silicone tube that provides structural support to vessels throughout the entire precarious suturing process. This modification of the conventional microvascular anastomosis technique may facilitate initial skill acquisition using the rat model.

    International Microsurgery Journal. 2020;4(1):1
    DOI: 10.24983/scitemed.imj.2020.00122
    Article Type: How I Do It
  • An Innovative Technique to Maintain a Clear Surgical Field During Venous Anastomosis in Free Flap Transfer for Head and Neck Reconstruction

    Authors proposed a simple innovative technique that helps in achieving a clear surgical field at the time of venous repair by diverting the venous bleeding through a glove finger and at the same time preventing venous congestion of the flap.

    International Microsurgery Journal. 2020;4(1):2
    DOI: 10.24983/scitemed.imj.2020.00128
    Article Type: Idea and Innovation
  • Portable Electronic Device: An Alternative Tool for Surgical Magnification

    PEDs can be used as alternative means of magnification in microsurgery training considering that they are superior to surgical loupes in magnification, FOV and WD ranges, allowing greater operational versatility in microsurgical maneuvers, its behavior being closer to that of surgical microscopes in some optical characteristics. These devices have a lower cost than microscopes and some brands of surgical loupes, greater accessibility in the market and innovation plasticity through technological and physical applications and accessories with respect to classical magnification devices. Although PEDs own advanced technological features such as high-quality cameras and electronic loupes applications to improve the visualizations, it is important to continue the development of better technological applications and accessories for microsurgical practice, and additionally, it is important to produce evidence of its application at surgery room.

    International Microsurgery Journal. 2020;4(1):3
    DOI: 10.24983/scitemed.imj.2020.00130
    Article Type: Original Article
  • Survival Analysis of Upper Arm Replantation After Avulsion Injuries

    Avulsion injuries and replantation of the upper arm are particularly challenging in the field of traumatic microsurgery. At present, the functional recovery of the avulsion injuries upper arm after the replantation is generally not ideal enough, and there is no guideline for the surgeries. The aim of this study was to analyze the causes of failure of the upper arm replantation for avulsion injuries, summarize the upper arm replantation’s indications, and improve the replantation methods.

    International Microsurgery Journal. 2020;4(1):4
    DOI: 10.24983/scitemed.imj.2020.00135
    Article Type: Original Article
  • A Modified Technique of Mouse Vertical Sleeve Gastrectomy Using Two Disposable Micro-clamps

    VSG is a type of bariatric surgery that is accepted as the simplest but most efficient surgical modality to treat morbid obesity. A mouse model of VSG has been widely utilized to investigate the underlying mechanisms of VSG. There are numerous microsurgical techniques for VSG in mice, and we report herein a modified technique with 2 disposable micro-clamps to simplify the surgery.

    International Microsurgery Journal. 2020;4(1):5
    DOI: 10.24983/scitemed.imj.2020.00137
    Article Type: How I Do It