New Challenges in Reconstructive Microsurgery: Technological Advances

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Plastic, Reconstructive and Aesthetic Surgery/Aesthetic Medicine".

Deadline for manuscript submissions: closed (30 June 2024) | Viewed by 332

Special Issue Editor


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Guest Editor
Division of Plastic, Reconstructive and Microsurgery, CTO Careggi University Hospital, Florence, Italy
Interests: microsurgery; orthoplasty; breast autologous reconstruction; technological advances; robotic-assisted-microsurgery

Special Issue Information

Dear Colleagues,

As a devoted practitioner in the field of microsurgery and reconstructive surgery, I am writing to express my profound appreciation for your work in advancing our discipline. Your commitment to improving patient outcomes and the efficiency of our surgical procedures is truly commendable.

I am writing to underscore the paramount importance of embracing new technologies in the realms of microsurgery and reconstructive surgery. In an era where the objectives of these fields have expanded to include long-term results, aesthetics, technique efficiency, and cost reduction, modern technologies are indispensable tools for our daily practice.

The utilization of 3D imaging and reconstructions in preoperative planning has improved our surgical precision planning and patient communication, resulting in increased satisfaction and understanding. Intraoperatively, robotic-assisted devices have revolutionized our procedures by enhancing precision, reducing fatigue, and decreasing surgical time, ultimately leading to cost savings. Postoperatively, monitoring systems such as oxygenation monitoring enable the early detection of complications, ensuring better patient outcomes. The integration of these technologies defines their technical advantages in clinical practice, allowing us to deliver superior long-term results.

Embracing these technological advancements is essential for our field's progress, and your dedication to advancing microsurgery and reconstructive surgery is commendable. Collaborative efforts and knowledge exchange will drive further innovation, resulting in a benefit to our patients and our discipline.

In this Special Issue, original research articles and reviews are welcome. Thank you for your commitment to our field for the continued pursuit of excellence. We look forward to receiving your contributions.

Dr. Giulio Menichini
Guest Editor

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Keywords

  • microsurgery
  • robotic-assisted device
  • outcomes
  • improvements
  • technological advances
  • complications defection

Published Papers (1 paper)

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Research

17 pages, 6756 KiB  
Article
Case Series: Fibula Free Flap with Bone Allograft as the Gold Standard in Lower Limb-Salvage Surgery for Adolescent Patients with Primary Bone Tumors Located within Tibial Diaphysis: Technical Modifications and Short-Term Follow-Up
by Jakub Opyrchał, Daniel Bula, Krzysztof Dowgierd, Bartosz Pachuta, Dominika Krakowczyk, Anna Raciborska and Łukasz Krakowczyk
J. Clin. Med. 2024, 13(14), 4217; https://doi.org/10.3390/jcm13144217 - 19 Jul 2024
Viewed by 124
Abstract
Background: Primary malignant bone tumors are most commonly associated with mutilating surgical procedures that can significantly disturb the motor development of a young patient and are frequently affiliated with major postoperative complications. Unfortunately, despite available autologous tissue donor sites, artificial materials are still [...] Read more.
Background: Primary malignant bone tumors are most commonly associated with mutilating surgical procedures that can significantly disturb the motor development of a young patient and are frequently affiliated with major postoperative complications. Unfortunately, despite available autologous tissue donor sites, artificial materials are still most commonly used for the reconstruction of post-resection defects. Reconstructive microsurgery is increasingly recognized as an effective method of functional reconstruction, creating the possibility of performing limb-sparing surgery (LSS) with significant limitation of major postoperative complications at the same time. Methods: The study group consisted of 9 pediatric patients diagnosed with primary malignant bone tumor in the limb location. In order to perform microvascular reconstruction, 9 free fibula flaps were used in combination with a bone allograft (Capanna method). The functional outcome of the reconstruction was assessed on the basis of the MSTS (Musculoskeletal Tumor Society Scoring System) scale. Results: The presented analysis proves the effectiveness of this reconstructive procedure and the possibility of performing LSS with reasonable functional outcomes after appropriate patient qualification. In this study, all limbs included were spared. In all cases, the R0 surgical margins were achieved and no reports of local recurrences were reported during the follow-up. The average score on the MSTS scale was 27/30 points. Conclusions: Microvascular reconstructive surgery is an individually personalized and highly effective method of treating patients with primary bone tumors in the limb location and provides satisfactory functional outcomes. Full article
(This article belongs to the Special Issue New Challenges in Reconstructive Microsurgery: Technological Advances)
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