Search results for "Microsurgical"
showing 4 items of 14 documents
Transdermal Nitroglycerine Patch: An Optional Device to Reduce Flap Venous Congestion? A Case Report
2013
ABSTRACT Sometimes in free flap there is a venous congestion without an obstruction of the venous anastomosis or other organic causes of reduction venous drainage (haematoma, seroma compressing the pedicle). In these cases the authors suggest the application of nitroglycerine patch in the congested area of the flap few hours before the surgical exploration of the anastomosis. If there is a fast improvement of the clinical feature of the flap, the surgical exploration could be avoided. The authors underline that applying the nitroglycerin patch should not be regarded in any way as a therapy of a free flap venous thrombosis but only as an useful device, an option to be taken only when the sur…
Comparing the Outcomes of Different Agents to Treat Vasospasm at Microsurgical Anastomosis during the Papaverine Shortage.
2017
Letter to Editor
Free Flaps for Anterior Chest Wall Reconstruction
2020
Reconstruction of full-thickness chest wall defects usually entails the use of regional pedicled myocutaneous flaps as first-choice option. As defect complexity increases and local options are not available, microsurgical reconstruction is required to transfer reliable and well-vascularized tissues from distant sites. Size, anatomic location, presence of dead spaces, and extent of eventual bone defect should be assessed for proper selection of the flap. Regional recipient vessels should be previously identified and checked in order to consider alternatively the need of extension of distant recipient vessels through arteriovenous (AV) loops or vein graft interposition.
The Transcallosal Anterior Interfoniceal Approach: A Microsurgical Anatomy Study
2014
Objectives: A plethora of surgical strategies have been described to reach deeply lesions situated within the third ventricle, including the Rosenfeld or anterior transcallosal interfoniceal approach (TAIF). Firstly, introduced in 2001, it consists of a small callosotomy followed by the midline transseptal dissection of fornices to enter the roof of the third ventricle. The aim of this microsurgical anatomy study is to describe and show each stage of the surgical procedure, focusing on the possible trajectories to anatomic landmarks. Participants: A total of twenty adult cadaveric specimens were used in this study. Using x3 to x40 magnifications the surgical dissection was carried out in a …