(Journal of reconstructive microsurgery[TA])
3,465 results
  • Have Outcomes Improved in Microsurgical Breast Reconstruction? An 8-Year Prospective Longitudinal Study of 5,671 Flaps Across 22 Centers. [Journal Article]
    J Reconstr Microsurg. 2026 Jul 22. [Online ahead of print]von Fritschen U, Fertsch S, … Schiltz DJR
  • CONCLUSIONS: Microsurgical breast reconstruction within a nationwide network of certified centers achieved consistently high and internationally comparable outcomes. Despite increasing institutional experience and the introduction of additional flap techniques, flap-loss rates remained stable and DIEP remained the predominant reconstructive option. Although learning-curve effects were identifiable at both the institutional and surgeon level, they did not translate into further reduction in complications. Further quality improvement is therefore more likely to benefit from structured benchmarking and regular feedback of operative and outcome metrics than from technical refinements alone.
  • Insights into Cervical Phrenic Nerve Variations Based on Cadaveric Dissection and Intraoperative Electromyography. [Clinical Trial]
    J Reconstr Microsurg. 2026 Jul 14. [Online ahead of print]Ma X, Yu Z, … Qiu YJR
  • CONCLUSIONS: Conventional anatomical studies may underestimate the prevalence of the PNV relative to intraoperative electrophysiological assessment. Intraoperative EMG monitoring is not required for all cervical nerve procedures; however, when feasible, particularly in procedures that may involve bilateral PNs, it can help identify and preserve functionally important branches, thereby reducing the risk of iatrogenic injury.
  • Interest in Robotics Outpaces Access: Results from a Survey of Practicing Plastic Surgeons. [Journal Article]
    J Reconstr Microsurg. 2026 Jul 15. [Online ahead of print]Roth J, Yu BZ, … Yao AJR
  • CONCLUSIONS: The present survey identified inadequate training, high costs, and limited demand as key barriers to the adoption of robotics in plastic surgery, reflecting the current lack of robotic integration into residency curricula, as well as the substantial investment and maintenance costs associated with robotic systems. Nevertheless, the strong interest in robotics highlights the need for expanded training programs, promotion of clinical benefits, and research quantifying potential downstream savings to overcome these barriers.
  • Enhancing Microvascular Anastomosis Using an Axial-View Microscope. [Journal Article]
    J Reconstr Microsurg. 2026 Jul 14. [Online ahead of print]Fukuyama S, Ishihara R, … Komuro YJR
  • CONCLUSIONS: The aMS provides direct visualization of the vascular cross-section and facilitates rapid identification of the tunica intima without prolonging other steps of microvascular anastomosis. These findings indicate that this system may enhance the operative view and reduce anastomosis time in microsurgical procedures.
  • Assessing the Availability and Need for Microsurgery-Trained Reconstructive Surgeons in Sub-Saharan Africa. [Journal Article]
    J Reconstr Microsurg. 2026 Jun 16. [Online ahead of print]Park MO, Devisetti N, … Chang JJR
  • CONCLUSIONS: Addressing workforce shortages, improving microsurgery-specific training, and strengthening infrastructure are critical for expanding reconstructive microsurgical care in the COSECSA region. Given the current dearth of local training programs, international collaborations continue to play a vital role in bridging the gap in microsurgical training. However, to be effective, these partnerships should prioritize longitudinal, local engagement and capacity-building efforts to support the development of sustainable microsurgical practices in LMICs.