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• W2162230025 endingPage "666" @default.
• W2162230025 startingPage "657" @default.
• W2162230025 abstract "While modern reconstructive surgery was revolutionized with the introduction of microsurgical techniques, microsurgery itself has seen the introduction of a range of technological aids and modern techniques aiming to improve dissection times, anastomotic times, and overall outcomes. These include improved preoperative planning, anastomotic aides, and earlier detection of complications with higher salvage rates. Despite the potential for substantial impact, many of these techniques have been evaluated in a limited fashion, and the evidence for each has not been universally explored. The purpose of this review was to establish and quantify the evidence for each technique.A search of relevant medical databases was performed to identify literature providing evidence for each technology. Levels of evidence were thus accumulated and applied to each technique.There is a relative paucity of evidence for many of the more recent technologies described in the field of microsurgery, with no randomized controlled trials, and most studies in the field comprising case series only. Current evidence-based suggestions include the use of computed tomographic angiography (CTA) for the preoperative planning of perforator flaps, the intraoperative use of a mechanical anastomotic coupling aide (particularly the Unilink® coupler), and postoperative flap monitoring with strict protocols using clinical bedside monitoring and/or the implantable Doppler probe.Despite the breadth of technologies introduced into the field of microsurgery, there is substantial variation in the degree of evidence presented for each, suggesting the role for much future research, particularly from emerging technologies such as robotics and modern simulators." @default.
• W2162230025 created "2016-06-24" @default.
• W2162230025 creator A5041612299 @default.
• W2162230025 creator A5051037310 @default.
• W2162230025 creator A5051942076 @default.
• W2162230025 creator A5052986088 @default.
• W2162230025 creator A5080771796 @default.
• W2162230025 creator A5084782084 @default.
• W2162230025 creator A5090944808 @default.
• W2162230025 date "2010-08-23" @default.
• W2162230025 modified "2023-09-27" @default.
• W2162230025 title "Modern adjuncts and technologies in microsurgery: An historical and evidence-based review" @default.
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