Department of Plastic Surgery, St George's University Hospitals NHS Foundation Trust, London, UK.
Medical Sciences Division, Oxford University Hospitals, University of Oxford, Oxford, UK.
Br J Hosp Med (Lond). 2023 Oct 2;84(10):1-10. doi: 10.12968/hmed.2022.0482. Epub 2023 Oct 25.
Supermicrosurgery was popularised in 1997 and is defined as a technique of microvascular anastomosis for single nerve fascicles and vessels 0.3-0.8 mm in diameter. It requires the use of powerful microscopes, ultradelicate microsurgical instruments and specialist dyes. The development of supermicrosurgery has vastly improved the ability of microsurgeons to create true perforator flaps with minimal donor site morbidity for reconstructive surgery and improved the precision of additional microsurgical techniques. This review outlines the origins and history of supermicrosurgery, its current applications in reconstructive surgery (including fingertip reconstructions, true perforator flap surgery, nerve flaps and lymphoedema surgery), supermicrosurgery training and future directions for the field.
超微血管吻合技术于 1997 年得到普及，其定义为对直径 0.3-0.8 毫米的单个神经束和血管进行微血管吻合的技术。该技术需要使用功能强大的显微镜、超精细的显微手术器械和专用染料。超微血管吻合技术的发展极大地提高了显微外科医生创建真正穿支皮瓣的能力，使重建手术的供区损伤最小化，并提高了其他显微外科技术的精确性。本文概述了超微血管吻合技术的起源和历史，以及其在重建外科领域的当前应用（包括指尖重建、真正穿支皮瓣手术、神经皮瓣和淋巴水肿手术）、超微血管吻合技术的培训以及该领域的未来方向。
