Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
권호 표지
DOI QR코드

DOI QR Code

MicroSUCI: A Microsurgical Background That Incorporates Suction Under Continuous Irrigation

  • Received : 2022.06.15
  • Accepted : 2022.11.10
  • Published : 2023.01.15
Download PDF
⟨ Previous Next ⟩

Abstract

The microsurgical anastomosis is integral to the success of autologous-free tissue transfer. Successful performance of this procedure relies strongly on operator dexterity, which can be made more challenging when blood and edematous fluids obscure the field of view. Workflow is impeded by intermittent irrigation and suctioning, necessitating presence of an assistant, with risk of arterial thrombosis, from vessels being drawn into suction drains. To negate these current disadvantages and minimize the barrier of entry to microvascular operations, we designed, manufactured, and patented a novel three-dimensional printed microsurgical background device with microfluidic capabilities that allow continuous suction and irrigation as well as provide platforms that enable multiangle retraction to facilitate operator autonomy. This was validated in an ex vivo model, with the device found to be superior to the current standard. We believe that this will have major applicability to the improvement of microsurgeon

Keywords

References

  1. Bruce JG, Poore SO, Kempton SJ, Afifi AM. Microsurgical technique modifications: practical tips for improving precision. Plast Reconstr Surg Glob Open 2015;3(07):e465 
  2. Murugan S, John RR, Krihnakumar Raja VB, Mohan A, Bhanumurthy L. A comparative study on microvascular anastomosis of vascularised free fibular flap with couplers and suturing in mandibular reconstruction. J Maxillofac Oral Surg 2016;15(03):363-366  https://doi.org/10.1007/s12663-015-0855-5
  3. Chung Y, Lee SH, Ryu J, Lee JH, Choi SK. Affordable self-regulating irrigation device for microsurgery using readily available malleable wire and a Silastic tube: a technical note. Acta Neurochir (Wien) 2017;159(12):2351-2354  https://doi.org/10.1007/s00701-017-3321-y
  4. Kiuchi T, Ishii N, Tani Y, Masaoka K, Suzuki A, Kishi K. The optimal color of background sheets for microsurgery. Arch Plast Surg 2017;44(02):175-176  https://doi.org/10.5999/aps.2017.44.2.175
  5. Nambi GI, Kumta SM, Mokal NJ, Thatte MR. A simple and effective way of maintaining the microvascular field clean and dry during anastomosis. Indian J Plast Surg 2013;46(01):147-148  https://doi.org/10.4103/0970-0358.113737
  6. Davis CR, Branford OA, Fabre G, Vandevoort M, Sojitra NM. Handsfree suction in microsurgery. J Reconstr Microsurg 2012;28(04):283-284  https://doi.org/10.1055/s-0032-1306378
  7. Kumar P, Ajai KS. A low cost microsuction tip cannula in microvascular surgery. International Microsurgery Journal. 2018;2(01):2 
  8. Sun TB, Hsu LP, Chen PR. The "Sun window" - a simple and effective alternative to the use of background contrast material during microvascular anastomosis. J Reconstr Microsurg 2003;19(08):567-569  https://doi.org/10.1055/s-2004-815644
  9. Kanagasundaram CR. A suction instrument for microsurgery. Br J Ophthalmol 1976;60(08):599 
  10. Papavasiliou T, Chatzimichail S, Pafitanis G. Three-dimensional printed microvascular clamps: a safe, cheap, and effective instrumentation for microsurgery training. Plast Reconstr Surg Glob Open 2020;8(09):e3107 
  11. Neches RY, Flynn KJ, Zaman L, Tung E, Pudlo N. On the intrinsic sterility of 3D printing. PeerJ 2016;4:e2661 
  12. Choi BH, Yoo JH, Lee WJ. A study of the effect of suction drainage on microvascular anastomosis. Int J Oral Maxillofac Surg 1999;28(01):67-69 https://doi.org/10.1016/S0901-5027(99)80683-3