Advances and Innovations in Microsurgery

Plast Reconstr Surg. 2016 Nov;138(5):915e-924e. doi: 10.1097/PRS.0000000000002715.


Learning objectives: After reading this article, the participant should be able to: 1. summarize the evolution of perforator, chimeric, and free style flaps; 2. define and give examples of supermicrosurgery as well as understand its application in treatment of lymphedema; and 3. appreciate the development and advancements of composite tissue allotransplantation.

Summary: Although microsurgery may seem like a highly specialized niche within plastic surgery, it is more than just a discipline that focuses on small anastomoses. It is a tool and a way of thinking that allows us to embody the true tenets of plastic surgery, as quoted by Tagliocozzi. What began as a challenge of returning amputated tissue to the body and achieving wound closure has evolved into a refinement of technique and change in philosophy that empowers the plastic surgeon to work creatively to "restore, rebuild, and make whole."

Publication types

  • Historical Article
  • Video-Audio Media

MeSH terms

  • History, 20th Century
  • History, 21st Century
  • Humans
  • Lymphedema / history
  • Lymphedema / surgery
  • Microsurgery / history*
  • Microsurgery / methods
  • Reconstructive Surgical Procedures / history*
  • Reconstructive Surgical Procedures / methods
  • Surgical Flaps / history*
  • Vascularized Composite Allotransplantation / history
  • Vascularized Composite Allotransplantation / methods