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CC BY-NC-ND 4.0 · Arch Plast Surg 2023; 50(01): 096-100
DOI: 10.1055/a-1987-3338
Extremity/Lymphedema
Idea and Innovation

MicroSUCI: A Microsurgical Background That Incorporates Suction Under Continuous Irrigation

Theodora Papavasiliou 
1   Research and Development Lab, Stelth, Larnaca, Cyprus
,
Stelios Chatzimichail
1   Research and Development Lab, Stelth, Larnaca, Cyprus
,
Ankur Khajuria
2   Department of Surgery and Cancer, Imperial College London, White City Campus, London, United Kingdom
3   Kellogg College, University of Oxford, Oxford, United Kingdom
,
Joon-Pio Hong 
4   Department of Plastic and Reconstructive Surgery at Asan Medical Center, University of Ulsan, College of Medicine, Seoul, South Korea
› Author Affiliations Funding None.
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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

microsurgical - innovation - 3D printing - background

Authors' Contributions

TP wrote the first draft of the manuscript. All authors reviewed and edited the manuscript and approved the final version of the manuscript.




Publication History

Received: 15 June 2022

Accepted: 10 November 2022

Accepted Manuscript online:
24 November 2022

Article published online:
06 February 2023

© 2023. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    Article in Thieme ConnectPubMedGoogle Scholar
  • 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
    Article in Thieme ConnectPubMedGoogle Scholar
  • 6 Davis CR, Branford OA, Fabre G, Vandevoort M, Sojitra NM. Hands-free suction in microsurgery. J Reconstr Microsurg 2012; 28 (04) 283-284
    Article in Thieme ConnectPubMedGoogle Scholar
  • 7 Kumar P, Ajai KS. A low cost microsuction tip cannula in microvascular surgery. International Microsurgery Journal. 2018; 2 (01) 2
    CrossrefGoogle Scholar
  • 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
    Article in Thieme ConnectPubMedGoogle Scholar
  • 9 Kanagasundaram CR. A suction instrument for microsurgery. Br J Ophthalmol 1976; 60 (08) 599
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 11 Neches RY, Flynn KJ, Zaman L, Tung E, Pudlo N. On the intrinsic sterility of 3D printing. PeerJ 2016; 4: e2661
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar