Dr. Shyun-Jing Wee, the author of the article, entitled Penopubic Junction Reconstruction Using a Pedicled Superficial Circumflex Iliac Artery Perforator Flap, met with the editors at SciTeMed as well as expert mentors to discuss the research in order to maximize its impact and ensure its wide dissemination. The webinar was moderated by Dr. Laura Chia-Fang Chen, a surgeon at Linkou Chang Gung Memorial Hospital who specializes in plastic and reconstructive surgery.

Here is a video that shows the harvest of a thin profunda artery perforator flap from the left thigh. In conjunction with preoperative computed tomography angiography, measurement of the morphology of the perforators and their branches, the pedicle length, and the vertical locations of the two branches from the ischial tuberosity are performed. A handheld doppler is used to confirm the location of both branches. As a result of the authors' results, preoperative computed tomography angiography is a valuable way of obtaining detailed anatomical information such as the shape of perforators, their path through the septum or muscle above the deep fascia, as well as the thickness of the skin. It is important to know that computed tomographic angiography is an excellent means of making an assessment of the entire vascular anatomy of the leg, and it results in making an informed decision about the choice of flaps, based on the patient's anatomy and the characteristics of the defect.

One of the aims of several reconstructive surgical procedures is to achieve a patent microvascular anastomosis. Developing clinical competency in this specialized skill requires intensive training on live animal models as a first step. The early training stage of microvascular anastomosis can be stressful for novices. This is because the rat vessels used in such training courses are usually too small and fragile for novices to maintain the vascular lumen in an optimal fashion. Throughout this paper, the authors discuss the use of a silicone tube to provide structural support to vessels throughout the entire precarious suturing process. Using this modified version of the conventional microvascular anastomosis technique may facilitate initial skill acquisition in the rat model.

Lymphaticovenular anastomosis (LVA) and vascularized lymph node transfer (VLNT) are established lymphedema treatments. However, LVA is only effective for early disease and VLNT can cause donor-site lymphedema and contour deformity. Vascularized lymph vessel transfer (VLVT) is free of these limitations. In the video, the authors described their experience of a new VLVT technique.

This video shows a laryngoscopic examination for signs of laryngeal irritation associated with laryngopharyngeal reflux. Large bilateral granulomas are identified on the surface of bilateral arytenoids