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International Microsurgery Journal (IMJ)

Tommy Nai-Jen Chang(Editor-in-Chief) David Chwei-Chin Chuang, Isao Koshima, Zeng-Tao Wang, Peter Neligan, Ronald M. Zuker, Gregory Buncke(Honorary Editor-in-Chief)

International Microsurgery Journal (IMJ) is an open access journal with a comprehensive peer review policy and a rapid publication process. IMJ provides a global platform for scientists, clinicians, researchers and scholars to interact and share their latest research in all fields of microsurgery, including head and neck reconstruction, breast reconstruction, trunk and torso reconstruction, hand and upper extremities reconstruction, lower extremities reconstruction, lymphatic surgery, peripheral nerve, vascularized composite tissue allotransplantation, experimental microsurgery, microsurgical education, or other related topics.

IMJ is the official journal of International Microsurgery Club (IMC) and Internationl Course on Supermicrosurgery (国际超级显微外科学会, ICSM). International Microsurgery Club was created to facilitate discussion of complex cases and share knowledge of microsurgical techniques amongst experts around the world. Since its inauguration in May 2016, IMC now counts 5000 members and is one of the largest online educational platforms for microsurgery around the world. IMJ aims to make these educational case discussions available in written format to maximize the scholarly outreach and access to these valuable resources. IMJ welcomes submission of case reports, original articles, review papers, clinical studies, editorials, expert opinion and perspective articles, commentaries, and book reviews.

Tommy Nai-Jen Chang, MD

Dr. Tommy Nai-Jen Chang is a board-certified plastic surgeon in Taiwan. Currently, he is an Associate Professor in the Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Microsurgery, Chang-Gung Memorial Hospital, Linkou Medical Center, Taiwan. Dr. Chang finished his residency at Chang-Gung Memorial Hospital in 2011 and was appointed as staff of the department. He learned peripheral nerve reconstruction from Prof. David Chwei-Chin Chuang since 2012. Between 2015 and 2016, Dr. Chang completed a peripheral nerve research fellowship at the Hospital for Sick Children (SickKids) in Toronto, Canada, supervised by Dr. Gregory Borschel, Dr. Tessa Gordon and Dr. Ronald Zuker. After several years of peripheral nerve training under the guidance of Dr. David Chuang and Dr. Gregory Borschel, Dr. Chang is now capable of performing all types of peripheral nerve surgery. Currently, Dr. Chang works with Professor David Chwei-Chin Chuang and Dr. Johnny Chuieng-Yi Lu for peripheral nerve reconstruction for adult and pediatric brachial plexus injury, facial paralysis, and reconstruction of upper and lower extremity defects, decompression neuropathy including carpal tunnel, cubital tunnel, thoracic outlet syndrome, and the neurogenic tumors.

In addition to exploring motor nerves, Dr. Chang has also explored the sensory and autonomic nervous system as well in recent years and advanced some new areas, such as breast and nipple neurotization, robotic-assisted sympathetic trunk reconstruction, and hyper-selective neurectomy to treat primary hyperhidrosis. Besides, Dr. Chang also does microvascular surgery for Head and Neck reconstruction, perineal reconstruction, and extremities reconstruction. A total of 80 articles have been published in literature until the year 2022, mainly in the field of reconstructive microsurgery.

His research interests include peripheral nerve regeneration and reconstruction, and social media for microsurgery education. Dr. Chang founded the International Microsurgery Club (IMC) in 2016; until now, this group represents the largest online microsurgery platform. Dr. Chang was invited as the editor-in-chief of International Microsurgery Journal (IMJ) in 2017 and established International Microsurgery Website (IMW) in 2018 to provide educational resources for microsurgery surgeons worldwide. Dr. Chang coordinates the IMC Webinar Series during the COVID-19 pandemic to provide continuous education to global microsurgeons in 2020. By April 2022, there had been over 210 events, and all of the recordings were available on the IMW for members to access for free.

Aside from IMC, in Sep 2020, Dr. Chang also coordinated the main microsurgery webinar hosts and created an International Microsurgery Webinar League. Over 500 free accessed microsurgery-related free webinar talks were then connected online automatically, and the power of online learning of this system continues to expand and benefit the global microsurgeons.

Tommy Nai-Jen Chang, MD
International Microsurgery Journal

David Chwei-Chin Chuang, MD

Prof. David Chwei-Chin Chuang is the first plastic surgeon who concentrated on peripheral nerve science that incorporated injuries, reconstruction, and research in Taiwan. It took him 30 years to be recognized as a world expert in the field of peripheral nerve injury and reconstruction. He started his microsurgical career in 1984 and became an academic professor in 2000. His phenomenal career was inspired largely by mentors namely: Dr. Samuel Noordhoff who motivated him to become a plastic surgeon, Dr. Fu-Chan Wei who influenced him to become a micro-surgeon; Dr. Julia K Terzis (USA), Dr. H. Millesi (Austria), Dr. A. Narakas (Switzerland), and Dr. Toru Kondo (Japan) - all four of whom had primed him to become a peripheral nerve microsurgeon.

In the process of aiming to make a solid contribution in the world of microsurgery, Prof. Chuang has developed many concepts and techniques related to the following: peripheral nerve reconstruction that deals with the classification level of brachial plexus injury; classification of level of radial nerve injury; classification of severity of post-paralysis facial synkinesis and strategy for treatment; the classification of traction avulsion amputation of the major limb; the technique of gracilis myocutaneous flap harvest; the technique revolution of FFMT for facial nerve reconstruction; the surgical treatment of thoracic outlet syndrome; the subfascial anterior transfer for cubital tunnel syndrome; the operative methods of nerve transfer for irreparable brachial plexus avulsion injury; the contralateral C7 transfer with free vascularized ulnar nerve graft; the intercostals nerve transfer to the musculocutaneous nerve, and other nerve transfer procedures.

Despite his already quite hectic schedule, he still found the time to get involved in many types of researches, which are related to peripheral nerve and free functioning muscle transplantation. Also, his numerous experimental types of research have been published in Plastic and Reconstructive Surgery, one of which is the research for arterialized venous flaps using vaso vasorum changes that he completed in 2015.

Because of his unique field of medical expertise, Prof. Chuang has been invited in countless local and worldwide meetings for special lectures, symposiums and panels in Japan, Korea, China, Thailand, Singapore, Indonesia, India, Argentina, Italy, Finland, Kuwait, Hong Kong, Mexico, Turkey, Germany and the USA. Furthermore, he also co-authored a chapter in three versions of the textbook entitled “Plastic Surgery” (2nd version 2006, third version 2013, and a new coming fourth version). Aside from these seemingly untiring achievements, he did several presentations locally and internationally, which were profiled in quite a number of publications for different medical journals.

Prof. Chuang has been similarly sought as the International Associate Editor of Plastic and Reconstructive Surgery from 2014 to 2016, and his term has been extended from 2016 to 2018. In relation to the foregoing, Prof. Chuang has twice hosted the "Instructional Course" for adult brachial plexus injury in 2009, and facial paralysis reconstruction in 2011. The third part (adult brachial plexus injury) of which, is coming soon this 2017.

To make his career in micro surgery more fulfilling, Prof. Chuang engaged himself with the Fellow Training Program of Chang Gung Memorial Hospital as one of the teachers, for hundreds of international foreign fellows. Along with this, he has treated international patients (approximately 100) from 20 different countries around the world.

As an authority figure in the field of micro-surgery, Prof. Chuang held vital positions as follows: Chief of Department of Plastic Surgery, Chang Gung Memorial Hospital, Taipei-Linkou; 13th President of Taiwan Plastic Surgical Association (2006-2008); 10th President of Taiwan Society for Surgery of the Hand (2009-2010); and First (1st) President of Taiwan Society for Reconstructive Microsurgery (2014-2016). At present, he is the 9th President of World Society for Reconstructive Microsurgery (WSRM) from March 2015 to June 2017. Prof. Chuang is undertaking every workable means and ways to fortify the relationship between the WSRM central office and the four regional societies (ASRM, ALAM, EFSM and APFSRM).

Prof. Chuang’s high hope is for the International Microsurgery Club and the International Microsurgery Journal to truly become the “World Society.”

Isao Koshima, MD

Professor Koushima, president of the World Society for Reconstructive Microsurgery from 2017 to 2019, graduated from Okayama Prefectural Tsuyama High School and Tottori University Faculty of Medicine in the 1970s, and completed his residency training in plastic surgery at Tokyo Women's Medical University Surgery Department and The University of Tokyo Hospital Plastic Surgery Department.

In 1983, he joined the University of Tsukuba Plastic Surgery Faculty of Medicine as a lecturer. By the year of 1990, he became an associate professor at Kawasaki Medical School Plastic Surgery. He was then sent to Harvard University for further education in 1996 and became a professor at Okayama University Faculty of Medicine Plastic Reconstruction Surgery, The University of Tokyo Plastic Reconstruction Surgery, and National University of Singapore in the early 2000s. In 2010, he was the associate dean at The University of Tokyo Hospital and became emeritus professor at The University of Tokyo Hospital as well as distinguished professor at Hiroshima University International Lymphedema Treating Center in 2017.

Throughout his academic career, he performed live surgery in 22 hospitals through invitations from international societies since 1997, including Ghent University Hospital, Belgium (twice), Louisiana State University, USA , Kuwait University hospital, München , Universidade de São Paulo hospital, Sant Pau Hospital, Barcelona, Ankara Medicine University, Turkey, China-Japan Friendship Hospital, Beijing (twice), National University of Singapore, Planas Hospital, Barcelona, Coimbatore city hospital, India, Versailles, France (2009/Feb), Utrecht University Hospital, Nederland (2009/May), Tomsk State University, Russia (2009/Sep), Planas Hospital, Barcelona(2010/Mar), University of Picardie Jules Verne, France (2010/Jul), Mahidol University, Thailand (2010/Aug), Hospital General Dr. Manuel Gea González (2010/Oct), The Chinese University of Hong Kong( 2010/Nov), National University of Singapore (2010/Dec), and Mumbai, India (2011/Mar).

Prof. Koushima’s contribution to the field can be divided into basic medical sciences and clinical medical sciences. He specializes in neuro-degeneration and neuro-regeneration, nerve grafting, tendon transplantation, and vascular pedicle nerve grafting. He is very well known in multiple clinical fields, such as perforator flap reconstruction, microvascular anastomosis, head and neck reconstruction, facial nerve palsy reconstruction, extremities’ reconstruction, lymphedema surgeries, as well as transgender surgeries for those with gender identity disorders. He has performed penis reconstruction, hand reconstruction, breast reconstruction, and aesthetic plastic surgery.

Prof. Koushima is affiliated with many societies as he is the reviewer of Plastic & Reconstructive Surgery Journal of American Society of Plastic Surgeons and Japanese Society of Plastic Reconstruction Surgery, and the founder and operator of International perforator flap conference 1997, Asia Pacific super micro conference in Singapore 2007, and Europe super micro conference in Barcelona 2010. He was the chairman of the Japanese Society for Surgery of the Hand, Japanese Society of Reconstructive Microsurgery, and Japanese Society for Lymphoreticular Tissue. He is the supervisor of the Japanese Society of Tissue Transplantation and members of Japan Society for Head and Neck Surgery and Japanese Research Society of Clinical Anatomy.

Zeng-Tao Wang, MD

Prof. Wang is the world-famous microsurgeon in China. He is currently the chief of Shandong Provincial Hospital Extremities Surgery Department, professor and chief physician of Chinese Association of Microsurgery, vice chairman of Chinese Medical Association Branch of Microsurgery and Branch of Hand Surgery, and committee member of Shandong Province Society for Surgery of the Hand, committee member of Chief Shandong Province Society for Trauma surgery, vice chief physician of Shandong Province Society for Reconstruction Surgery, and editorial board member of Chinese Journal of Clinical Anatomy.

Prof. Wang’s work is filled with creativity, mainly focusing on a combination of clinical research and basic medical research. He has published several world-class original results based on innovative techniques in the clinical medical field. For instance, Dr. Wang’s research made great improvements regarding low temperature organ preservation. He successfully replanted three cases of low temperature-preserved severed finger at -196°C. Moreover, he created assembled digit reconstruction, a procedure that brought to light a whole new vision of the traditional procedure which has been used for thirty years in the world by replanting digits through cutting off the index toe. This new technique allows reconstructed fingers to resemble original digits instead of toes. His creativity and innovative visionary leads the field of reconstructive surgery into a new era.

Moreover, Prof. Wang excelled above and beyond expectations by taking the time to review and revise microsurgery anatomy, which clarified certain anatomy structures associated with microsurgery. As a result of his contributions, reconstructive microsurgery has been significantly improved. Furthermore, he has written many literary works pertaining to such topics, such as the "Clinical Anatomy Atlas of Microsurgery".

It is indeed a significant step forward in the development of global microsurgery to have Prof. Wang serve as the honorary Editor-in-Chief of the International Microsurgery Journal since with this collaboration, we have succeeded in removing the barriers of language and platform, so people are able to learn the techniques from Chinese microsurgeons. There will be more cooperation not only in the journal, but also in the conference and the online platform in the future. This knowledge exchange and pooling should be beneficial to global microsurgeons and patients alike.

Peter Neligan, MB, FACS, FRCSI, FRCSC

Dr. Peter Neligan is Irish and attended Trinity College Dublin, graduating in 1975. He obtained a General Surgery Fellowship in 1980 then Plastic Surgery training in Ireland. Moving to Toronto in 1983 and completing fellowships in research, pediatric plastic surgery, microvascular surgery and burn surgery. He received FRCSC in Plastic Surgery in 1988. He became Chair of Plastic Surgery at the University of Toronto in 1996 and Wharton Chair in Reconstructive Plastic Surgery in 1999. In 2007 he moved to Seattle as Professor of Surgery and Director of the Center for Reconstructive Surgery at the University of Washington. His practice is in microsurgery, perforator flaps, lymphatic surgery, facial re-animation and VCA. He was retired in 2020.

Publications include more than 12 books, 85 book chapters and over 200 peer-reviewed papers. He is the Editor-in-Chief of Plastic Surgery, a 6 Volume textbook which has become the standard text for Plastic Surgery Training Programs around the world. He’s been invited to over 300 universities or major societies as a visiting professor or honored guest. He sits on several editorial boards and is past Editor-in-Chief of the Journal of Reconstructive Microsurgery.

Dr. Neligan is Past-President of the PSF, ASRM as well as the NASBS. He is also a past board member of the AHNS. He is a past trustee of the ASPS. He is married to Gabrielle Kane, a radiation oncologist and they have 2 adult children and 4 grandchildren.

Ronald M. Zuker, MD, FRCSC, FACS, FAAP, FRCSEd (Hon)

Dr. Ronald M. Zuker, graduated from the Faculty of Medicine at the University of Toronto and after completing his Plastic Surgery training under Dr. W. K. Lindsay, embarked on a McLaughlin Travelling Fellowship learning about microsurgery, cleft care and burns in Japan, Australia, New Zealand and Europe. Dr. Zuker was appointed to the staff at the Hospital for Sick Children in 1978 where he has remained and continues to be active to this day. He was Chief of the Division of Plastic & Reconstructive Surgery from 1986 to 2002.

Surprisingly Dr. Zuker began his medical career in the Amazon Basin as a river doctor working for the Hospital Amazonica Albert Schweitzer in Pucullpa, Peru where his fluency in Spanish paid dividends. To this day, his commitment to global health continues with strong representation in Operation Smile. After he completed his surgical training, he was integral in establishing the microsurgery program at the University of Toronto with Drs. Ralph Manktelow, Nancy McKee, Howard Clarke and Jim Mahoney. Quickly, Toronto became known as an epicenter of excellence and attracted dozens of trainees from around the globe including Professor Fu Chan Wei who, stimulated by his teachers, formed the world’s largest microsurgery unit at Chang Gung Hospital in Taipei.

Dr. Zuker is one of the original pioneers of microsurgery. He is a founding member of the American Society of Reconstructive Microsurgery and the Group for Advancement of Microsurgery (GAM – Canada). He has had key leadership positions in our specialty’s important societies including the American Academy of Pediatrics, the American Association of Plastic Surgeons, the American Association of Pediatric Plastic Surgeons, the American Burn Association, the American Cleft-Craniofacial Association, the American Society for Reconstructive Microsurgery, the American Society of Peripheral Nerve, the American Society of Plastic Surgeons, the Congress of the International Microsurgery Society, the Canadian Society of Plastic Surgeons amongst many others, culminating with the Presidency of the International Society of Plastic Reconstructive and Aesthetic Surgery Congress in Vancouver 2011.

His curriculum vitae is rich with accolades, honors, peer-review papers and scientific presentations. He has been teaching residents and medical students in Plastic Surgery since 1978. He has taught fellows from all over the world. He has given lectures on 4 of the 5 major continents. He has published more than 100 peer-reviewed scientific papers and book chapters. One of his most significant contributions has been his textbook entitled Principles and Practice of Pediatric Plastic Surgery (co-edited with Bruce Bauer and Mike Bentz) which has become the go-to book for Pediatric Plastic and Reconstructive Surgery and is heading for a 3rd edition any day now! He has acted as a great mentor for the latest generation of reconstructive microsurgeons and is generous in sharing his surgical secrets.

It is easy to say that the backbone of Dr. Zuker’s career has been his dedication to clinical excellence and innovation. The Zuker name has been integral in shaping the sub-specialty of pediatric plastic surgery through his contributions to microsurgery, cleft lip and palate and upper extremity surgery. However, Dr. Zuker will be best known for his work as the “Smile Doctor”. His passion has been the restoration of facial function in patients with facial paralysis and Moebius syndrome. To this end, he has revolutionized the approach to the management of established facial paralysis using free functioning muscle transfer with the gracilis muscle being the workhorse. With Dr. Ralph Manktelow, he developed innovative and novel techniques for transfer of the gracilis muscle from the leg to restore the smile in patients with facial paralysis. Surgeons from around the world visit him to learn this remarkable procedure. He has been recognized for his passion by the Moebius Foundation and the Smile Foundation of South Africa. There is a photo in the collage of Ron’s office memorabilia showing him shaking hands with Nelson Mandela in recognition of his service to patients with facial paralysis. Ron holds honorary degrees as Fellow of the Royal College of Surgeons of Edinburgh and Honorary Fellowship of the College of Plastic Surgeons of South Africa.

Everyone is well aware of Dr. Zuker’s interest in smile surgery but here are ten rarely known facts about Dr. Ron Zuker’s clinical achievements:

  • He has one of the largest experiences in the separation of conjoined twins in the world (seven).
  • He has set the bar high creating unprecedented success rates following living donor-related liver transplant surgery by evolving microsurgery into the team.
  • He described using the masseter nerve to power the gracilis muscle for facial reanimation and smile reconstruction.
  • With Dr. Greg Borschel, he has developed techniques for re-innervating the insensate cornea.
  • He performed the world’s first lower limb allotransplant.
  • He has an anatomic point named after him.
  • He has expertise in the management of congenital giant melanocytic nevi.
  • He was in a television show with Monty Python original John Cleese describing the importance of the smile.
  • He has done innovative research with functional MRI in Moebius patients.
  • He is not afraid to cite Bob the Builder as one of his strongest influences and inspirations.

Dr. Zuker’s career began with a focus on the delivery of health care to those in greatest need. He continues to exhibit this high level of altruism by devoting a huge amount of his energy to helping children with clefts in low and middle-income countries spending time in South America, Africa and India with the Operation Smile group. His latest endeavor is the creation of the Pediatric Vascularized Composite Allotransplantation program at the Hospital for Sick Children pushing the clinical limits of reconstructive surgery.

It is a small world under the microscope, but it is incredible how far it can take you in the real one. His name is synonymous with excellence and innovation. In the arena of innovative reconstructive microsurgery, Ron has few equals. Dr. Ron Zuker has made significant innovations in the unique areas of conjoined twins, composite vascularized allotransplantation, free functioning muscle transfer, solid organ transplantation and global outreach. In the field of Plastic & Reconstructive Surgery, Ron is an icon and for his contributions to the specialty was awarded the Canadian Society Lifetime Achievement Award in June 2014.

Gregory Buncke, MD

Dr. Gregory Buncke is a plastic, hand, and microsurgeon. Currently, he is the director of the Buncke Clinic in San Francisco, and he is the son of the pioneering microsurgeon Harry J. Buncke. Dr. Buncke earned his medical degree from Georgetown University in Washington, DC. He completed his residency in Plastic and Reconstructive Surgery at Stanford University and did a fellowship in Hand and Microsurgery at the Davies Medical Center in San Francisco, where he remains in practice. Dr. Buncke is Board Certified by the American Board of Plastic Surgery and has a Certificate of Added Qualification in Surgery of the Hand. He is a Fellow of the American College of Surgeons, and a member of several societies, including the American Society of Plastic Surgeons, the American Society for Reconstructive Microsurgery, and the American Society for Surgery of the Hand. Dr. Buncke has published numerous articles related to a wide variety of plastic, hand, and microsurgery topics.

Since 1970 The Buncke Clinic has been at the forefront of the advancement of reconstructive surgery. The Buncke Clinic is not only known for its rich history, but also contributes to the advancement of microsurgery in numerous ways, including outstanding clinic service, research, and educational programs. Its customized website also provides all the essential background knowledge for microsurgeons and the updated master talk organized by Dr. Bauback Safa. You can find out more about the Buncke Clinic online, as well as all the secrets about microsurgery, by visiting their websites.

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Editorial Board

  • Usama Farghaly Omar, MD, MSc

    Department of Orthopaedic Surgery
    Al-Hekma Specialized Hospital
    Egypt (‫مصر‬‎)
    Dr. Omar received his medical degree at Assiut University School of Medicine in 2009. He completed Orthopaedic Surgery Residency at Assiut University Hospital in 2014. During his residency, Dr. Omar received extensive training in reconstructive plastic surgery and cosmetic surgery, performing specialist treatment in upper limb reconstruction. He received his Masters' degree in Orthopaedic Surgery in 2015. He has been a visiting scholar in Plastic and Reconstructive Surgery at Linkou Chang Gung Memorial Hospital in the beginning of 2017. He has a strong interest in microsurgical reconstruction of peripheral nerve surgery, his Masters thesis is about Phrenic Nerve Neurotization Technique in Adult Traumatic Brachial Plexus Injuries.
  • Oscar Orozco, MD

    Department of Plastic Surgery
    Quiron Hospital
    Spain (España)
    Dr. Delgado's main surgical interests are in reconstructive surgery of the hand and extremitiesincluding microsurgical reconstruction. He received rigorous and extensive microsurgery training from the hand of Dr. P.C. Cavadas (Composite tissue allotransplantation, Hand Surgery, Replantation.), Dr. Francisco Del Piñal (Hand Surgery, Replantatation, Toe to hand transfer) and through the Reconstructive Microsurgery European School with Dr. Jaume Masià (Breast Reconstruction and Lymphedema). Dr. Delgado's practice is currently divided between reconstructive surgery at the Basque Country Health Service (Active member of the Basque Country Limb Replantation Unit) and aesthetic and reconstructive surgery at the two main private clinics in San Sebastian, combined with emergency care (mainly hand surgery). Dr. Delgado has personally witnessed the great growth of the International Microsurgery Club, now becoming one of the most important microsurgery platforms in the world. To be considered for become part of the editorial board of the International Microsurgery Journal(IMJ) represents for him an honor and a pleasure. Dr. Delgado would like to take this opportunity with great responsibility. Dr. Delgado expects that his effort would help in developing new IMC projects, and making International Microsurgery Journal(IMJ) the world’s top journal in the field of Microsurgery.
  • Aldo G. Beltrán Pardo, MD, MS

    Division of Plastic and Reconstructive Surgery, Department of Surgery
    Hospital Universitario Erasmo Meoz, Clínica Policía Nacional and Liberty ARL in Cúcuta
    Dr. Aldo Beltrán is a Plastic Surgeon (Universidad Nacional de Colombia), Fellowship in Hand Surgery (Miami Hand Center) and Master´s Degree in ReconstructiveMicrosurgery (Universitat Autónoma de Barcelona),with continous training and education in Hand Surgery, Microsurgery and Reconstructive Surgery, actually coursing Master in Hand Patology (Universidad Internacional de Andalucía). Dr. Aldo Beltrán has 10 years of experience in microsurgical reconstructions of complex defects, traumatic or oncologycs, brachial plexus and peripheral nerve injuries, lowerand upper limb salvage, replantations and hand surgery, traumatic, aquired or congenital entities. Lecturer in national and international meetings, withpublications and two national prizes in hand surgery. Research and teaching experience with medical students, postgraduates in Plastic Surgery and Orthopedics Residents and a program of Scrub Nurses, with training in Education in Health Sciences. Ex Chairman of Hand Surgery and MicrosurgeryService of Hospital Central Policía Nacional de Colombia, actually Plastic Surgeon, Microsurgeon and Hand Surgeon in Hospital Universitario Erasmo Meoz in Cúcuta, Colombia.
  • Paolo Sassu, MD, PhD

    Department of Hand Surgery
    Sahlgrenska University Hospital
    Sweden (Sverige)
    Dr. Paolo Sassu is an orthopaedic surgeon from Cagliari, Italy, with a special interest in reconstructive microsurgery of the extremities and peripheral nerve surgery. In 2001 Dr. Sassu moved to Nancy, France, where he attended a one-year program on microsurgcial techniques obtaining the “Diplome Interuniversitaire” under the supervision of professor Gilles Dautel. In 2002 Dr. Sassu spent three months as visitor at Chang Gung Memorial Hospital in Linkou, Taiwan, focusing on peripheral nerve surgery under the direction of professor David Chuang. In 2004-2005 he completed a one-year clinical fellowship at E-Da University Hospital in Kaoshiung directed by professor Hung Chi Chen. Subsequently in 2005-2006 Dr. Sassu went back to Linkou and completed a one-year clinical fellowship at the Chang Gung Memorial Hospital in Linkou under the supervision of professor Fu-Chan Wei, dedicating a large part of his activity in the trauma team with professor Chih-Hung Lin. In 2006-2008, Dr. Sassu focused his practice in hand surgery completing a two-year fellowship at the Kleinert and Kutz Institute, Louisville, USA. Currently Dr. Sassu works as senior consultant in Gothenburg, Sweden, at the department of Hand Surgery, Sahlgrenska University Hospital. Dr. Sassu is the director of the Hand Transplant program and the co-organizer of the “International Course on Microsurgical Techniques” held in Gothenburg twice a year.
  • Dhruv Singhal, MD

    Assistant Professor, Division of Plastic and Reconstructive Surgery, Department of Surgery
    Harvard Medical School
    United States
    Dr. Singhal is Assistant Professor of Surgery at Harvard Medical School and board certified in plastic surgery. Dr. Singhal received his medical degree from the University of Pittsburgh School of Medicine in Pittsburgh, Pennsylvania. He did his residency in general surgery at Brigham and Women’s Hospital, Boston, and a plastic surgery residency in the Combined Harvard Plastic Surgery Program, also in Boston. Later, he completed fellowships in Craniofacial Surgery at Chang Gung Memorial Hospital and in Microsurgery at China Medical University Hospital, in Taiwan. Dr. Singhal's clinic interests are oncoplastic breast surgery, implant-based reconstruction, microsurgical breast reconstruction, surgical management of lymphedema (including lymph node transplantation and lymphovenous bypass), aesthetic breast surgery, cosmetic surgery, and facial reconstructive surgery. He serves as the Director of Lymphatic Surgery in the Division of Plastic and Reconstructive Surgery at Beth Israel Deaconess Medical Center (Boston, MA).
  • Aquiles M. Siverio, MD

    Professor, Department of Experimental Microsurgery
    Central University of Venezuela
    Dr. Siverio got his medical degree on 2003 from the Universidad de Oriente’s Health Science School, Ciudad Bolivar, Bolivar State, Venezuela. Between 2005 and 2008, he finished the general Surgery residency in the service of Clinical and Surgical Therapeutics “C”. Caracas Universitary Hospital, Universidad Central de Venezuela’s Dr. Luis Razzeti School of Medicine, Caracas, MS. Between 2009 and 2011, he finished the Plastic and Reconstructive Surgery Residency in Dr. Carlos Arvelo Military Hospital’s Department of Plastic, Reconstructive, Aesthetics and Maxillofacial Surgery, Universidad Central de Venezuela, Caracas. Now Dr. Siverio is an instructor of Experimental Microsurgery at Universidad Central de Venezuela’s Experimental Surgery Institute. Also he is an attending doctor currently working in reconstructive microsurgery in the department of Plastic, Reconstructive, Aesthetics and Maxilofacial Surgery.Dr. Carlos Arvelo Military Hospital’s Universidad Central de Venezuela, Caracas,
  • Dimitrios Tentis, MD

    Associate Director, Department of Plastic and Reconstructive Surgery
    401 General Army Hospital of Athens
    Greece (Ελλάδα)
    Dr. Dimitrios Tentis is a board certified Plastic and Reconstructive Surgeon. He is appointed as a Consultant Plastic Surgeon at the Department of Plastic Reconstructive Surgery and Burns Unit at 401 General Military Hospital in Athens, Greece. He received his general surgery and plastic surgery residency training in Athens Greece and in the United Kingdom (Sheffield Northern General Teaching Hospital NHS Foundation Trust, UK) and was board certified in 2006. He received further surgical training as a Fellow at the Plastic Surgery Departments of Queen Victoria Hospital NHS Foundation Trust, East Grinstead, UK, Queen Elizabeth Hospital University Hospitals Birmingham NHS foundation Trust and Royal Orthopedic Hospital NHS Foundation Trust, Birmingham UK (2008-2009). After receiving a scholarship he completed his Clinical Fellowship in Reconstructive Microsurgery at McMaster University Hamilton Ontario Canada (2009-2010) and as visiting microsurgery fellow at the University of Manitoba Department of Plastic Surgery. Dr. Tentis pursued further training and gained experience and expertise in aesthetic plastic surgery rotating as an international fellow at highly ranked university hospitals and private clinics in the U.S.A (Boston, New York, Cleveland, Atlanta and Dallas, 2015-2016). Dr. Tentis has a special interest in Reconstructive Microsurgery in particular breast, head & neck and lower extremity reconstruction as well as Sarcoma Surgery and Migraine Surgery. He is actively involved in the training of plastic surgery residents and is a regular instructor at microsurgery courses and seminars held under the auspices of the Hellenic Society of Plastic Reconstructive and Aesthetic Surgery (HESPRAS). Dr. Tentis is an active member of HESPRAS, Hellenic Society for Reconstructive Microsurgery and ISAPS. Parallel to his appointment as a Consultant Plastic Surgeon at the Military Hospital in Athens, he leads a private practice and is founder and owner of ‘The Phi Clinic’, a private facility with a special interest in Aesthetic Surgery.
  • Sergey Tereshchuk, MD

    Chief, Department of Maxilofacial Surgery and Dentistry
    Tne Main Military Clinical Burdenko Hospital
    Russia (Россия)
    Dr. Sergey Tereshchuk occupies a position of the head of the Center for Maxillofacial Surgery and Dentistry at Burdenko Main Military Clinical Hospital, Moscow, Russian Federation. He is 42y.o. (Date of Birth: 06/01/1974). He graduated from S.M.Kirov Military Medical Academy, St.-Petersburg, Russian Federation, in 1997. He is a certified maxillofacial surgeon. He completed further specialized training in oncology, microvascular reconstructive surgery, face and neck aesthetic surgery. He also participated in Observerships at Memorial Hospital Miramar (Miramar, Fl, USA), Memorial Sloan Kettering Cancer Center (NY, USA), Center for Plastic Surgery at Marienhospital (Stuttgart, Germany). The Center under his direction deals with trauma, oncology, plastic surgery and microvascular reconstruction in head and neck region, as well as dental rehabilitation following staged surgical treatment. He is a member of AO CMF, Society of Aesthetic, Plastic and Reconstructive Surgeons of Russia. Dr. S.Tereshchuk speaks Russian, Ukrainian, English and a little German. All his articles have been so far published in Russian.
  • Ching-Yueh Wei, MD

    Department of Plastic and Reconstructive Surgery
    Cheng Ching General Hospital
    Taiwan (台灣)
    Dr. Ching Yueh Wei completed his Plastic and Reconstructive Surgery training at Chang Gung Memorial Hospital in Taiwan. Dr. Wei is now a senior attending physician of Plastic Surgery at the Cheng Ching General Hospital in Taichung, Taiwan. He specialized in complex reconstructive surgery, particularly replantation, breast reconstruction, lymphedema surgery, peripheral nerve surgery and extremity reconstruction.
  • Chieh-Han John Tzou, MD, PhD, MBA

    Director, Plastic and Reconstructive Reconstructive Surgery
    Hospital of the Divine Savior Vienna; Plastic and Reconstructive Surgery Clinic; Teaching Hospital of the Sigmund Freud University of Vienna; Teaching Hospital of the Medical University of Vienna
    Austria (Österreich)

    Assoc.-Prof. Priv.-Doz. Dr. Chieh-Han John TZOU, MBA completed his medical education and plastic surgery residency at the Medical University of Vienna, Austria, followed by a one-and-a-half-year microvascular fellowship at the Chang Gung Memorial University Hospital in Taiwan. Currently, he is the director of the Plastic Reconstructive Surgery Clinic of the Hospital of the Divine Savior and TZOU MEDICAL, Facial Palsy and Lymphedema Center, and is affiliated as an Associate Professor for Plastic and Reconstructive Surgery at the Medical Faculty of the Sigmund Freud University, Vienna, Austria. His focus in clinical work and research is microsurgical and supermicrosurgical reconstruction in facial paralysis, lymphedema, nerve, and tumor patients. He is the co-director of the biennial course "Facial Palsy: A hands-on Course –" in Vienna, Austria.

  • Francesco M.G. Riva, MD

    Department of Surgery
    The Royal Marsden NHS Foundation Trust
    Italy (Italia)
    Dr. Riva received his Degree in Medicine and completed his Specialist Training in Cranio Maxillo Facial Surgery at the at University of Milano-Bicocca. He did a Craniofacial Fellowship and a Microvascular Fellowship at Chang Gung Memorial Hospital in Taiwan. He then worked as a Head and Neck Fellow at The Royal Marsden in London. Since 2015 he has served as a Consultant Surgeon in Head and Neck and Reconstructive Surgery at the Royal Marsden NHS Foundation Trust in London.
  • Johannes Steinbacher, MD

    Plastic and Reconstructive Surgery, Department of Surgery
    Hospital of Divine Savior, Vienna, Austria
    Austria (Österreich)

    Dr. Johannes Steinbacher graduated from the Medical University of Vienna in 2012 and has been trained at the Division of Plastic and Reconstructive Surgery of the Medical University of Vienna. He broadened his surgical training in General Surgery and Trauma Surgery. His research focuses on the surgical treatment of lymphedema, in which Dr. Steinbacher was inspired during a visit to Chang Gung Memorial University Hospital in Taipei, Taiwan. This clinical interest is reflected in his numerous contributions to national and international congresses and publications in this field.

  • Otto Ziegler, MD

    Devision of Reconstructive Microsurgery, Department of Surgery
    Kaohsiung Chang Gung Memorial Hospital
    Peru (Perú)
    Dr. Ziegler is a Plastic surgeon with expertise in Reconstructive Microsurgery. After graduating from San Martin University in Peru, he completed General Surgery Residency at the Peruvian Air Force Hospital in Lima. He went to Guadalajara University for a completed Plastic, Aesthetic and Reconstructive Surgery program at the Reconstructive Surgery Institute Of Jalisco with Dr. Jose Guerrerosantos, and now as a Clinical Fellow at the world renowned Chang Gung Memorial Hospital in Kaohsiung, Taiwan. Dr. Ziegler is a Board Certified General Surgeon and Plastic and Reconstructive Surgeon with plans on making the Peruvian Microsurgery field a safer and better one for Peruvian Patients.
  • Che-Hsiung Lee, MD

    Division of Plastic and Reconstructive Surgery, Department of Surgery
    Chang Gung Memorial Hospital
    Taiwan (台灣)

    Dr. Lee is a hand microsurgeon at Chang Gung Memorial Hospital in Linkou, Taiwan. The main areas of interest include reconstructive microsurgery of nerves, hand reconstruction, and trauma reconstruction, as well as evidence-based medicine. He has attended international meetings of WSRM, ASRM, IFSSH, and domestic departments of plastic surgery to learn about vulvar reconstruction, vascularized joint transfer, breast reconstruction, head and neck reconstruction and the prevention of complications associated with them. Moreover, he won the silver award of the 16th Healthcare Quality Improve Campaign - National EMB competition - Clinical literature search group, 2015.

  • Naveen Kumar

    Department of Burns and Plastic Surgery
    PGIMER DR. RML Hospital
    India (भारत)

    Dr. Naveen Kumar is an Assistant professor working in the Department of Plastic Surgery Department at Lady Hardinge Medical College and associated Smt. Sucheta Kriplani Hospital, New Delhi, India specializing in post-traumatic and oncological reconstruction. He completed his under graduation in medicine from Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi in the year 2011 and masters in general surgery from PGIMER & Dr. RML Hospital, New Delhi in the year 2014. He has done his Mch residency training in Burns & Plastic Surgery with research thesis on “Evaluation of efficacy of hyperbaric oxygen therapy as an adjunctive therapy in the management of thermal burns” from PGIMER & Dr. RML Hospital, New Delhi in 2019. He has keen interest in the post traumatic upper and lower limb reconstruction, microsurgery, oncological reconstruction and acute burn management with post burn sequelae correction. He has published more than 36 scientific papers so far and also reviewed 6 papers and a book. He is also in the editorial board member of 5 journals. He has professionally registered with Delhi Medical Council and also a lifetime member of National Academy of Burns India. He has done observership in the Department of Plastic Surgery, Ganga Hospital, Coimbatore, Tamil Nadu and Department of Plastic and Reconstructive Oncology, Tata memorial Hospital, Mumbai, India where he acquired advanced skills in microsurgical reconstruction. Dr Naveen kumar shall surely consider his association with reputed International Microsurgery Journal as a matter of great honor.

  • Amiteshwar Singh, MCh

    Plastic Reconstructive & Burns Surgery
    All India Institute of Medical Sciences
    India (भारत)

    Dr. Amiteshwar Singh is a doctor in the department of Plastic, Reconstructive, and Bruns surgery, All India Institute of Medical Sciences, New Delhi, India. Between 2008 and 2014, he completed his undergraduate studies at Kasturba Medical College, Manipal University, and his postgraduate studies in General Surgery at King Edward Memorial Hospital, Mumbai, from 2015 to 2018. Dr. Singh has had a strong interest in anatomy since entering medical school, which is reflected in his present specialty. During his residency, he actively participated in research and was awarded the best thesis prize as well. He is interested in all aspects of reconstructive microsurgery, and after completing his residency, he plans to pursue fellowships in Onco-reconstruction and Hand surgery. He also serves on the resident advisory board for the PRS journal. His key objectives for the future are to continue his education and training as a scientific plastic surgeon and to incorporate core scientific research into his practices.

  • Samir Mohamed Ghoraba, IMRCS, MSc

    Department of Plastic and Reconstructive Surgery
    Tanta University, Gharbia, Egypt
    Egypt (‫مصر‬‎)

    Dr. Ghoraba received his medical degree in Tanta Medical University , Egypt in 2009. He completed his surgical residency in Plastic and Reconstructive surgery department , Tanta University Hospital (TUH) , Egypt in 2014. Plastic and Reconstructive surgery department in Tanta university is a renowned center which has a great contributions in the reconstructive field; Tanta pioneers developed the early local perforator flaps in the lower limb reconstruction. Dr Ghoraba received his training in microsurgical field and maxillofacial surgery in different well know international centres; he was a visitor doctor in Chang-Gung Memorial Hospital (CGMH) in Taiwan. Dr Ghoraba has a considerable expertise in hand surgery, peripheral nerve surgery and extremity reconstruction. He is a member of AOCMF that is a renowned international organization of internal fixation. He currently works as a senior assistant lecturer in Plastic and reconstructive surgery department in Tanta university. Dr. Ghoraba is a keen reconstructive surgeon who pursue the ultimate fringes of advances in the microsurgery field, specifically speaking researches addressing peripheral nerve regeneration and intraoperative microneurography.

  • Garmi Rachid, MD

    Department of Maxillofacial Surgery and Plastic Surgery
    Caen University Hospital

    Dr. Garmi Rachid attained the qualification of general surgeon in 2010 and of maxillofacial and oral surgeon in 2012 at the Caen University Hospital in Normandy, France. He received his training in plastic surgery, aesthetic surgery, and facial surgery from Dr. Daniel Labbe, as well as microsurgery from Prof. Hervé Benateau. He specializes in reconstructive surgery and microsurgery (including head and neck surgery, limb reconstruction, gynecological reconstruction, abdominal reconstruction, and pressure sore surgery). The renowned Gustave Roussy Cancer Institute in Paris awarded him a diploma in Breast Oncologic Reconstruction in 2019. After participating in several congresses (Gand and Amiens Perforator Flap Congresses, Alicante Flap Course, etc.) he was able to introduce and develop perforator flaps in his hospital which allowed to increase the possibilities of reconstructions. He is currently involved in a wide range of activities in the field of plastic and maxillofacial surgery, including craniofacial synostosis, orthognatic surgery, aesthetic surgery, post-bariatric surgery, and transgender surgery.

  • Macarena Vizcay, MD

    Reconstructive Microsurgery Service
    University Department of Hand Surgery & Rehabilitation, San Giuseppe Hospital, IRCCS MultiMedica Group, Milan, Italy
    Italy (Italia)

    Dr. Macarena Vizcay received her medical degree from the Universidad Católica Argentina in 2013 and finished her training in plastic surgery in 2021. She is currently completing her fellowship in plastic surgery reconstruction at the University Department of Hand Surgery & Rehabilitation in Milan, Italy.

    In 2019, she received the ASPS Travel Scholarship. She served as an editorial board member and PRS Global Open journal ambassador from 2020 to 2022. She has been a member of the PRS and PRS GO Resident Advisory Board since 2018, and being peer reviewing for both journals with more than 120 reviews completed. She currently serves for The International Journal of Clinical Research as a section editor.

  • Wai Ming Yau, MD

    Division of Plastic and Reconstructive Surgery, Department of Surgery
    Kwong Wah Hospital
    Hong Kong (香港)

    Dr. Wai Ming Yau is a plastic surgeon who specializes in microsurgical reconstruction of the head and neck as well as breast diseases. Having graduated from the University of Hong Kong in 2013, he was mentored and influenced by prominent plastic surgeons including Professor Peter C. Neligan, Geoffrey G. Hallock, JP Hong, and FC Wei for his visiting scholarship program at Asan Medical Center in Seoul and Chang Gung Memorial Hospital in Linkou, Taiwan. After completing surgical residency training, he became a fellow of the College of Surgeons of Hong Kong and the Hong Kong Academy of Medicine in 2020. He is dedicated to pursuing advanced training in reconstructive microsurgery and mentoring future surgeons in this field as a member of the Hong Kong Society of Plastic, Reconstructive and Aesthetic Surgeons.

Assistant Editors

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Early View

Current Issue

Volume 6, Issue 2

  • Microsurgery Training in Latin America: A Survey of Residents’ Experiences

    An examination of plastic surgery residents' experiences with microsurgery in Latin American countries was conducted in a cross-sectional study with 129 microsurgeons. The project also identifies ways to increase the number of trained microsurgeons in the region. The authors claim that there are few resident plastic surgeons in Latin America who are capable of attaining the level of experience necessary to function as independent microsurgeons. It is believed that international microsurgical fellowships would be an effective strategy for improving the situation.

    International Microsurgery Journal. 2022;6(2):1
    DOI: 10.24983/scitemed.imj.2022.00166
    Article Type: Original Article
  • Sensory Nerve Transfers and Direct Neurotization: The New Frontier in Peripheral Nerve Surgery

    A significant increase in peripheral nerve surgery has occurred in recent years due to improvements in surgical techniques. In most reconstructive procedures, sensory restoration is frequently neglected in preference to restoring motor function. Along with increasing the risk of developing injuries to the body, patients who lose protective sensations are more likely to develop neuropathic pain and depression, which adversely affect their quality of life. As regaining sensory function is important, the study examines a variety of techniques that may be useful for restoring sensory function across various body parts.

    International Microsurgery Journal. 2022;6(2):2
    DOI: 10.24983/scitemed.imj.2022.00167
    Article Type: Review Article


  • Inaugural Editorial

    Our belief is: “Stronger microsurgeons for a better world.”

    International Microsurgery Journal. 2017;1(1):1
    DOI: 10.24983/scitemed.imj.2017.00001
    Article Type: Editorial
  • Microsurgery Practice in Developing Countries

    The progress of microsurgery in developing low-income countries.

    International Microsurgery Journal. 2017;1(1):2
    DOI: 10.24983/scitemed.imj.2017.00007
    Article Type: Editorial
  • Welcome Message for the Second Instructional Course for Adult Brachial Plexus Injuries

    Professor David Chwei-Chin Chuang sincerely welcomes you to join them for this instructional course on Nov. 13-16, 2017 at Chang-Gung Memorial Hospital.

    International Microsurgery Journal. 2017;1(1):3
    DOI: 10.24983/scitemed.imj.2017.00018
    Article Type:
  • Chang’s Technique of Sequential End-to-Side Microvascular Anastomosis

    A novel technique of sequential ETS micro-venous anastomoses using three vessel loops for IJV occlusion and a single vascular clamp to retract and hold the anastomoses sites in position.

    International Microsurgery Journal. 2017;1(1):4
    DOI: 10.24983/scitemed.imj.2017.00021
    Article Type: How I Do It
  • Experience with Robotic-assisted Microsurgery

    A personal experience in robotic microsurgery.

    International Microsurgery Journal. 2017;1(1):5
    DOI: 10.24983/scitemed.imj.2017.00022
    Article Type: Editorial
  • Knowledge Revolution through Online Interactive Platform: International Microsurgery Club

    A Fantastic platform for learning, professional development, and camaraderie. It's all just a few clicks away.

    International Microsurgery Journal. 2017;1(2):1
    DOI: 10.24983/scitemed.imj.2017.00023
    Article Type: Editorial
  • The Lateral Plantar Artery as Recipient Vessel for Microsurgical Lateral Plantar Forefoot Reconstruction: Case Report

    Division of the lateral plantar artery does not jeopardize the foot circulation because of anastomosis of the lateral plantar artery with the dorsalis pedis artery at the first intermetatarsal space. However, care should be taken with patients with peripheral artery occlusive disease and the flow of dorsalis pedis artery should be confirmed before surgery. Given the advantages of sizable vessel, easy dissection, and proximity to the defect, we believe that the lateral plantar artery might be a valuable option as recipient vessel for lateral plantar forefoot reconstruction.

    International Microsurgery Journal. 2017;1(2):2
    DOI: 10.24983/scitemed.imj.2017.00036
    Article Type: Case Report
  • Staged Hand Salvage and Reconstruction with Three Free Tissue Transfers: A Ten-year Follow-up

    Health care systems in many countries are confronted with increasing economic limitations. Thus, complex microsurgical procedures and extensive rehabilitation programs are poorly compensated. However, this case demonstrates a dramatic reduction of socioeconomic expenses by allowing a potential radiocarpal amputee to return to work for another estimated 30 years.

    International Microsurgery Journal. 2017;1(2):3
    DOI: 10.24983/scitemed.imj.2017.00037
    Article Type: Case Report
  • A Great Opportunity to Meet and Learn from Peripheral Nerve Experts

    The 2nd instructional course for adult brachial plexus injuries is a fantastic opportunity to meet and learn from experts in the field. We cordially invite you to visit Chang Gung Memorial Hospital to participate in this unique learning experience.

    International Microsurgery Journal. 2017;1(2):4
    DOI: 10.24983/scitemed.imj.2017.00019
    Article Type:
  • The Versatility of Pedicled Anterolateral Thigh Flap: A Tertiary Referral Center Experience from India

    Pedicled anterolateral thigh flap is a versatile option for reconstruction of complex soft tissue defects in varied anatomical regions. Its wide arc of rotation and less donor site morbidity are its added advantages.

    International Microsurgery Journal. 2017;1(2):5
    DOI: 10.24983/scitemed.imj.2017.00040
    Article Type: Original Article
  • The Number of Lymph Nodes That Can Be Added to an Abdominal Flap for Breast Reconstruction: Review of Enhanced MDCT Images

    The authors reviewed the MDCT images to show the number of lymph nodes superior to the saphenofemoral junction. In this study, on average, 3.67 nodes existed. However, there were 4 percent of cases with no countable nodes. This result indicates that appropriate preoperative screening is needed for this procedure.

    International Microsurgery Journal. 2017;1(3):1
    DOI: 10.24983/scitemed.imj.2017.00041
    Article Type: Rapid Communication
  • From Virtuality to Reality - Social Media Facilitates the Interaction Between Global Microsurgeons

    The communication among international microsurgeons have switched from one direction (from paper, textbook) to multiway interactions through the internet. The authors believe the online platform will play an immensely important role in the learning and development in the field of microsurgery.

    International Microsurgery Journal. 2017;1(3):2
    DOI: 10.24983/scitemed.imj.2017.00045
    Article Type: Letter to the Editor
  • Double Functioning Free Muscle Transfer as a Salvage Procedure for Brachial Plexus Injury After Failed Nerve Transfer

    A 29-year-old male suffered from total loss of function of his left shoulder and upper limb after a traffic accident while riding a motorcycle. He was treated by a brachial plexus specialist at another hospital and managed surgically under the impression of total root avulsion.

    International Microsurgery Journal. 2017;1(3):3
    DOI: 10.24983/scitemed.imj.2017.00046
    Article Type: Image
  • Novel and Efficient Synthetic Microvascular Anastomosis Training Model

    The authors present a novel synthetic vascular model for microanastomosis training. This model is suitable for trainees with intermediate level of microsurgical skills, and useful as a bridging model between simple suturing exercise and in vivo rat vessel anastomosis during pre-clinical training.

    International Microsurgery Journal. 2017;1(3):4
    DOI: 10.24983/scitemed.imj.2017.00048
    Article Type: Idea and Innovation
  • Strategic Incision Placement to Facilitate Successful Supermicrosurgical Lymphaticovenular Anastomoses

    Combining intraoperative ICG lymphography with NIR vein visualization can aid supermicrosurgeons in identifying lymphatic vessels and superficial venules to guide LVA incision placement. This guided approach significantly improves successful creation of LVAs when compared to the blind (anatomic) approach. In addition, the absence of linear ICG lymphographic patterns does not prevent formation of successful LVAs.

    International Microsurgery Journal. 2018;1(3):5
    DOI: 10.24983/scitemed.imj.2018.00049
    Article Type: Original Article
  • Innovative Management Strategy for Combined Proximal Median and Ulnar Nerve Extensive Injury: A Case Report

    Authors present a case of combined proximal median and ulnar nerves extensive injury that was successfully managed using a novel safe strategy implemented.

    International Microsurgery Journal. 2018;1(4):1
    DOI: 10.24983/scitemed.imj.2018.00051
    Article Type: Case Report
  • Efficacy of Vein Mapping in Lymphaticovenular Anastomosis

    Authors report a case of lower extremity lymphedema treated by LVA that preoperatively mapped not only lymphatic vessels by PDE, but also veins and venules using Veinsite™ .

    International Microsurgery Journal. 2018;1(4):2
    DOI: 10.24983/scitemed.imj.2018.00053
    Article Type: Case Report
  • Role of Trapezius Transfer for Shoulder Reconstruction in Adult Traumatic Brachial Plexus Injuries: Literature Review

    Shoulder instability and lack of shoulder mobility are common and exhausting problems in adult patients with traumatic brachial plexus injury. Although primary nerve reconstruction remains the “gold standard” for brachial plexus management, secondary shoulder reconstruction by trapezius transfer is needed in neglected cases.

    International Microsurgery Journal. 2018;1(4):3
    DOI: 10.24983/scitemed.imj.2018.00058
    Article Type: Review Article
  • Immediate Limb Compression Following Supermicrosurgical Lymphaticovenular Anastomosis – Is It Helpful or Harmful?

    Immediate limb compression following the LVA procedure facilitates lymphatic drainage and increases the surgical efficacy by increasing the number of functioning anastomoses, and is a recommended postoperative practice.

    International Microsurgery Journal. 2018;2(1):1
    DOI: 10.24983/scitemed.imj.2018.00063
    Article Type: Original Article
  • A Low Cost Microsuction Tip Cannula in Microvascular Surgery

    Optimum operating conditions are an integral part of a successful microvascular surgery. We hereby introduce a new technique to make a low- cost microsuction cannula, which will be helpful for microvascular surgeons.

    International Microsurgery Journal. 2018;2(1):2
    DOI: 10.24983/scitemed.imj.2018.00067
    Article Type: Letter to the Editor
  • Improving Microvascular Anastomosis Efficiency by Combining Open-Loop and Airborne Suture Techniques

    Improving efficiency of microvascular anastomosis by combination of open-loop and airborne suture techniques.

    International Microsurgery Journal. 2018;2(1):3
    DOI: 10.24983/scitemed.imj.2018.00069
    Article Type: How I Do It
  • Microsurgical Flaps in Nipple Sparing Mastectomy: Surgical Techniques and Aesthetic Principles

    The authors describe various patient and breast-related factors that influence surgical outcomes while also addressing some techniques and principles for aesthetic microsurgical reconstruction.

    International Microsurgery Journal. 2018;2(1):4
    DOI: 10.24983/scitemed.imj.2018.00071
    Article Type: Review Article
  • Supraclavicular Artery Island Flap: Relation Between Length and Distal End Necrosis

    Supraclavicular flap is an excellent fasciocutaneous flap for head and neck reconstruction due to its close color and texture match. In general, long flaps are required, but with the risk of distal necrosis. The aim of this study is to assess the relationship between the length and distal end necrosis of the supraclavicular flap.

    International Microsurgery Journal 2018;2(1):5
    DOI: 10.24983/scitemed.imj.2018.00089
    Article Type: Original Article
  • Lymphaticovenular Anastomosis for Persistent Immunosuppressant-Related Eyelid Edema

    This case report demonstrates an important supermicrosurgical technique for lymphedema, which was established by Isao Koshima in 1994. So far, over 2,000 cases of limb edema have been treated by this surgical method.

    International Microsurgery Journal. 2018;2(2):1
    DOI: 10.24983/scitemed.imj.2018.00090
    Article Type: Case Report
  • Computer-Assisted Reconstruction of the Hemimaxillectomy Defects With a Composite Iliac Crest Bone Free Flap: Case Reports

    The authors present a revised application of the composite iliac crest bone free flap for hemimaxillectomy defects. This flap solely can give a support to the eye globe and the dental implants without osteotomies and titanium meshes. The upper ridge of the flap can be shaped to replicate the curvature of the orbital floor. The inner oblique muscle and the deep fascia can serve as an additional material for separation of the oral cavity from the nasal airway. Utilization of the Customized Contour Implants gives a surgeon a refining instrument for aesthetic correction of facial projection.

    International Microsurgery Journal. 2018;2(2):2
    DOI: 10.24983/scitemed.imj.2018.00092
    Article Type: Case Report
  • First Metatarsal Artery Capillary Perforator Flaps

    The authors proposed a new less invasive island flap, namely the first metatarsal artery capillary perforator flap. The advantages of this flap include the preservation of the first metatarsal artery and the adiposal tissue in the web space, thereby preventing compression around the remaining deep peroneal nerve.

    International Microsurgery Journal. 2019;3(1):1
    DOI: 10.24983/scitemed.imj.2019.00093
    Article Type: Original Article
  • Technique and Outcomes of Pedicled Latissimus Dorsi Myocutaneous Flap for Oncologic Defects Around the Clavicle

    The authors present a retrospective review of 7 patients who underwent wide excision of the malignant tumors around the clavicle. Patient demographics, clinical details, the arc of rotation, outcome, and complications were analyzed.

    International Microsurgery Journal. 2019;3(1):2
    DOI: 10.24983/scitemed.imj.2019.00098
    Article Type: Case Series
  • Pedicled Anterolateral Thigh Flap for Abdominal Reconstruction Following Surgical Resection of Gynecological Abdominal Wall Malignancy

    Patients with gynecological abdominal wall malignancies can benefit significantly from radical resection and autologous reconstruction. The pedicled anterolateral thigh flap is the preferred donor site, offering a reliable solution to abdominal wall reconstruction in this setting. The satisfactory results should prompt a more aggressive surgical approach for these patients. This article describes the authors' experiences with the abdominal reconstruction following surgical resection of gynecological abdominal wall malignancy using pedicled anterolateral thigh flap.

    International Microsurgery Journal. 2019;3(1):3
    DOI: 10.24983/scitemed.imj.2019.00102
    Article Type: Original Article
  • The ‘Orochi’ Flap Concept: Multi-Stage Combined Flap Using Sequential Flaps

    Prof. Koushima, president of World Society for Reconstructive Microsurgery, proposes an innovative concept and technique of the multi-stage ‘Orochi’ combined flaps (sequential flaps in parallel). The technique opens a new vista in reconstructive microsurgery.

    International Microsurgery Journal. 2019;3(1):4
    DOI: 10.24983/scitemed.imj.2019.00108
    Article Type: Idea and Innovation
  • Role of Magnetic Resonance Imaging in Localization of Acute Brachial Plexus Injury

    Brachial plexus imaging is challenging due to its anatomical complexity. Multiple sequences of MRI may be performed pre-operatively for an accurate radiological diagnosis of brachial plexus injury. This image shows the useful role of MRI in localization of acute brachial plexus injury.

    International Microsurgery Journal. 2019;3(1):5
    DOI: 10.24983/scitemed.imj.2019.00111
    Article Type: Image
  • Sutureless Microvascular Anastomosis: Literature Review

    Traditionally, suturing techniques have been the mainstay for microvascular anastomoses, but owing to its technical difficulty and labour intensity, considerable work has gone into the development of sutureless microvascular anastomoses. In this review, the authors take a brief look at the developments of this technology through the years, with a focus on the more recent developments of laser-assisted vascular anastomoses, the unilink system, vascular closure staples, tissue adhesives, and magnets. Their working principles, with what has been found concerning their advantages and disadvantages are discussed.

    International Microsurgery Journal. 2019;3(2):1
    DOI: 10.24983/scitemed.imj.2019.00112
    Article Type: Review Article
  • Microvascular Free Tissue Transfer in Vessel-Compromised Neck: Techniques and Recommendations

    Vessel-compromised neck is a challenge for the microvascular surgeon planning for a free tissue transfer. This study describes the authors’ experience regarding a successful free tissue transfer in a vessel-compromised neck. The authors also propose an algorithm for management of vessel-compromised neck.

    International Microsurgery Journal. 2019;3(2):2
    DOI: 10.24983/scitemed.imj.2019.00113
    Article Type: Original Article
  • Hemi-Intravascular Stenting Technique for Super Microsurgical Anastomosis in Pediatric Thumb Replantation

    The authors demonstrated the utility of hemi-intravascular stenting technique in a pediatric thumb replant.

    International Microsurgery Journal. 2019;3(2):3
    DOI: 10.24983/scitemed.imj.2019.00114
    Article Type: Image
  • Dynamic Reanimation of Smile in Facial Paralysis With Gracilis Functioning Free Muscle Flap Innervated By Masseteric Nerve: The First Vietnamese Series

    Facial palsy affects both the functional and aesthetic aspects of the face. Many techniques for both static and dynamic facial reanimation have been described. Authors present their series of facial reanimation using the functioning free gracilis muscle flap innervated by the masseteric nerve.

    International Microsurgery Journal. 2019;3(2):4
    DOI: 10.24983/scitemed.imj.2019.00116
    Article Type: Case Report
  • Modalities for Chest Wall Reconstruction Following Cancer Ablation: A Single Center Experience

    This study reviews the reconstruction modalities within the multidisciplinary approach for chest wall reconstruction. The authors have proposed an algorithm that is formulated based on their experience to manage chest wall defects following cancer resection.

    International Microsurgery Journal. 2019;3(2):5
    DOI: 10.24983/scitemed.imj.2019.00117
    Article Type: Case Series
  • Vascularized Lymph Vessel Transfer for Extremity Lymphedema - Is Transfer of Lymph Node Still Necessary?

    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. VLVT is free of these limitations. The authors described their experience of a new VLVT technique.

    International Microsurgery Journal. 2019;3(3):1
    DOI: 10.24983/scitemed.imj.2019.00119
    Article Type: Original Article
  • Comprehensive Analysis of Profunda Artery Perforator Flap Thickness Based on CTA

    The ALT and AMT flaps are the most commonly used thigh free flaps for intraoral reconstruction. Recently, PAP flap has been proposed as an alternative. This study aimed to compare the thickness of these thigh flaps and to identify the factors influencing flap thickness in our population.

    International Microsurgery Journal. 2019;3(3):2
    DOI: 10.24983/scitemed.imj.2019.00120
    Article Type: Original Article
  • A Novel Approach Using a Silicone Tube to Assist Microsurgical Anastomosis Training in Animal Models

    Authors discuss a silicone tube that provides structural support to vessels throughout the entire precarious suturing process. This modification of the conventional microvascular anastomosis technique may facilitate initial skill acquisition using the rat model.

    International Microsurgery Journal. 2020;4(1):1
    DOI: 10.24983/scitemed.imj.2020.00122
    Article Type: How I Do It
  • An Innovative Technique to Maintain a Clear Surgical Field During Venous Anastomosis in Free Flap Transfer for Head and Neck Reconstruction

    Authors proposed a simple innovative technique that helps in achieving a clear surgical field at the time of venous repair by diverting the venous bleeding through a glove finger and at the same time preventing venous congestion of the flap.

    International Microsurgery Journal. 2020;4(1):2
    DOI: 10.24983/scitemed.imj.2020.00128
    Article Type: Idea and Innovation
  • Portable Electronic Device: An Alternative Tool for Surgical Magnification

    PEDs can be used as alternative means of magnification in microsurgery training considering that they are superior to surgical loupes in magnification, FOV and WD ranges, allowing greater operational versatility in microsurgical maneuvers, its behavior being closer to that of surgical microscopes in some optical characteristics. These devices have a lower cost than microscopes and some brands of surgical loupes, greater accessibility in the market and innovation plasticity through technological and physical applications and accessories with respect to classical magnification devices. Although PEDs own advanced technological features such as high-quality cameras and electronic loupes applications to improve the visualizations, it is important to continue the development of better technological applications and accessories for microsurgical practice, and additionally, it is important to produce evidence of its application at surgery room.

    International Microsurgery Journal. 2020;4(1):3
    DOI: 10.24983/scitemed.imj.2020.00130
    Article Type: Original Article
  • Survival Analysis of Upper Arm Replantation After Avulsion Injuries

    Avulsion injuries and replantation of the upper arm are particularly challenging in the field of traumatic microsurgery. At present, the functional recovery of the avulsion injuries upper arm after the replantation is generally not ideal enough, and there is no guideline for the surgeries. The aim of this study was to analyze the causes of failure of the upper arm replantation for avulsion injuries, summarize the upper arm replantation’s indications, and improve the replantation methods.

    International Microsurgery Journal. 2020;4(1):4
    DOI: 10.24983/scitemed.imj.2020.00135
    Article Type: Original Article
  • A Modified Technique of Mouse Vertical Sleeve Gastrectomy Using Two Disposable Micro-clamps

    VSG is a type of bariatric surgery that is accepted as the simplest but most efficient surgical modality to treat morbid obesity. A mouse model of VSG has been widely utilized to investigate the underlying mechanisms of VSG. There are numerous microsurgical techniques for VSG in mice, and we report herein a modified technique with 2 disposable micro-clamps to simplify the surgery.

    International Microsurgery Journal. 2020;4(1):5
    DOI: 10.24983/scitemed.imj.2020.00137
    Article Type: How I Do It
  • Topographic Facial Nerve Transplantation

    This case report describes authors successfully attempt to perform a topographically correct sural nerve transplantation in the extracranial facial nerve stem using the intraneural facial nerve stem topography proposed by Meissl in 1979. This is the first reported case of successful fascicular nerve grafting of the facial nerve stem following extensive laceration.

    International Microsurgery Journal. 2021;5(1):1
    DOI: 10.24983/scitemed.imj.2021.00139
    Article Type: Idea and Innovation
  • Exercise-Enhanced ICG Lymphography: A Fast Approach to Diagnosis and Staging of Lymphedema

    ICG lymphography is an invaluable tool in lymphedema management. Both immediate and delayed scans are needed when performing the study. The delayed scan needs to be performed at the time of the lymphographic plateau to appreciate the full extent of the pathology. Using a recumbent cross trainer, the lymphographic plateau can be achieved in 15 minutes following ICG injection. We have found this exercise enhanced ICG lymphography protocol worthwhile of adoption by high volume lymphedema centers to raise diagnostic accuracy and efficiency.

    International Microsurgery Journal. 2021;5(1):2
    DOI: 10.24983/scitemed.imj.2021.00140
    Article Type: Original Article
  • Digital Vessel Thrombosis After Early Cessation of Heparin Therapy Following Reimplantation: Two Case Reports

    The implications of rebound heparin hypercoagulability following cessation of therapy in microsurgery is unreported. In this article the authors report two cases of late digit circulatory compromise shortly after withdrawal of heparin therapy. The authors also propose potential consideration for changes in perioperative anticoagulation practice to reduce this risk.

    International Microsurgery Journal. 2021;5(1):3
    DOI: 10.24983/scitemed.imj.2021.00141
    Article Type: Case Report
  • Indocyanine Green Angiography in Salvage Planning: From Pedicled Supraclavicular Flap to Free Supraclavicular Flap

    The supraclavicular flap has gained popularity in recent years as a reliable and easily harvested flap with occasional anatomical variations in the course of the pedicle. The study shows how the determination of the dominant pedicle may be aided with indocyanine green angiography. Additionally, the authors demonstrate how they convert a supraclavicular flap to a free flap if the dominant pedicle is unfavorable to a pedicled flap design.

    International Microsurgery Journal. 2021;5(1):4
    DOI: 10.24983/scitemed.imj.2021.00145
    Article Type: Case Report
  • The Thin Profunda Artery Perforator Flap: Customized Design and Harvest

    A thin profunda artery perforator flap harvested from the left thigh is shown in this video. Preoperative computed tomographic angiography is used to assess morphology of the perforators and its branches, pedicle length and vertical location of the two branches from the ischial tuberosity. These measurements are translated on to the patient. Locations of both branches are confirmed with a handheld doppler. The authors concluded that preoperative computed tomographic angiography is a useful technique to provide detailed anatomic information on morphology of perforators, course through the septum or muscle above the deep fascia and skin thickness. Computed tomographic angiography allows quick and easy assessment of the whole vascular anatomy of the leg and helps to arrive at the decision about selection of the best flaps based on the characteristics of the defect and on the individual anatomy of the patient.

    International Microsurgery Journal. 2021;5(1):5
    DOI: 10.24983/scitemed.imj.2021.00146
    Article Type: Video
  • Development of Tibial Osseo-Periosteal Flap for Complex Nonunions and Bone Defects

    The senior author (Dr. Isao Koshima) designed a tibial osseo-periosteal (TOP) flap. TOP flap has a favorable anatomical position with a thin skin around it, hence it is a good option for an island flap. TOP flap can be used for various mild to moderately sized osteo-cutaneous defects with low morbidity. In this article, the authors describe their experience of the first reported cohort of TOP flaps in clinical practice.

    International Microsurgery Journal. 2021;5(2):1
    DOI: 10.24983/scitemed.imj.2021.00149
    Article Type: Original Article
  • Techniques Useful in Complex Microvascular Anastomosis

    The video presents a useful technique for microvascular anastomosis in reconstructive surgery of the head and neck. It is advantageous to use this series of sutures when working with limited space, weak vessels (vessels irradiated, or with atheroclastic plaques), suturing in tension, or suturing smaller vessels (less than 0.8 cm in diameter).

    International Microsurgery Journal. 2021;5(2):2
    DOI: 10.24983/scitemed.imj.2021.00151
    Article Type: Video
  • Free Vascularized Second-Toe Distal Interphalangeal Joint Transfer for Reconstruction of Finger Defects

    Osteoarthritic finger joints are often repaired with joint implants, arthrodesis, or a vascularized interphalangeal joint graft. However, grafts can damage the donor toe. Based on the results of this study, the authors suggest that vascularized distal interphalangeal joint transfers from the second toe may be suitable for reconstructing these defects through microsurgery.

    International Microsurgery Journal. 2021;5(2):3
    DOI: 10.24983/scitemed.imj.2021.00153
    Article Type: Original Article
  • Donor Site Ischemic Events Following Fibula Flap Harvest in Head and Neck Reconstruction: A Case Report and Perioperative Management Strategies

    The likelihood of donor site ischemia following the harvesting of a fibula flap is extremely low, but it is potentially lethal if it occurs. The authors describe a case of ischemia of the lower extremity following a free fibula harvest for head and neck reconstruction. The authors discuss preoperative, intraoperative, and postoperative strategies to assist in diagnosing and managing risks associated with free fibula flap harvesting in this paper.

    International Microsurgery Journal. 2022;6(1):1
    DOI: 10.24983/scitemed.imj.2022.00159
    Article Type: Case Report
  • An Innovative Model for Microsurgical Training at a Spine Surgery Center in Mexico City

    In a cost-effective and portable way, a novel method was developed to assist trainees in spinal surgery to gain and develop microsurgery skills, which will increase self-confidence. Residents at a spine surgery center were assessed before and after training on the effectiveness of a simulation training model. The participants who used the training model completed the exercise in less than 22 minutes, but none could do it in less than 30 minutes previously. The research team created a comprehensive model to train junior surgeons advanced spine microsurgery skills. The article contains valuable information for readers.

    International Microsurgery Journal. 2022;6(1):2
    DOI: 10.24983/scitemed.imj.2022.00161
    Article Type: Original Article
  • A Simple and Innovative Technique to Offload the Microsurgical Loupe

    The loupe plays a critical role in the microsurgeon's arsenal, helping to provide intricate details. In the absence of adequate subcutaneous fat, the prismatic lens of the spectacle model may exert enormous pressure on the delicate skin of the nasal bone. By developing a soft nasal support, the author has incorporated the principle of offloading into an elegant, simple yet brilliant innovation. A simple procedure such as this could prove invaluable for microsurgeons who suffer from nasal discoloration or pain as a result of prolonged use of prismatic loupes. With this technique, 42% of the pressure applied to the nose is reduced.

    International Microsurgery Journal. 2022;6(1):3
    DOI: 10.24983/scitemed.imj.2022.00162
    Article Type: How I Do It
  • Postoperative Monitoring of Free Flaps Using Smartphone Thermal Imaging May Lead to Ambiguous Results: Three Case Reports

    Smartphones and cellular technology have revolutionized flap monitoring. Smartphones provide low-cost thermal imaging alternatives to flap monitoring. It remains unclear, however, whether this method is accurate or reliable. It may be challenging to use smartphone thermal imaging when clinicians fail to communicate clinically relevant events. The authors demonstrate three instances in which the thermal imaging information on smartphones was misleading. Each case is analyzed to determine how clinical decisions should be made.

    International Microsurgery Journal. 2022;6(1):4
    DOI: 10.24983/scitemed.imj.2022.00163
    Article Type: Case Report
  • Penopubic Junction Reconstruction Using a Pedicled Superficial Circumflex Iliac Artery Perforator Flap

    The article describes the case of a 27-year-old man who suffered from scarring at the penopubic junction as a result of penis lengthening surgery. The authors explain how they repaired the penopubic junction by using a pedicled superficial circumflex iliac artery perforator flap. The authors also propose a safe and effective hybrid technique for harvesting superficial circumflex iliac artery perforator flaps. According to the authors, the pedicled superficial circumflex iliac artery perforator flap is an effective method for reconstructing the penopubic scar.

    International Microsurgery Journal. 2022;6(1):5
    DOI: 10.24983/scitemed.imj.2022.00164
    Article Type: Case Report