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Related Experiment Video

Updated: Jun 2, 2026

Microscopic Replantation of Penile Glans Amputation Due to Circumcision
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Supermicrosurgery in Reconstructive Surgery: A Narrative Review.

Tae Hyung Kim1, Jin Geun Kwon1, Changsik John Pak1

  • 1Department of Plastic and Reconstructive Surgery, University of Ulsan, College of Medicine, Seoul Asan Medical Center, Seoul, South Korea.

Archives of Plastic Surgery
|June 1, 2026
PubMed
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Supermicrosurgery, the connection of tiny blood vessels (<0.8mm), enhances reconstructive surgery outcomes. This technique minimizes donor site issues and improves function, especially in lower extremity reconstruction.

Area of Science:

  • Reconstructive Surgery
  • Vascular Surgery
  • Microsurgery

Background:

  • Supermicrosurgery involves connecting blood vessels smaller than 0.8mm.
  • It represents an advancement in reconstructive microsurgery.
  • Focus is on lower extremity reconstruction.

Purpose of the Study:

  • To review the technical aspects of supermicrosurgery.
  • To explore its clinical applications, particularly in the lower extremities.
  • To discuss future directions and innovations in the field.

Main Methods:

  • Utilizes perforator-to-perforator anastomosis and thin flap techniques.
  • Employs high-frequency ultrasonography for planning and precision.
  • Integrates advanced microsurgical tools and instrumentation.
Keywords:
high-frequency ultrasoundperforator flaprobotic microsurgerysuperficial planesupermicrosurgery

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Main Results:

  • Achieves reduced donor site morbidity and minimal risk to major vessels.
  • Leads to improved aesthetic and functional outcomes in reconstructions.
  • Demonstrates increasing application in oncologic, traumatic, ischemic, and diabetic foot cases.

Conclusions:

  • Supermicrosurgery offers significant benefits despite a steep learning curve.
  • Innovations in imaging, instrumentation, and robotics are advancing the subspecialty.
  • It holds a promising future for complex reconstructive challenges.