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Review
. 2026 Jan;53(1):1-11.
doi: 10.1016/j.cps.2025.08.001. Epub 2025 Oct 15.

Principles of Microsurgery

Affiliations
Review

Principles of Microsurgery

Diana Rapolti et al. Clin Plast Surg. 2026 Jan.

Abstract

Microsurgery is an important skill for vessel and nerve repair, reconstruction, and limb salvage. Fine skills are critical for good outcomes and involve a specialized skillset and special considerations including regarding ergonomics. It is critical for microsurgical procedures to involve adequate planning. For a good outcome, thorough knowledge of the anatomy including perforators and the tissues required and those available is critical. Patient selection and optimization also play a role in microsurgical planning and execution. Proper microsurgical technique and understanding of the tissues involved aids in successful execution of reconstruction and restoration of form and function.

Keywords: Microsurgery; Mitaka microscope; Postoperative care; Preoperative planning; Reconstruction; Zeiss microscope.

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