Proceedings of the
II Congress of
the World Society for Reconstructive Microsurgery
Heidelberg - Germany,
June 11-14 2003
This publication contains the extended version of the works of the 2nd
congress of the World Society of Reconstructive Microsurgery.
The response to the meeting was immense. We had to
select from more works than ever in the history of microsurgical meetings.
The selection was very difficult for the scientific committee.
You will find representative papers from all important
spectrums of microsurgery. The newest trends in research and clinical
developments are highlighted, also medical legal and socio-economic issues.
I hope that this beautiful collection of papers will
leave a long lasting impression, and you will have found memories of the
interesting meeting in Heidelberg.
Günter Germann, MD, PhD
Rationale and Technique of the Superficial Inferior
Epigastric Artery Flap for Breast ReconstructionR. Allen
Avoiding and Solving Intra-Operative Problems with
Perforator FlapsP. Blondeel
Robotic Harvest of Internal Mammary Vessels in Breast
ReconstructionJ.B. Boyd, K. Stahl, W.D. Boyd and M. Samson
One Stage Double Free Fibular Mandibular Reconstruction
Following Distraction ‘Mesenchymogenesis.’ A Long Term Review of Four
CasesJ.B. Boyd, E. Stelnicki, Y. Barnavon and C.
Neurotisation of Muscles by Upper MotoneuronG.A. Brunelli
Cavernous Nerve Reconstruction to preserve erectile
function following Radical prostatectomyD.W. Chang
Is Scientific Progress Influenced by the Reimbursement
System? The British ViewS.P. Frostick
Microvascular Architecture of the Face for Facial
Microsurgery in a Country with Slow Economic Growth and
an Evolving Medical SystemAL. Georgescu
How Many Major Flaps Are Safe in One Person?A.K. Gupta
Global Brachial Plexus Root Avulsion Injury Contra -
Lateral C-7 Root Transfer and Functioning Muscle TransferA.K. Gupta
The Hand Surgeon and Clinical GeneticsS.E.R. Hovius and A. Luijsterburg
Technique of Computer Designed Neo-Clavicula Out of
Osteotomized Free FibulaD.F. Kalbermatten, E. Wolfinger, P. Bucher,
P. Messmer, P. Regazzoni and G. Pierer
Durability of Free Flaps in the Sole of the FootH. Kuokkanen
Outcome of Nerve Decompression in Diabetics Upon
Incidence of Ulceration and AmputationA. Lee Dellon, O. Aszmann and P.L. Tassler
Vascular Endothelial Growth Factor and the Biological
Basis of Reconstructive SurgeryW. Lineaweaver and F. Zhang
Progress in Nerve Surgery by Intraoperative Application
of Electrodiagnostic MethodsV.E. Meyer, M. Kilgus, Th. Stallmach, G. Beer
and D. Burg
Planning Your Complications - How to Avoid
Complications by Planning ThemP.C. Neligan
Microsurgical Distal Sympathectomy in Chronic
Vasospastic Syndromes of the HandsA. Ortensi, S. Trinchi, V. D’Orazi, F. Toni
and F. Fabi
10 Years Experience with Microsurgical Refertilization
in Cologne K.F. Schierbaum, S. Wolter and U. Engelmann
Results of Penile Revascularization and Selection
Criteria of PatientsK.F. Schierbaum, J. Zumbé and U. Engelmann
The Prepuce Free FlapP.M.N. Werker
History and Long-Term Results of Vascularized Bone
High Tension Electrical Injury and MicrosurgeryB. Yaffe, D. Hutt and H. Kaplan
Severely Damaged Foot ReconstructýonS. Yildirim and T. Aköz
Anchoring Free Flap to the Bone in Facial Contour
RestorationA. Aydin, M. Topalan, I. Ermis and M. Erer
TRAM Flap Breast Reconstruction for Patients with
Advanced Breast DiseaseA.B. Behnam, M.-D. Nguyen, S.L. Moran and
L-Arginine Improves Skeletal Muscle Function After
IschemiaH. Benditte-Klepetko, R. Koller, A. Fügl, M.
Mittlböck, I. Huk and M. Frey
Microsurgery in War WoundsL.E. Bermúdez R. and L.E. Nieto
Aesthetic and Functional Outcomes of Upper Alveolar
Bone Reconctruction Using Fibular Osteocutaneous Free FlapsN. Bin
The Futility of the Post Microsurgical Classification
Systems in Managing Ring Avulsion InjuriesD. Brooks, R. Buntic, G. Kind, K. Schott, G.
Buncke and H. Buncke1
Lymphatic Reconstructive Microsurgery: Over 25 Year
Clinical OutcomeC. Campisi, A. Zilli, A. Macciò, F. Schenone,
E. Da Rin and F. Boccardo
A Rare Precancerous Condition of Oral Mucosa: Submucous
Fibrosis and its ManagementN. Celik, F.C. Wei and O.O. Erol
Thumb Reconstruction with a Great Toe Wrap-Around
Technique. The Athenian ExperienceN. Daoutis, N. Gerostathopoulos, D.
Efstatthopoulos, S. Spiridonos and S. Seitaridis
Incidence and Significance of Microscopic Pathological
Lesions Found in Pedicle and Recipient Vessels Used in Microsurgical
Breast ReconstructionH. El-Mrakby, N.R. McLean, P.D. Hodgkinson
and J.V. Soames
Long Term Results of Free Flaps in Facial Contour
RestorationI. Ermis, M. Topalan and U. Emekli
Long Term Outcome of Microsurgical Shunts for
Idiopathic VaricoceleG. Flati, I. Nofroni, B. Porowska, D. Flati,
D. Tuscano, F. Gaj, L. Montemurro and M. Carboni
Neurotization of Musculocutaneous Nerve with Part of
Ulnar Nerve as a Donor in Preganglionic Upper Brachial Plexus IjuriesG. Georgiades, P. Aretaiou, S. Spyridonos, J.
Ignadiadis, C.E. Karavolias and N. Gerostathopoulos
Surgical Treatment of Severe Digital Ischemia in
Raynaud’s Syndrome with Peripheral Periarterial SympathectomyN. Gerostathopoulos, G. Georgiades, C.
Karavolias, A. Kitsiou and S. Hatzipantelis
Skin Perforators and Nourishing Vessels of Trapezius
Muscle: Macroscopic Study of CadaversI. Hashimoto and H. Nakanishi
The Use of Perforator Flaps in Huge Postoncotic and
Posttraumatic Defects - Considerable New Indications for the DIEP -Flap?A. Heitland, E.-M. Noah, R. Allen and N.
Anatomical Basis of the Medial Adiposofascial Flap of
the LegO. Heymans and N. Verhelle
The Combined Reconstruction of the Vascular Compromised
FootO. Heymans, N. Verhelle and H. VanDamme
Outcome of Salvage Operation in Head and Neck
MicrosurgeryIkuo Hyodo, Bin Nakayama, Hisakazu Kato,
Yasushi Hasegawa and Shuhei Torii
Efficacy of Preoperative Color Doppler Ultrasonography
for Planning FlapsK. Inoue, S. Ichioka, M. Nakagawa, K. Nanri,
H. Furukawa and T. Nakatsuka
Free Jejunal Transfer for Functional Reconstruction of
Pharyngoesophageal Defects after Tumour and Stenosis ResectionN. Kruegel, W. Kuenzi and V.E. Meyer
A New Model to Induce Angiogenesis by Ex Vivo
Transfected Isogenic Fibroblasts Based on Gene TransferH.G. Machens, I. Jasmund, T. Spanholtz, A.
Maichle, C. Niedworok, W. Lindenmaier, S. Herbort-Brand, S. Görg, K. Kropf,
B. Stöckelhuber, T. Hellwig-Bürgel, S. Krüger, B. Reichert, F. Siemers,
B.-D. Krapohl and P. Mailänder
Functional Limb Preservation After R0 – Resection of a
Prepatellar MyxofibrosarcomaH.-G. Machens, F. Siemers, M. Kaun, B.
Reichert, M. Russlies, S. Krüger, B.M. Stoeckelhuber and P. Mailaender
Restoration of Elbow Flexion by Tsu-Min Tsai’s Method
to the Brachial Plexus PalsyH. Miura, S. Toh, S. Nishikawa, S. Kudoh,
G.I. Vallejo and K. Tsubo
Vascularized Bone Grafts- Free or Pedicled Flaps?M. Molski
Reconstruction of Complex Intrathoracic Tissue Defect
by Free Musculocutaneous LD flap – A Case ReportM. Molski and L. Lembas
Congenital Pseudarthrosis of Forearm: Two Stage
Reconstruction with Vascularized Fibula Osteoseptocutaneous FlapMusa Mateev, Arstan Imanaliev and Kerym
A Combined Operation of Transtrochanteric Osteotomy and
Vascularized Iliac Bone Graft for Advanced Osteonecrosis of the Femoral
HeadY. Nakamura, Y. Kumazawa, H. Mitsui, S. Toh
and H. Katano
Neck Scar Contracture Reconstruction with Bipedicled
Free "Super-thin Flap"R. Ogawa, H. Hyakusoku, R. Aoki, S. Ishimaru,
S. Kawahara and S. Koike
Distribution of NGF and Receptors p-75 in Experimental
End-To-Side NeurorraphyG. Risitano, I. Papalia, A. Pagnotta, G.
Cavallaro and F. Stagno D’Alcontres
Bridging of Long Nerve Defects By Using Microscopic
Technique, Microscope and Nerve Grafting (A Series of 130 Cases)H. Sakellarides
Importance of Additional Microvascular Anastomosis in
Esophageal Reconstruction After Salvage EsophagectomyM. Sakuraba, Y. Kimata, S. Hishinuma, M.
Nishimura, N. Gotohda and S. Ebihara
Autologous Free Tissue Breast Reconstruction Using the
Internal Mammary Perforators as Recipient Vessels E. Sassoon, A. Logan, R.M. Haywood, A.
Raurell and A.G.B. Perks
The Prefabricated Iliac Crest TransplantG. Schultes and H. Kärcher
Peripheral Nerve Injuries in Developmental AgeF.M. Senes, R. Campus and F. Becchetti
Free Rectus Abdominis Muscle Transfer in Upper and
Lower Extremity ReconstructionA. Sultan, H. Bannasch, C. Andree and G.B.
Salvage of Failing Flap with Continuous Intra-Arterial
Infusion of Pharmacological AgentsA. Takamatsu, T. Harashina, Y. Inoue, Y.
Tsuchida, K. Wakamatsu and S. Kaneko
Intercostal Nerves Neurotization for Elbow Flexion in
BPI Reconstruction – Comparison Between 2 ICN and 3 ICN MethodsY.K. Tu, Y.C. Chou and S.W.N. Ueng
Double Free Functioning Muscle Transfer (FFMT) for the
Reconstruction of Brachial Plexus InjuryY.K. Tu, Y.C. Chou and S.W.N. Ueng
Microsurgical Reconstruction for Osteomyelitis – 12
Years ExperienceY.K. Tu and S.W.N. Ueng
The Combining Method of a Hypoglossal-Facial Nerve Jump
Graft by End-To-Side Neurorrhaphy and a Cross-Face Nerve Graft for the
Treatment of Facial ParalysisK. Ueda, A. Kajikawa and Y. Suzuki
Musculocutaneous Neurotization to Restore Elbow Flexion
in Brachial Plexus Paralysis: Preliminary ResultsM.D. Vekris, A.E. Beris, G. Afendras, A.V.
Korobilias and P.N. Soucacos
Free Fasciocutaneous Temporalis Flaps for Heel
ReconstructionN. Verhelle and O. Heymans
Free Flaps in the Elderly PopulationN. Verhelle, P. Vico, B. VandenHof and O.
Management of Extensive Defects of ScalpB. Yaffe, E. Winkler and H. Kaplan