Dear Colleagues,

In the plastic surgery field, there has been a clear trend over the last few years toward the use of microsurgical techniques. Many factors have contributed to this process, ranging from the development of more precise instruments to higher-resolution imaging evaluations and an improved understanding of anatomy and physiology. In certain respects, the advent of perforator-based flaps was revolutionary, overcoming most of the limits of previous autologous reconstructive procedures. They allowed major vessels to be spared, resulting in a much lower donor site morbidity, combined with shortened dissection times and a lower incidence of post-operative complications. Further technical progress resulted in supermicrosurgery, which offers even more opportunities, and we now have the possibility to safely manipulate even the smallest vessels, such as the lymphatic vessels. Nowadays, lymphatic surgery also represents the latest evolution in the reconstructive field, with the purpose of treating and also preventing long-term sequelae.

The purpose of this Special Issue is to present and discuss the latest trends in the reconstructive microsurgery field, including lymphedema surgery and supermicrosurgery, as well as new technologies and tools employed in this setting. The scope of the Special Issue is deliberately broad in order to encourage submissions on a wide range of topics and perspectives related to the many reconstructive procedures, in addition to the new technologies associated with them.

This is a topic for which we are encountering continuous modifications of and innovations applied to well-known procedures. Thus, in this Special Issue, we would like to deeply focus on the great potential of the microsurgical technique in reconstructive settings, which may allow addressing and solving problems that were previously considered unsolvable. In particular, we wish to focus attention not only on structure restoration but also to complete functional preservation.

We are seeking original articles, literature reviews, and case reports/case series dealing with the most modern microsurgical techniques related to defect reconstruction throughout the body. Proposals for clinical treatment, as well as anatomical studies are of interest.

Prof. Dr. Hidehiko Yoshimatsu
Prof. Dr. Mario F. Scaglioni
Guest Editors

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• reconstructive microsurgery
• supermicrosurgery
• perforator flap
• lymphedema surgery
• propeller flap breast reconstruction
• lower extremity reconstruction
• free flap

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