Posted by Fred Koenig on Mar 10th 2022

Modern Microsurgery and Microscopes

Microsurgery is a general term for surgery requiring an operating microscope. It is a modern surgical technique that allows surgeons around the globe to perform medical procedures on tiny blood vessels, nerves, tubes, and organs that would otherwise be next to impossible to do so with the naked eye.

During the last few decades, microsurgical techniques have been perfected to a remarkable degree, thanks to the massive advances in microscope technology. Microsurgery is now an indispensable tool used globally.

Applications of Modern Microsurgery

Modern microsurgery is frequently used in plastic surgery for the reconstruction of damaged skin, muscles, and other tissues. It's also used to transplant tissues from one part of the body to another and is used in many other microsurgical techniques.

Ophthalmology

Multifunctional ophthalmologic systems, such as the Seiler Evolution Zoom Opthalmology microscope, are applied in many microsurgeries. These systems are used in cataract therapy for phacoemulsification with artificial IOL implantation, refractive clear lens replacement, and complex vitreous surgery interventions. Modern microsurgery allows doctors to perform surgeries on both anterior and posterior eye segments while reducing the time of these operations while increasing their precision and reliability.

Epilation of lashes can be carried out much more easily using microscopes or if the patient is sitting or laying on the operating table. Fine lashes can be picked up accurately so that small stumps are less likely to remain. Operations on the lacrimal apparatus, the puncta, can be defined more quickly. Torn ends of canaliculi can be seen promptly, and suturing of flaps in a dacryocystorhinostomy can be made nearly effortlessly thanks to powerful illumination and magnification.

Typical applications of ophthalmic microscopes in practice include:

  • Cataract surgery
  • Corneal surgery
  • Glaucoma surgery
  • Laser eye surgery
  • Macular hole repair
  • Maculopathy surgery
  • Macular translocation surgery
  • Radial optic neurotomy
  • Refractive surgery
  • Retinal detachment repair
  • Vitrectomy

In addition, microscopes can be used for pre-operative assessments and intraoperative visualization, and confirmation of tissue responses to surgical procedures.

Otolaryngology

The number of ENT surgery procedures is increasing year after year. Surgical microscopes support ENT microsurgery and minimally invasive procedures, offering enhanced visualization and a greater depth of field to achieve higher levels of precision. Many doctors, for example, work with Lecia otolaryngology microscopes as they combine apochromatic optics with cutting-edge LED illumination with high-definition imaging technology.

Modern microscopes used in otolaryngology can help fix injuries or defects of the ears, nose, and throat that enable the best possible clinical outcomes due to top-class imaging quality and visualization. The advanced solutions surgical microscopes provide for ENT specialists include an enhanced depth of field, precise positioning, and more excellent maneuverability than ever before. Even non-surgical procedures like placement of transtympanic aerator or foreign body removal have improved thanks to microsurgery systems.

ENT specialists rely on microscopes to visualize surgical sites and enable them to perform a wide range of surgeries, such as:

  • Cholesteatoma surgery
  • Cochlear implant surgery
  • Laringoplasty
  • Myringoplasty
  • Neurinoma surgery
  • Otosclerosis surgery
  • Schwannoma surgery
  • Stapedectomy
  • Tympanoplasty

Neurosurgery

Neurosurgery is one of the most complex branches of surgery, dealing with the brain, nerves, spinal cord, and anything else related to neurons. Neurosurgery demands a high range of precision, technical and dexterous skills. With the assistance of surgical microscopes, neurosurgeons can visualize the surgical field and the most delicate anatomical details of brain structures, nerves, or areas of the spinal cord to enhance surgical performance and accuracy. Some of the applications in which neurosurgeons employ microscopes include the following:

  • Arteriovenous malformation treatment
  • Brain aneurysm repair
  • Cerebral artery bypass surgery
  • Epilepsy surgery
  • Spine surgery
  • Tumor resections

Some models of surgical microscopes offer AR (augmented reality), which allows a neurosurgeon to see blood flow in real-time distinctly.

Plastic And Reconstructive Surgery

Expert plastic and reconstruction surgeons also take full advantage of the latest advances in microsurgery. The addition of microsurgery technologies has allowed accuracy far more significant than before for many procedures while also greatly expanding the range of surgical methods that can be performed safely and effectively.

Microscopes have empowered surgeons to reattach amputated fingers, transplant tissue, muscle, or bone, and magnify delicate areas. In the case of trauma reconstructive surgery, surgeons are often faced with the repair of complex bony or soft tissue defects and injuries and microvascular reconstruction, which requires the use of microsurgery techniques.

A few of the most common applications of microsurgery in plastic and reconstructive surgery include:

  • Breast reconstruction
  • Craniofacial surgery and reconstructive repair of facial trauma
  • Face implant surgery
  • Hand and upper limb surgery
  • Limb replantation surgery
  • Repair of congenital deformities such as cleft lip and palate
  • Reconstruction surgery following burns
  • Sex reassignment surgery, including penoid structure

Obstetrics and Gynecology

Traditionally, most surgeries in gynecology and obstetrics result in laparotomy—these large incisions into the abdominal cavity often mean extended hospital stays and longer recovery times. Additionally, microsurgical techniques have been adopted to treat pelvic adhesions, tubal obstructions, endometriosis, and myomas of the uterus.

Additionally, the use of Colposcope microscopes offers a way of studying the cervix that provides an obstetrician-gynecologist the ability to spot potential problems that cannot be seen by the naked eye or more traditional means.

Colposcope microscopes can diagnose:

  • Genital warts
  • Inflammation of the cervix
  • Precancerous changes in the tissue of the cervix
  • Precancerous changes in the tissue of the vagina
  • Precancerous changes of the vulva
  • Salpingostomy
  • Vas deferens obstruction surgery and vasectomy surgery
  • Varicocelectomy

Surgical microscopes provide life-changing applications for surgeons with adjustable magnification, brighter illumination, and more precise visualizations than ever before. State-of-the-art surgical microscopes are integrated with various imaging modalities are, enabling surgeons around the globe to drastically improve outcomes.

Surgical microscopes are a powerful tool that can offer optimal magnifications, bright illumination, and precise visualization. Used in many different types of surgeries today, it has irrevocably improved surgical outcomes and surgeons' ergonomics. Integration of surgical microscopes with state-of-the-art optical imaging technologies has changed the clinical practice in the operating room, making patient benefit and recovery continue to improve for the better.