Microsurgery Manual for Medical Students and Residents

Preface.- Acknowledgement.- Table of contents.- Section 1 Introduction: Microsurgery training organization and Principles.- Essential equipment.- Workspace organization.- Assembly of operating microscope.- Standard microsurgical instrumental set.- Essential suture materials review.- Features of working with magnification.- Microsurgical suture technique - End-to-end.- Microsurgical suture technique - Side-to side.- Microsurgical suture technique - Nerve suturing.- Specifies of working with an assistant.- Training curve.- Section 2 Basic Training exercises: How to start?.-  Simple exercises.- Chicken hip and leg training model.- Chicken wing training model.- Perforator flap training model using a chicken leg.- Section 3 Microsurgery training on Rodents.- Maintaining of animal welfare.- Preoperative management and anesthesia.- Vascular anastomoses - Carotid artery.- Vascular anastomoses - Abdominal aorta.- Vascular anastomoses - Femoral artery.- Vascular anastomoses -  Caudal artery.- Model of deep inferior epigastric artery flap.- Extremity reimplantation.- Section 4 Porcine model of flap harvesting.- Essentials of porcine housing.- Preoperative management and anesthesia.- Exposure of recipient vessel.- Latissimus dorsi Flap.- Vertical rectus abdominis flap and rectus abdominis muscle flap.- Gracilis Flap (TMG).- Perforator Flaps - Gluteal Flap.- Perforator Flaps - DIEP  Flap.- Fibula Flaps.- Radial Forearm Flap.- Simulated reconstructive operations.  

Arbak Khachatryan is a medical student at Sechenov University, Moscow, in the Russian Federation. Founder of Microsurgical Laboratory for medical students and residents in Sechenov University. Organizer of microsurgical courses for novice microsurgeons. Founder of surgical school "ClampSurgery". He is interested in oral and maxillofacial surgery and reconstructive surgery and is currently a surgical assistant. Author of illustrations for this manual.

Artur Tevosyan is a medical student at Sechenov University, Moscow, Russian Federation. Co-founder of Microsurgical Laboratory for medical students and residents in Sechenov University. Organizer of master classes in basic microsurgical skills. He is interested in plastic and reconstructive microsurgery, breast oncology and is currently a surgical assistant.

David Novoselskiy is a medical student at Sechenov University, Moscow, in the Russian Federation. Organizer of a theoretical course and lectures on basic microsurgical skills. Production of video materials for this manual.

Gevorg Arakelyan is a medical student at Sechenov University, Moscow, Russian Federation. Founder of Microsurgical Laboratory for medical students in Yerevan State Medical University, Yerevan, Armenia. He is interested in oral and maxillofacial surgery and head and neck oncology. He is currently a surgical assistant.Alexey Yushkevich is a medical student at Sechenov University, Moscow, in the Russian Federation. Organizer of master classes in basic microsurgical skills. He is interested in plastic and reconstructive microsurgery, breast oncology. Author of illustrations for this manual.

David Nazarian is a Head of maxillofacial and reconstructive surgery department of FSBI NMRCO FMBA Russia. Founder of "NKclinic" and microsurgical training center "Supermicrosurgery" Moscow, Russia. He is a surgeon with expertise in reconstruction of middle zone of face with congenital and post-traumatic deformities with temporomandibular