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Oncological Reconstructive Surgery: Why Use a Microscope

Interview with Dr. Anne-Sophie Reguesse and Dr. Harold Chatel

Recent advances in microsurgery are enhancing breast reconstruction for oncology patients, allowing both functional and aesthetic rehabilitation. More and more surgeons are adopting surgical microscopes with a built-in fluorescence camera as an alternative to microsurgical glasses and a standalone camera.

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Dr. Anne-Sophie Reguesse is a Plastic and Reconstructive Surgeon in a leading hospital in Paris, France. She regularly performs oncological reconstructive surgery procedures. While she uses surgical glasses to perform standard plastic and reconstructive surgery procedures, in more complex cases, she turns to the Leica M530 OHX surgical microscope which she believes provides a real added value.

The Leica M530 OHX premium surgical microscope unites an enhanced depth of field with high resolution to create an optimal view of the surgical field, avoiding interruptions. This is called FusionOptics™. The microscope integrates supplementary imaging information to make precise and confident decisions, such as the FL800 integrated vascular fluorescence which, with indocyanine green (ICG), helps confirm flap viability. The addition of GLOW800 Augmented Reality allows to clearly view vascular flow and tissue perfusion.

In the below video, Dr. Reguesse discusses the advantages of using a surgical microscope with advanced imaging features during oncological reconstructive surgery and why it is a suitable alternative to surgical glasses. She exchanges views with her colleague Dr. Harold Chatel, also a Plastic and Reconstructive Surgeon at the same hospital. The hospital is featured in the Newsweek 2021 list of best oncology hospitals worldwide.

Interview Key Highlights

According to Dr. Reguesse, the Leica M530 OHX surgical microscope and integrated vascular fluorescence associated to GLOW800 Augmented Reality can provide significant benefit during mastectomy and breast reconstruction procedures especially when:

  • A patient has black skin
  • It is hard to evaluate the area of the flap that is well vascularized
  • It is important to determine whether the breast skin envelope is well vascularized, for example when an immediate breast reconstruction is performed after mastectomy

This helps optimize the post-operative period and patient recovery after oncological reconstructive surgery.

In addition, Dr. Reguesse and Dr. Chatel appreciate the fact that:

  • The Leica M530 OHX surgical microscope is powerful, easy-to-use and very maneuverable
  • It is possible to see nearly all the flap at once without having to shift and move the microscope in all directions
  • There is no need to turn off the lights in the Operating Room (OR) with GLOW800 fluorescence
  • Settings can be configured in advance for different surgeons and applications
  • An instrumentalist and operating assistant can remain close to the operating field
  • The surgeon can circulate around the patient freely

If you are looking for an alternative to microsurgical glasses or would like to learn more about Leica solutions for plastic and reconstructive surgery, please get in touch. We will gladly answer all of your questions.