Results: Mean patient age was 63 years with Nutlin-3a nmr male predominance (62.8%). Median bone length harvested was 8 cm (range, 3–12 cm) with prophylactic plating of the radius following harvest.

Donor site morbidity included fracture (1 patient, 0.5%) and sensory neuropathy (5 patients, 2.3%). Mean DASH scores were comparative between groups and to established normative values. Mandibular malunion rate was 3.2% and hardware extrusion at the recipient site occurred in 15.6%. Conclusion: Reluctance to perform FRFOCF by surgeons usually centers on concerns regarding potential donor site morbidity and adequacy of available bone stock; however, we identified minimal objective or patient perceived donor site morbidity or recipient site complications following harvest of FRFOCFs. Mild wrist weakness and stiffness are common but do not impede ability to perform activities of daily living. Data from this and other reports suggest this flap is particularly useful for midfacial and short segment mandibular reconstruction. © 2012 Wiley Periodicals, Inc. Microsurgery, 2012. “
“Introduction: The basic idea of video-microsurgery is the improvement of ergonomic conditions in microsurgical

procedures by replacing the bulky operating microscope with a compact videosystem. Objective: To specify optical requirements on a videosystem p38 MAPK pathway for microsurgical intracranial procedures in neurosurgery. Methods: During 27 microsurgical intracranial procedures (12 cerebellopontine angle and 15 supratentorial) zoom factor, focus distance and illumination parameters of the operating microscope were continuously recorded. Ergonomic aspects were documented as well. Results: The zoom factor ranged from 1.7 to 13.5 in CPA procedures and from 1.4 to 13.4 in supratentorial procedures. The focus

distance ranged from 180 mm to 367 mm Mannose-binding protein-associated serine protease in CPA procedures and from 188 mm–472 mm in supratentorial procedures. Conclusion: From an optical point of view current operating microscopes meet the requirements of intracranial microneurosurgery. However, ergonomically further developments are highly desirable. Video microsurgery is a promising field and could hold a solution to this problem. © 2011 Wiley-Liss, Inc. Microsurgery, 2011. “
“Introduction: Appropriate and adequate blood flow and oxygen delivery to a free flap is paramount to viability and success. We present a comprehensive examination of perioperative anemia, determining its prevalence and effect on complications and outcomes in autologous breast reconstruction. Methods: We analyzed all autologous free flap breast reconstruction at the Hospital of the University of Pennsylvania from 2005 to 2011 with regards to anemia (hemoglobin (Hgb) <12 g dL−1). Anemic patients were compared to those with Hgb > 12 g dL−1 at preoperative and postoperative timepoints. Complications were analyzed relative to HgB levels and the incidence of anemia. Subgroups were analyzed based on worsening degrees of anemia.