ArticlePlastic and reconstructive surgery. Global open2023
Nerve Transfers Using a Dedicated Microsurgical Robotic System.
Article in Plastic and reconstructive surgery. Global open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 27 citations in OpenAlex.
- Expanding the Role of Robot-assisted Microsurgery: Implementation, Challenges, and Outlook From a High-volume Tertiary Care Center.Plastic and reconstructive surgery. Global open · 2026Article
- Global research trends in robotic applications in plastic surgery: a bibliometric analysis.Journal of robotic surgery · 2026Review
- Nerve Assessment Index: A New Rating Tool for Peripheral Nerve Coaptations in Sharp Nerve Transections.Plastic and reconstructive surgery. Global open · 2026Article
- Facial Nerve Repair Using a Microsurgical Robot System: A Preclinical Study Using a Rat Model.Plastic and reconstructive surgery. Global open · 2026Article
- Advancements in robotic assisted microsurgery: Exploring the MUSA robot in reconstructive microsurgical and supermicrosurgical procedures.JPRAS open · 2026Review
- The application of robot-assisted microsurgery in orthoplastic surgery.Innovative surgical sciences · 2026Article
- Further Validating the Robotic Microsurgery Platform through Preclinical Studies on Rat Femoral Artery and Vein.Journal of reconstructive microsurgery · 2025Article
- Robotic-assisted Supermicrosurgery in Plastic Surgery: A Systematic Literature Review.Plastic and reconstructive surgery. Global open · 2025Article
- Robotic microsurgery for pediatric peripheral nerve surgery.Journal of robotic surgery · 2024Article
- Technical Strategies and Learning Curve in Robotic-assisted Peripheral Nerve Surgery.Plastic and reconstructive surgery. Global open · 2024Article
- Robotic-assisted Lymphovenous Anastomosis of the Central Lymphatic System.Plastic and reconstructive surgery. Global open · 2024Article
- Ideal suturing technique for robot-assisted microsurgical anastomoses.Journal of robotic surgery · 2024Article
- 100 anastomoses: a two-year single-center experience with robotic-assisted micro- and supermicrosurgery for lymphatic reconstruction.Journal of robotic surgery · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Microsurgical demands in peripheral nerve surgery are increasing. Because of the development of multiple simultaneous selective nerve transfers, the transposition of very small nerves and even single fascicles has evolved. Coaptation of these increasingly smaller structures require high skills in microsurgical techniques. In addition, the surgical situs often has very limited access and is difficult to reach with conventional microsurgical options. Robot technology, the Symani Surgical System (Medical Microinstruments, S.p.A, Calci, Pisa, Italy), was used for epineural coaptation of three donor nerves (intercostal nerves 4-6) to the long thoracic nerve and the thoracodorsal nerve as recipient nerves in a patient with brachial plexus palsy. The coaptations could be carried out successfully with the microsurgical robot technology. In combination with a high-magnification (up to 26×) 3D-exoscope, the epineural sutures could be placed very precisely and accurately. Using this new microsurgical robotic system, successful coaptation of very small nerve structures is possible. This opens possibilities for the microsurgeon to carry out even finer, more targeted and more complex nerve transfers, including procedures in anatomical regions that are difficult to reach.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.