Microscope, loupe, and light source.
In reconstructive microsurgery the operating microscope and loupes are valuable tools, it is difficult to use PPE, goggles, and face shield due to improper fitting, repeated fogging, and extra weight. Face shields that have adequate space to accommodate the surgical loupes can be used or Making customized holes in the face shield for proper airtight fitting of loupes along with the light source will be helpful. Disinfection of a microscope is a concern and should be done with care. It is best to cover the microscope in the recommended company provided covers. Anastomosis of medium to large caliber vessel if possible, to perform comfortably under a loupe with shield, should be done. In the case of smaller caliber vessels, when an operating Microscope is required, then use protective goggles, N95 Mask along with microscope. The operating area is covered with adhesive sheets.