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17건 · 최신순-
Does the Difference in Vascular Anatomy in the Multiple Perforator DIEP Flap Affect the Flap Dissection Time?
[BACKGROUND] Multiple perforator deep inferior epigastric perforator (DIEP) flaps demonstrate superior perfusion. The selection of perforators is influenced by several factors, including the number of perforators, the running layer, the ped…
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Comparison of Upper Pole Between Immediate and Delayed Breast Reconstructions Using an Abdominal Free Flap.
[BACKGROUND] The deep inferior epigastric perforator flap has become the workhorse of autologous breast reconstruction (ABR). In delayed-immediate ABR, a tissue expander is placed during mastectomy and reconstruction is performed later. We …
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Epithelialization of Free Flap Vascular Pedicles through the Nasal Cavity after Long-term Follow-up: A Case Report.
A 59-year-old man with right maxillary cancer presented with a right buccal fistula and an ectropion of the lower eyelid after multidisciplinary treatment. With no suitable vessels in the right face or neck for anastomosis, we planned recon…
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Differences in Transient Fluid Retention and Lymphedema With Breast Cancer Treatment for Lymphatic Microsurgery.
[BACKGROUND] Breast cancer-related lymphedema (BCRL) is a common complication. Repeated taxane-based chemotherapy has been shown to induce endothelial inflammation, leading to fluid retention. Patients with transient fluid retention only ha…
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Utility of the intraflap perfusion procedure for abdominal free flap in unilateral breast reconstruction.
[BACKGROUND] Heparin prophylaxis for venous thromboembolism can be used in microsurgery. If vein anastomosis is performed before the artery, heparin irrigation into the artery can be performed locally without systematic effect. This study a…
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Correlation between abdominal visceral volume measured by a simple procedure and bulging at the abdominal free flap donor site for breast reconstruction.
[BACKGROUND] Breast reconstructions using autologous abdominal tissue result in breasts with a natural shape and consistency. One of the major complications is abdominal bulging. Because of the increased abdominal wall tension, high viscera…
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The volume-outcome relationship in free-flap reconstruction: A nationwide study based on the Clinical Database.
[BACKGROUND] The association between successful reconstructive surgery with a free flap and hospital volume has not been well established. This study was designed to retrospectively analyze the outcome of free-flap surgery registered in a n…
- Current ethical considerations of cadaver surgical training for Japanese plastic and reconstructive surgeons.
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Relationship between Preoperative Abdominal Wall Strength and Bulging at the Abdominal Free Flap Donor Site for Breast Reconstruction.
[BACKGROUND] Abdominal bulging at the donor site of free abdominal flaps for breast reconstruction is a common postoperative complication. In addition to the thickness of abdominal muscles, the authors identified the rectus abdominis diasta…
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The usefulness of a free thinned deep inferior epigastric artery perforator flap and measurement of the vascular pedicle length: A thin flap with a long pedicle.
[BACKGROUND] The thinned deep inferior epigastric perforator (DIEP) flap branching from the main trunk to the superolateral direction may be useful because of its long vascular pedicle. DIEP flap is used as an axial-pattern adipose flap. Th…
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Comparison of Vectra three-dimensional stereophotogrammetry measurement and tape measurement in the evaluation of perioperative volume change of the lower abdomen in association with lymphatic microsurgery.
[BACKGROUND] Although microsurgical treatment for lower extremity lymphedema (LEL) can improve lower abdominal morphology, methods to evaluate the volume change of the lower abdomen have yet to be established. This study aimed to determine …
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Correlation of the changes in physical activity and clinical results following lymphatic microsurgery.
[BACKGROUND] The physical activity (PA) of patients may change after microsurgical treatment for lower extremity lymphedema (LEL). We investigated whether PA changes perioperatively and whether it influences the treatment result. [PATIENTS…
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Utility of autologous fibrin glue in the donor site of free abdominal flap for breast reconstruction: A randomized controlled study.
[BACKGROUND] Seroma formation at the donor site is a common complication of breast reconstruction using free abdominal flap. In this study, we assessed the benefits of use of autologous fibrin glue (AFG) at the donor site. [METHODS] This r…
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Where does subcutaneous lymph from the chest wall flow into after mastectomy?
[BACKGROUND] Changes of the lymph flow from the chest wall after mastectomy and sentinel lymph node biopsy (SLNB) or axillary lymph node dissection (Ax) has yet to be understood. This study aimed to investigate the effect of axillary surger…
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Staged Treatment of Asymmetrical Age-related Changes in the Eyelid and Thyroid Eye Disease.
Blepharoplasty for thyroid eye disease (TED) has been indicated for the purpose of improving upper and lower eyelid retraction caused by exophthalmos. Both aponeurotic blepharoptosis and aging lower eyelid are common conditions that require…
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Detection of Nonpalpable Tiny Axillary Lymph Nodes Surrounded by Adipose Tissue Using a Near-Infrared Camera.
It is not always possible to detect nonpalpable small lymph nodes (LNs) surrounded by adipose tissue under the wavelength of visible light. A newly developed near-infrared camera with InGaAs element was able to capture photographs using lig…
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Abdominoplasty with Lymphatic Microsurgery for Patients with Secondary Lower Extremity Lymphedema.
[BACKGROUND] Patients with secondary lower extremity lymphedema often develop suprapubic lymphedema. The authors developed a novel surgical method of shaping the lower abdomen and debulking suprapubic lymphedema with simultaneous reconstruc…