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[A Consensus Statement of the German-Speaking Society for Reconstructive Microsurgery (GSRM): Closure of the DIEP/ms-TRAM Flap Donor-Site Defect].
Harvesting DIEP or msTRAM flaps for autologous breast reconstruction may lead to complications such as hernia formation and abdominal bulging at the donor site. This consensus statement aims to identify and recommend strategies to minimize …
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Pushing the boundaries in autologous breast reconstruction: innovations from imaging to artificial intelligence.
Breast cancer remains the most commonly diagnosed malignancy among women worldwide, with surgical intervention, ranging from breast-conserving procedures to total mastectomy, representing a cornerstone of curative treatment. In this context…
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Basic versus Complex Arteriovenous Loop Positions in Reconstructive Free Flap Surgery: An Outcome Analysis Focusing on the Antithrombotic Treatment Regimen.
Arteriovenous (AV) loop followed by free flap reconstruction remains a challenging and high-risk intervention and is therefore reserved for a selective patient population. It is unclear to what extent factors such as defect localization, ch…
- Robotic DIEP Flap Surgery: The Need for a Balanced Discussion of Intra-Abdominal Risks and Outcomes.
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[Mechanical vascular anastomoses].
[BACKGROUND] Mechanical anastomoses of blood vessels represent a major advance in modern surgery. Highly specialized instruments ensure the precise connection of blood vessels, enabling the immediate restoration of blood flow. Ring coupler …
- [Microsurgery].
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Analysis of laboratory markers in body contouring procedures after bariatric surgery does not indicate particular risks for perioperative complications.
[BACKGROUND] Body contouring surgery after massive weight loss is associated with different risk factors. Wound healing disorders and seromas commonly occur postoperatively. Bariatric interventions lead to massive weight loss with excess sk…
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Intraoperative Blood Flow Analysis of Free Flaps with Arteriovenous Loops for Autologous Microsurgical Reconstruction.
[BACKGROUND] Arteriovenous (AV) loops help to overcome absent or poor-quality recipient vessels in highly complex microvascular free flap reconstruction cases. There are no studies on blood flow and perfusion patterns. The purpose of this s…
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Leaving the perfusion zones? Individualized flap design in 100 free DIEP and ms-TRAM flaps for autologous breast reconstruction using indocyanine green angiography.
[BACKGROUND] There is still no consensus regarding the ideal zoning in abdominal-based autologous breast reconstruction using free DIEP or ms-TRAM flaps. In particular, the perfusion pattern of the flap according to the number of perforator…
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Intraoperative Blood Flow Analysis of DIEP vs. ms-TRAM Flap Breast Reconstruction Combining Transit-Time Flowmetry and Microvascular Indocyanine Green Angiography.
Background: Vascular patency is the key element for high flap survival rates. The purpose of this study was to assess and compare the blood flow characteristics of deep inferior epigastric perforator (DIEP) and muscle-sparing transverse rec…
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Improving the Safety of DIEP Flap Transplantation: Detailed Perforator Anatomy Study Using Preoperative CTA.
Background: Deep inferior epigastric perforator and muscle sparing transverse rectus abdominis muscle flaps are commonly used flaps for autologous breast reconstruction. CT-angiography allows to analyse the perforator course preoperatively.…
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Bilateral free flap breast reconstruction using venous cross-over bypass to contralateral internal mammary artery for salvaging thrombosed arterial anastomosis in unilateral repeated irradiation of the breast: A case report.
Adjuvant radiotherapy in breast cancer patients might enhance complications after autologous breast reconstruction, including thrombosis of the internal mammary artery (IMA) precluding its use as recipient vessel. This case report shows a s…
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Is Instillational Topical Negative Pressure Wound Therapy in Peri-Prosthetic Infections of the Breast Effective? A Pilot Study.
Peri-prosthetic breast infections pose a risk of severe complications after breast implant surgery. The need to remove the breast implant, control the infection and perform additional surgical procedures are the consequences. Reimplantation…
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The Impossible Anastomosis: Intima-to-adventitia Suture Technique for Microanastomosis of Severely Calcified Arteries.
Microsurgery in patients with advanced atherosclerosis is challenging. Calcified vessels can hinder microanastomosis, which precludes free flap reconstruction in those patients. We present a case of a female patient with stage 4 peripheral …
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A Myocutaneous Latissimus Dorsi Propeller Flap Based on a Single Dorsal Intercostal Perforator.
This study presents a novel surgical technique for the reconstruction of highly challenging large lower back defects. In this case, a 72-year-old man initially diagnosed with renal cell carcinoma received nephrectomy followed by the dissect…
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Macromastia: an economic burden? A disease cost analysis based on real-world data in Germany.
[PURPOSE] Symptomatic macromastia causes physical and psychological problems that can lead to restrictions in the patients' social and working lives and a reduced quality of life. Associated medical treatments also have a considerable impac…
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Is Reduction Mammoplasty Cost-Effective? A Cost-Utility Analysis of Surgical Treatment for Macromastia in Germany.
[BACKGROUND/AIMS] Macromastia can cause physical and psychological problems. Conservative treatments such as physiotherapy and painkillers lead to substantial long-term costs, without any proven medical benefit. In contrast, surgical treatm…
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Interdisciplinary Treatment of Breast Cancer After Mastectomy With Autologous Breast Reconstruction Using Abdominal Free Flaps in a University Teaching Hospital-A Standardized and Safe Procedure.
Breast cancer is the most common malignancy in women. The interdisciplinary treatment is based on the histological tumor type, the TNM classification, and the patient's wishes. Following tumor resection and (neo-) adjuvant therapy strategie…
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[Establishing and evaluating a multinational Science Academy: A new tool for fostering scientific young talents in microsurgical research - a Consensus Statement of the DAM].
[BACKGROUND] The formation of professional networks and cooperations - in addition to any qualified good education - seems fundamental for a successful career. In a number of disciplines, various symposia or conferences exist. In the field …
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Operating on the Edge? Body Contouring Procedures in Patients with Body Mass Index Greater 35.
[BACKGROUND] Body contouring surgery after massive weight loss was shown to ameliorate the patient's quality of life and to enhance physical and psychological well-being. However, numerous patients are still obese when presenting for body c…
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[Plastic reconstructive microsurgery in the elderly patient - Consensus statement of the German Speaking Working Group for Microsurgery of the Peripheral Nerves and Vessels].
During the last two decades, understanding and experience of microsurgical reconstruction have increased. This is linked to improved instruments and technical devices, as well as to the increased number of available donor sites for microvas…
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The quality of aesthetic surgery training in plastic surgery residency: a survey among residents in Germany.
[BACKGROUND] The importance of providing high-quality exposure and training in aesthetic and reconstructive surgery during residency has come to the forefront of plastic surgery education. Adequate training in aesthetic surgery, however, ha…
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[Microsurgical training - report on the consensus workshop of the 31st annual meeting of the German-language group for microsurgery of the peripheral nerves and vessels 2009 in Erlangen].
Based on the increasing importance of microsurgical procedures in the field of plastic and hand surgery, as well as in other related fields, a consensus workshop was held during the 31st annual meeting of the German-language working group f…
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Intrapulmonary and cutaneous siliconomas after silent silicone breast implant failure.
Since the implementation and use of silicone implants in breast surgery the risks are published and discussed. Especially, the incidence of late silicone implant rupture and its potential risk to induce local siliconomas are still under dis…
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Impact factors and publication times for plastic surgery journals.
[BACKGROUND] The purposes of the authors' analysis were to assess the values that plastic surgical journals demonstrate in terms of the standardized measures created by the Institute for Scientific Information's Journal Citation Report, and…