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26건 · 최신순-
Minutes that Matter? The Significance of Operative Time in Immediate Unilateral and Bilateral Free Flap Breast Reconstruction.
[BACKGROUND] Free flap breast reconstruction (FFBR) offers substantial benefits after mastectomy. However, the impact of operative time on outcomes remains unclear. [PATIENTS AND METHODS] In this retrospective cohort study, the American Co…
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Advanced reconstructive techniques following orbital exenteration: The role of LCFA free flaps.
[BACKGROUND] Orbital exenteration is a severe and disabling surgical procedure that involves the removal of all orbital contents. Effective reconstruction is crucial to managing the resulting defects. This study aims to propose a reconstruc…
- An Algorithmic Approach to Dual-System Venous Drainage for DIEP Flap Breast Reconstruction.
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Prophylactic Venous Supercharging in Deep Inferior Epigastric Artery Perforator Flap Surgery: A Retrospective Dual-Center Study.
[BACKGROUND] Deep inferior epigastric artery perforator (DIEP) flap is nowadays considered the gold standard in breast reconstruction. However, venous congestion is still a leading cause of free flap failure. Despite the conspicuous articl…
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Comparative Analysis of Aesthetic Abdominoplasty Versus Simple Abdominal Closure in Deep Inferior Epigastric Perforator Flap Breast Reconstruction.
[BACKGROUND] Autologous breast reconstruction using the deep inferior epigastric perforator (DIEP) flap is considered the gold standard for natural and lasting results. Recent focus has shifted toward improving donor-site aesthetics. This r…
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Protein as a preoperative predictor - Impact of hypoalbuminemia on 30-day outcomes of breast reduction surgery.
[BACKGROUND] Hypoalbuminemia, a biomarker of malnutrition, has been associated with adverse surgical outcomes;, however, its impact on breast reduction surgery is not yet well-documented. [METHODS] We queried the American college of surgeo…
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Postoperative Outcomes After Breast Reduction: Do Racial Disparities Exist?
[BACKGROUND] Racial disparities in surgical outcomes are well documented across various procedures, including oncological and reconstructive breast surgery. However, it remains unclear whether these inequalities extend to reduction mammopla…
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Synthetic Simulators for Microsurgery Training: A Systematic Review.
[BACKGROUND] Microsurgery has a steep learning curve. Synthetic simulators have proven to be useful training tools for the initial learning stages, as well as being ethically sound, viable, safe, and cost-effective. The objective of this re…
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Indications, outcomes, and complications of neoumbilical reconstruction: A systematic review.
[BACKGROUND AND OBJECTIVES] Neoumbilicoplasty aims to reconstruct an aesthetically pleasing new umbilicus following agenesis, malignancy, anatomical distortion, or umbilicus loss. Despite the wide variety of surgical techniques described, l…
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Diastasis Recti with Concomitant Ventral Hernia Repair: An Initial Experience in the United Arab Emirates Population.
Diastasis recti (DR) is characterized by an abnormal separation between the rectus abdominis muscles. Traditional repair includes only plication; however, complications may arise in the presence of concurrent ventral hernias (VH). This stud…
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The Nasolabial Flap in Nose Reconstruction: Tips and Tricks Towards Expanded Usage and Optimized Cosmesis.
The nose is the most critical aesthetic element of the face and even the smallest loss of substance can create a deformity of concern. The forehead flap has been the workhorse for nasal reconstruction for centuries but requires multiple sur…
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Lower limb soft tissue reconstruction using free ALT flaps: multimodal parameter analysis to predict the level of spontaneous reinnervation.
[INTRODUCTION] This work aims to assess lower limb free flaps spontaneous sensory recovery by comparing and analyzing a single standardized reconstructive procedure, namely the free noninnervated anterolateral thigh (ALT) flap in order to e…
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The medial sural artery perforator flap for retromolar trigone reconstruction: A multicenter case series.
[BACKGROUND] Retromolar trigone (RMT) cancer is a rare malignancy, which develops in a narrow area of the oral cavity. Surgical intervention requires wide excision and appropriate reconstruction usually with a free tissue transfer. Little h…
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Role of the Cadaver Lab in Lymphatic Microsurgery Education: Validation of a New Training Model.
[BACKGROUND] Microsurgical transplantation of vascularized lymph nodes (VLNT) or lymphatic vessels (VLVT) alongside derivative lymphaticovenous procedures are promising approaches for treatment of lymphedema. However, clinically relevant tr…
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Facial Fat Grafting (FFG): Worth the Risk? A Systematic Review of Complications and Critical Appraisal.
Autologous fat is ideal soft tissue filler. It is easily accessible, biocompatible, cheap, and it provides both volume augmentation and skin quality improvement. Fat grafting has been used since 1893, but it has only gained widespread popul…
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Dual-Plane Retro-pectoral Versus Pre-pectoral DTI Breast Reconstruction: An Italian Multicenter Experience.
[BACKGROUND] The use of conservative mastectomies has risen significantly during the last few years. The reconstructive choice of direct-to-implant reconstruction has become more practicable with modern mastectomy techniques. The initial tr…
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The Adipo-Fascial ALT Flap in Lower Extremities Reconstruction Gustillo IIIC-B Fractures. An Osteogenic Inducer?
[RESULTS] Mean time from injury to flap coverage was 72 hours. The mean size of bone defects was 4-7,6 cm. All flaps were Antero Lateral Tight flaps, and the fracture sites did not have any evidence of infection. None of the patients was a …
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The proximal ulnar perforator flap (PUPF) for hand digital reconstruction: an anatomical study.
Degloving injuries of the fingers represent a reconstructive challenge. Even if poorly described in literature, the proximal ulnar perforator flap (PUPF), based on perforator of the anterior ulnar recurrent artery or directly on a perforato…
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Social Perception of Reconstruction following Orbital Exenteration.
[BACKGROUND] Orbital exenteration, the removal of the entire globe, eyelids, and orbital content, is indicated in extensive neoplastic disease involving the orbital region. Although a functional reconstruction of orbital exenteration defect…
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Safety of Reconstructive Microsurgery in the Elderly Population: a Multicentric Prospective Study.
[BACKGROUND] Safety of reconstructive microsurgery in elderly patients is still a topic of debate, because no conclusive evidence exists that provides indications and risk evaluation in elderly patients. The purpose of this study, which the…
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Selective Enzymatic Debridement For The Management Of Acute Upper Limb Burns.
Upper limb burn treatment represents a major medical and surgical challenge. Enzymatic escharolysis is a rather new technique to treat thermal burns in an easy and rapid way, as an alternative to the standard of care. The aim of the study w…
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Medial femoral condyle free flap in combination with paramedian forehead flap for total/subtotal nasal reconstruction: Level of evidence: IV (therapeutic studies): Level of evidence: IV (therapeutic studies).
[BACKGROUND] The nose is a functionally complex organ with also a critical role in aesthetics. For reconstruction of full thickness nasal defects, multiple stages are needed and there is risk for resorption resulting in residual deformity. …
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Comparisons of fascio-cutaneous anterolateral thigh and sandwich fascial ALT free flap in the distal extremity reconstruction.
[INTRODUCTION] The anterolateral thigh (ALT) flap is considered a workhorse reconstructive option; however, it is encumbered by its bulkiness that can result in poor final outcome and need for revision surgery. The aim of the present study …
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A sequence of flaps and dissection exercises in the living model to improve the learning curve for perforator flap surgery.
[INTRODUCTION] The training to learn how to perform perforator flaps requires practice on a living model to optimize dissection and to evaluate outcome. The purpose of this study was to describe a training model that optimizes the use of an…
- Superthin SCIP Flap for Reconstruction of Subungual Melanoma: Aesthetic Functional Surgery.
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Free gracilis flap for chest wall reconstruction in male patient with Poland syndrome after implant failure.
Poland's syndrome (PS) is a congenital monolateral deformity that may involve breast, chest wall, and upper limb with different degrees of clinical expressions. In some cases, the problem is mainly cosmetic, and the reconstruction should be…