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16건 · 최신순-
Immediate microsurgical breast reconstruction following vertical incision mastectomy in patients with ptotic breasts: An international multicenter case series.
[INTRODUCTION] Skin-sparing mastectomies often require reshaping of the skin envelope, particularly in patients with ptotic breasts. However, this reshaping can result in skin necrosis. A vertical skin resection technique, combined with imm…
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Silicone particles in breast implant capsules: A retrospective single-center study evaluating silicone bleeding.
[INTRODUCTION] Breast implants consist of a silicone elastomer shell filled with either silicone gel or saline solution. As per the Food and Drug Administration (FDA), breast implants offer safety and efficacy but pose short and long-term r…
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Combining Historic and Modern Concepts: How the Delay Phenomenon Enhances Propeller Flap Success in Large Dorsolumbar Soft Tissue Reconstruction.
The authors present a novel 2-staged approach for complex dorsolumbar wound reconstruction in a multioperated spine patient with limited local flap options and contraindications for free flap reconstruction due to arteriosclerosis and cardi…
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Twinning Initiative: A 7-phase Multidisciplinary Mentorship Model to Implement Deep Inferior Epigastric Perforator Flap Breast Reconstruction in New Centers.
[BACKGROUND] Introducing complex microsurgical techniques in resource-limited settings is a challenge. The "twinning initiative" provides a structured and phased mentorship between experienced and recipient centers, eventually improving loc…
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New surgical approach for buried penis with partial release of the penile suspensory system associated with fat transfer and suprapubic retraction.
[BACKGROUND] Adult acquired buried penis (AABP) is a condition of entrapment of the phallus resulting most commonly from obesity. This condition has a significant negative impact on the quality of life, including micturate difficulties, sex…
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Autogenous breast reconstruction for total mastectomies: a narrative review.
[BACKGROUND AND OBJECTIVE] Mastectomies have a significant socio-psychological impact, motivating patients to undergo breast reconstruction. Initially, silicone implants were used to reconstruct the breast. However, breast implants have bee…
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DIEP flap in breast reconstruction: A morbidity study of bilateral versus unilateral reconstruction.
[BACKGROUND] The Deep Inferior Epigastric Perforator (DIEP) flap is a modality in breast reconstruction of choice. Despite its well-documented benefits and complications, a lack of evidence remains with regards to the risks of performing a …
- Revisiting Limitations of Present Models in Microsurgery Training: Presentation of a Novel Model.
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Immediate fine-tuning of DIEP flaps using the Wise pattern mastectomy: Description of the technique and a retrospective analysis of complication rates.
[INTRODUCTION] Elliptical skin-sparing mastectomy in patients with large or ptotic breasts usually leaves loose mastectomy skin flaps, which need to be either resected or gathered over the DIEP flap. This results in poor control of the brea…
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A New Technique for Breast Pocket Adjustment: Argon Beam Thermal Capsulorrhaphy.
Implant malposition remains one of the main complications of aesthetic breast augmentation and alloplastic breast reconstruction with expanders and implants. Many capsulorrhaphy techniques have been described to adjust the breast pocket and…
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Biocell-Initial patents versus user instructions guide: A discrepancy at the core of a crisis.
[PURPOSE] Our aim is to do a comparative qualitative analysis of patents and "User Manuals" of the Biocell textured implants in order to determine if red flags were omitted when marketing and using Biocell textured implants. [MATERIALS AND…
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Thiel-embalmed porcine placenta: A valid and reusable microsurgical practice model.
[BACKGROUND] Simulation models are increasingly important for skill acquisition during microsurgery training. Prosthetics, living and non-living biological models have been proposed in the literature in the optics of recreating real-life sc…
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Partial DIEP flap loss in a patient with history of abdominal liposuction.
Classically, history of prior abdominal liposuction has been considered a relative contraindication for breast reconstruction using deep inferior epigastric perforator (DIEP) flap. The rationale for this is based on the fact that liposuctio…
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Analysis of Allergan's Biocell Implant Recall in a Major University Breast Center.
[BACKGROUND] In May 2019, Health Canada released a national recall of all macrotextured breast implants that later became international in July 2019 regarding increasing accounts of suspected breast implant-associated anaplastic large cell …
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Immediate breast reconstruction surgery with expander/direct implant and use of acellular dermal matrix: Does hormone therapy increases the risk of infection?
[BACKGROUND] The use of hormone therapy (tamoxifen and aromatase inhibitors) has been shown to increase venous thromboembolism. However, while estrogens play a crucial role in wound healing, no study has assessed the impact of tamoxifen or …
- Smoking and plastic surgery a Montreal perspective.