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44건 · 최신순-
The application of robot-assisted microsurgery in orthoplastic surgery.
[OBJECTIVES] The orthoplastic approach has emerged as the gold standard in the reconstruction of complex extremity injuries. While robot-assisted microsurgery (RAMS) enhances precision and ergonomics, its role in the challenging orthoplasti…
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Liposuction, lipectomy, or combined techniques for Madelung's disease: A systematic review.
[BACKGROUND] Madelung's disease (MD) is a rare disorder with progressive, symmetric, non-encapsulated adipose deposition, predominantly in the cervicothoracic region. Surgery, lipectomy, liposuction, or combined procedures is the main treat…
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Ergonomic Considerations in Robotic-assisted Microsurgery.
[OBJECTIVE] Microsurgery necessitates precision and skill, with conventional methods often leading to surgeon discomfort due to prolonged static postures. The introduction of robot-assisted microsurgery using the Symani surgical system and …
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Implementation Strategies and Ergonomic Factors in Robot-assisted Microsurgery.
Robot-assisted surgery represents a significant innovation in reconstructive microsurgery, providing enhanced precision and reduced surgeon fatigue. This study examines the integration of robotic assistance in a series of 85 consecutive rob…
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Indocyanine Green Fluorescence Angiography as a Predictor of Distal Flap Necrosis in Latissimus Dorsi Free Flaps.
[BACKGROUND] Vascularization of the distal latissimus dorsi (LD) muscle flap determines the success of the procedure, particularly in large defects. Failure due to distal flap necrosis can necessitate reoperation and increase mortality. Ind…
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[Perioperative Assessment and Management of Hypercoagulability and Thrombophilia in Microsurgery: Consensus Report of the German-Speaking Society for Reconstructive Microsurgery (GSRM)].
Uninterrupted blood flow through microsurgically anastomosed vessels is crucial for the postoperative success of reconstructive microsurgery. Contrary to the highly standardized anastomosis techniques, the pivotal partner discipline of evid…
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Clinical experience in open robotic-assisted microsurgery: user consensus of the European Federation of Societies for Microsurgery.
This study provides a comprehensive guide to robotic-assisted microsurgery. Following more than 900 clinical cases in 13 centers, this joint project was initiated to summarize and consent to the user experience. Two robotic systems specific…
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Robot-Assisted Microsurgery Has a Steeper Learning Curve in Microsurgical Novices.
[INTRODUCTION] Mastering microsurgery requires advanced fine motor skills, hand-eye coordination, and precision, making it challenging for novices. Robot-assisted microsurgery offers benefits, such as eliminating physiological tremors and e…
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"Microsurgical breast reconstruction - A salvage option for failed implant-based breast reconstruction".
[BACKGROUND] The objective of this study was to evaluate microsurgical breast reconstruction as a salvage option for patients with failed implant-based breast reconstruction. [METHODS] We conducted a retrospective single-center study inclu…
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[The Reconstruction of Complex Thoracic Defects with Free Flaps and the Choice of the Appropriate Recipient Vessel].
Extensive thoracic wall defects can arise from the resection of malignant tumours or from sternal osteomyelitis following cardiac surgery. The aim of this study is to analyse the feasibility of reconstruction with free flaps, and considers …
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Comparison of outcomes of arterial end-to-side versus end-to-end anastomosis in autologous deep inferior epigastric perforator (DIEP) flap breast reconstruction: DIEP-ES study protocol.
[BACKGROUND] End-to-end anastomosis to the internal mammary artery (IMA) is the current standard anastomosis technique for women undergoing autologous breast reconstruction with deep inferior epigastric perforator (DIEP) flap. This approach…
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Using a Microsurgical Robotic Platform for In-flap Anastomosis in Autologous Bipedicular Breast Reconstruction.
Autologous microsurgical breast reconstruction has become a standard of care. As techniques become more individualized and aim for less-invasive approaches, vessels ever smaller in diameter are considered for flap anastomosis. Robot-assiste…
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Robot-assisted Microsurgery: Lessons Learned from 50 Consecutive Cases.
[BACKGROUND] The potential of robot-assisted surgery in plastic and reconstructive surgery remains to be established, especially in free tissue transfer. This prospective study aimed to present our experience and findings from the first 50 …
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[Robot-assisted Microsurgery in Lower Extremity Reconstruction].
[BACKGROUND] In recent years, various robotic systems specifically designed for microsurgical tasks have been developed and approved. There is not much evidence for these systems to date. In our study, we examined the use of robot-assisted …
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Free Flap Reconstruction of Sternal Defects after Cardiac Surgery: An Algorithmic Approach for Dealing with Sparse Recipient Vessels.
[BACKGROUND] Sparsity of recipient vessels poses a challenge for microsurgical free flap reconstruction of sternal defects following deep sternal wound infection after cardiac surgery. [METHODS] From January 2013, a standardized algorithm …
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[Modern concepts of interdisciplinary extremity reconstruction in open fractures].
The orthoplastic approach involves the collaboration of orthopedic/trauma surgeons, vascular surgeons and reconstructive microsurgeons. In cases of complex limb fractures, the aims are to optimize blood flow, restore bone stability, reconst…
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A single-center retrospective comparison of muscle versus cutaneous free flaps for posterior elbow defect reconstruction.
[INTRODUCTION] Comparative data on free flap outcomes for elbow defect reconstruction are still lacking. This study aimed to compare complication rates of free muscle flaps (MFs) versus cutaneous flaps (CFs) for posterior elbow reconstructi…
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[Free medial sural artery perforator flap for reconstruction of hand defects].
[OBJECTIVE] Defect reconstruction of the hand by means of the free medial sural artery perforator (MSAP) flap. [INDICATIONS] Reconstruction of full-thickness defects on the hand with a thin non-bulky flap in cases of exposure of functional…
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Technical Strategies and Learning Curve in Robotic-assisted Peripheral Nerve Surgery.
[BACKGROUND] Robotic-assisted peripheral nerve surgery (RASPN) has emerged as a promising advancement in microsurgery, offering enhanced precision and tremor reduction for nerve coaptations. This study investigated the largest published pat…
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Hands-On Robotic Microsurgery: Robotic-Assisted Free Flap Reconstruction of the Upper Extremity.
: Robot-assisted microsurgery (RAMS) has been introduced into the field of plastic surgery in recent years. It potentially offers enhanced precision and control compared to traditional methods, which is crucial for complex microvascular tas…
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Robot-assisted microsurgery: a single-center experience of 100 cases.
The adoption of robot-assisted microsurgery (RAMS) is a cutting-edge advancement in the realm of microsurgery. The Symani Surgical System is CE approved and has recently gained FDA approval. It provides tremor elimination, motion scaling an…
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Hopeless Neuroma-The Neurotized Free Flap Tissue Augmentation as Salvage Therapy-A Concept and Clinical Demonstration.
Therapy-resistant neuroma pain is a devastating condition for patients and surgeons. Although various methods are described to surgically deal with neuromas, some discontinuity and stump neuroma therapies have anatomical limitations. It is …
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Scalp Reconstruction Using the Latissimus Dorsi Free Flap: A 12-Year Experience.
[BACKGROUND] Complex scalp defects are regularly reconstructed using microvascular tissue transfer. The latissimus dorsi free flap is one of the workhorse flaps used in scalp reconstruction. These cases necessitate, particularly in the elde…
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Reconstruction of Hand and Foot Defects with Free Serratus Carpaccio Flap and Free Serratus Fascia Flap: A Comparative Retrospective Study of Surgical Outcomes.
[BACKGROUND] Defects of the hand and foot often require an individualized reconstructive approach, due to their unique functional and aesthetic characteristics. Transferred tissues should be thin, pliable, and durable, with free fascial fla…
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Intraoperative Heparin Bolus and Postoperative Anticoagulation with Low Molecular Weight Heparin Increase Reliability of Microsurgical Free Flaps for Upper Extremity Reconstruction.
[BACKGROUND] Microsurgery is an indispensable tool of upper extremity reconstruction addressing defect coverage and the restoration of function. Perioperative anticoagulation and antiplatelet therapy are controversially discussed with impa…
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[The conjoined latissimus dorsi and parascapular free flap for reconstruction of extensive soft tissue defects].
[OBJECTIVE] Durable and resilient soft tissue reconstruction of vast defects of the extremities or the torso. [INDICATIONS] Reconstruction of disproportionately large defects, particularly in cases of simultaneous bone and joint reconstruc…
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A Retrospective Matched-Pair Analysis of Long-term Outcomes after Successful Lower Extremity Free Flap Salvage.
[BACKGROUND] Pedicle occlusion with total free flap loss after microvascular lower extremity reconstruction is a considerably rare yet devastating complication. Fortunately, in the majority of cases, emergency salvage takebacks of compromi…
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A Retrospective Comparative Functional and Aesthetic Outcome Study of Muscle versus Cutaneous Free Flaps for Distal Upper Extremity Reconstruction.
[BACKGROUND] Function and cosmesis are crucial in upper extremity reconstruction. Yet, there persists a lack of outcome evaluations, particularly regarding differences between free flap types. [METHODS] In a single-center retrospective a…
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Combined versus Single Perforator Propeller Flaps for Reconstruction of Large Soft Tissue Defects: A Retrospective Clinical Study.
Sufficient wound closure of large soft tissue defects remains a challenge for reconstructive surgeons. We aimed to investigate whether combined perforator propeller flaps (PPFs) are suitable to expand reconstructive options. Patients underg…
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Supermicrosurgical treatment for lymphedema: a systematic review and network meta-analysis protocol.
[BACKGROUND] Lymphedema is a condition that affects up to 130 million subjects worldwide. Since it is related to several complications and a significant reduction in terms of quality of life, it is a heavy burden not only to the patients bu…