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Comparison of Iomeprol-400, Ultravist-370, and Omnipaque-350 in Preoperative Computed Tomography for Visualizing the Deep Inferior Epigastric Perforators.
[BACKGROUND] Breast reconstruction using the deep inferior epigastric perforator (DIEP) flap is considered the gold standard, due to its natural results and minimal damage to the donor site. Precise preoperative imaging to identify optimal …
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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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Truth or Myth: Is Breast Implant Illness Really an Illness?
[BACKGROUND] Breast implant illness (BII) represents symptoms linked to silicone gel-filled breast implants. Research on BII remains limited, yielding contradictory conclusions. This study compared symptoms among healthy women with breast i…
- 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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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 …
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Analysis of 109 Consecutive Explanted Breast Implants: Correlation Between Suspected Implant Rupture and Surgical Findings.
[INTRODUCTION] The use of breast implants is on the rise due to increases in breast reconstructive and aesthetic surgery. Implant rupture is a possible complication. Among assessment modalities for implant rupture detection, MRI is consider…