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19건 · 최신순-
Hemiabdominal Deep Inferior Epigastric Perforator Flap Banking for Contralateral Occult Breast Cancer.
The deep inferior epigastric perforator (DIEP) flap is the gold standard in autologous breast reconstruction. Because abdominal tissue is limited to a single use, metachronous contralateral breast cancer reconstruction frequently necessitat…
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Simultaneous Bilateral Microsurgery in Autologous Tissue Breast Reconstruction.
Bilateral autologous breast reconstruction requires microsurgery on both sides, increasing operative time and surgeon workload compared with unilateral reconstruction. This study examines the efficacy of a simultaneous microsurgical approac…
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Usefulness of Tapered Cutting Needles for Lymphaticovenular Anastomosis.
We report the usefulness of a tapered cutting needle, which has a polyhedral tip similar to that of a square needle and transitions to a round tip in the middle, for super-microsurgery. We have performed more than 500 lymphaticovenular ana…
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Total Approach to Postoperative Fistula After Head and Neck Reconstruction.
Head and neck reconstructive surgery is a complex and lengthy procedure that carries a high postoperative complication risk. At our institution, the authors have successfully minimized fistula formation incidence following immediate reconst…
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Teaching of Microsurgery and Supermicrosurgery for Residents.
On the basis of our numerous years of experience in teaching residents without microsurgery experience and assisting in the initiation of microsurgery in clinical practice, we herein describe the general procedures and crucial aspects to co…
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Delayed breast reconstruction with autologous free flap after radiation therapy: vascular complications and aesthetic outcomes.
[BACKGROUND] The safety and outcome of breast reconstruction after radiotherapy are controversial, and the aesthetic aspects have not been studied extensively. We compared the results of vascular anastomosis, the incidence of postoperative …
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Super-Microsurgery for Vessels with Diameters Smaller Than 0.5 mm.
Among super-microsurgical techniques, the anastomosis of vessels smaller than 0.5 mm is very difficult to perform due to the small diameter and thinness of the blood and lymphatic vessel walls. In this article, we report on the main points …
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Breast Reconstruction Using Combined Unilateral Hemiabdominal DIEP Flap with Lipofilling from the Contralateral Abdomen.
The deep inferior epigastric perforator (DIEP) flap is the gold standard breast reconstruction procedure for patients with adequate lower abdominal tissue and is often elevated, including the unilateral DIEP. In patients with a lower midlin…
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Super-microsurgery technique for lymphaticovenular anastomosis.
[BACKGROUND] In super-microsurgery, such as lymphaticovenular anastomosis (LVA), the diameter of the target vessel can be small and difficult to manage, and the basic surgical technique of microsurgery, such as inserting a forceps into the …
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Lateral Thoracic Vessel as a Recipient Vessel in Immediate Breast Reconstruction after Nipple/Skin-Sparing Mastectomy: Experience with 270 Flaps.
[BACKGROUND] The selection of recipient vessels for free-flap breast reconstruction is important for the success of the surgery and the aesthetics of the breast mound. The thoracodorsal artery and vein (TDA/V) allow reconstruction without n…
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Relationship between rib cartilage resection and postoperative chest recession deformity in breast reconstruction.
[AIM] The most versatile recipient vessels for breast reconstruction are the internal mammary artery and vein. For microvascular anastomosis, one or two costal cartilages are often dissected to increase the length of the vessel and the degr…
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A Novel Doppler Flowmetry Shaft for Postoperative Monitoring after Head and Neck Reconstructive Surgery.
Doppler flowmetry is one of the most popular methods of monitoring Doppler signals during reconstructive surgery of the body surface. However, because of the thick and straight structure of the shaft, it is difficult to perform in areas wit…
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Double-pedicle unaffected split-breast flap for unilateral breast reconstruction.
[BACKGROUND] In some breast cancer patients with a contralateral unaffected hypertrophic and ptotic breast, autologous small-breast reconstruction with contralateral breast reduction is a good option. The current study is aimed to assess th…
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Immediate one-stage breast reconstruction for an 85-year-old breast cancer patient using deep inferior epigastric perforator flap surgery.
The deep inferior epigastric perforator (DIEP) flap is widely recognized as safe for use as a first-choice option in autologous tissue breast reconstruction; however, DIEP is often not performed for breast reconstruction in the elderly. We …
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Absent Internal Mammary Recipient Vein in Autologous Breast Reconstruction.
The internal mammary vessels (IMA/Vs) have been used as the first-choice recipient vessels for microsurgical anastomosis and flap inset in autologous breast reconstruction owing to their ease of access and use compared with the thoracodorsa…
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Long-Term Outcomes of Immediate Autologous Breast Reconstruction for Breast Cancer Patients.
[BACKGROUND] There is limited information on the oncological outcomes of immediate autologous breast reconstruction in the Asian population. This study aimed to evaluate the oncological outcomes of immediate one-stage autologous breast reco…
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Development of an invasive ductal carcinoma in a contralateral composite nipple graft after an autologous breast reconstruction: a case report.
[BACKGROUND] Nipple-areola complex (NAC) reconstruction is a technique used in breast reconstructive surgery, which is performed during the final stage of breast reconstruction after total mastectomy of primary breast cancer. Composite nipp…
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Contralateral unaffected breast augmentation using zone IV as a SIEA flap during unilateral DIEP flap breast reconstruction.
[BACKGROUND] Contralateral breast augmentation during unilateral breast reconstruction is a good option for women with small breasts. In patients with adequate lower abdominal tissues, the deep inferior epigastric perforator (DIEP) flap is …
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Application for lower facial fat reduction and tightening by static type monopolar 1-MHz radio frequency for body contouring.
[INTRODUCTION] Liposuction and mesotherapy are popular treatments for fat reduction of lower face, but because these treatments are invasive, a novel non-invasive treatment with similar or better efficacy has been sought. There are various …