Ulrich DJO

[BACKGROUND] The anterolateral thigh (ALT) flap is a reliable and versatile flap with the ideal characteristics for soft-tissue reconstruction. However, as it is known for its highly variable anatomy, it requires preoperative perforator loc…

[BACKGROUND] Although deep inferior epigastric perforator (DIEP) flap breast reconstruction is the most widely used technique for autologous breast reconstruction, this technique leads to large scars in visible areas on breast and abdomen. …

[BACKGROUND] The purpose of this study was to evaluate the present-day practices in the preparation, peri-, and postoperative care for patients undergoing autologous free flap breast reconstructions (ABR) worldwide, with the aim of enhancin…

[BACKGROUND] Preoperative perforator mapping of the Profunda Artery Perforator (PAP) flap is hindered by challenges in aligning preoperative images with the intraoperative lithotomy position of the leg. Dynamic Infrared Thermography (DIRT) …

[BACKGROUND] Breast augmentation continues to be a popular procedure with high outcome satisfaction; however, dissatisfied patients still remain. To understand this outcome variability, this study aimed to identify factors that may influenc…

[BACKGROUND] Rhinoplasty is a complicated facial surgery which aims to improve the appearance of the nose, resulting in the enhancement of satisfaction with appearance and quality of life. Therefore, it is crucial to understand which factor…

[BACKGROUND] Deep inferior epigastric perforator (DIEP) flap breast reconstruction leads to large scars in the breast and abdominal region. Common symptoms related to abdominal scarring include changes in color, stiffness, thickness, and ir…

[BACKGROUND] Dynamic infrared thermography (DIRT) is a quick and non-invasive technique for perforator mapping in free flaps that provides real-time information. After a cold challenge, areas best supplied with blood become visible hotspots…

[BACKGROUND] To evaluate the success of a breast augmentation, it is essential to measure outcomes from the patient perspective, because a successful aesthetic result is, in particular, determined by the patient. This study aimed to evaluat…

[BACKGROUND] Breast augmentation is one of the most common aesthetic procedures worldwide. Most studies have focused on evaluating the outcome with validated patient-reported outcome measures (PROMs) and factors that may influence them. How…

[BACKGROUND] Rhinoplasty is a challenging and demanding procedure in plastic surgery. Surgical success, patient satisfaction, and improved quality-of-life are important outcomes. [OBJECTIVES] This study aimed to evaluate patient-reported s…

[BACKGROUND] Upper blepharoplasty is the most popular facial cosmetic surgery. Although there are a variety of reasons to undergo this procedure, all patients expect an optimal cosmetic result. However, little is known about the factors tha…

[UNLABELLED] Flap monitoring after a deep inferior epigastric perforator flap breast reconstruction is crucial to detect complications in time. A novel and innovative wireless device has been developed and tested in a feasibility study. Thi…

[PURPOSE] This research aimed to explore factors associated with patient-reported breast and abdominal scar quality after deep inferior epigastric perforator (DIEP) flap breast reconstruction (BR). [MATERIAL AND METHODS] This study was des…

[INTRODUCTION] Lymphedema is a condition which heavily impacts patients QoL. For patients who desire autologous breast reconstruction, lymph nodes can be included in the Deep Inferior Epigastric Artery (DIEP) flap combining vascularized lym…

[BACKGROUND] In breast reconstruction operations, surgical wound dehiscence is a serious complication that generates a significant burden on patients and health care systems. There are indications that postoperative treatment with closed-in…

[BACKGROUND] The use of perforator mapping has become routine for many microsurgeons in the planning and performing of free flaps in breast reconstructions. Within this field, the number of available technologies and their quality has rapid…

[BACKGROUND] To determine the success of an upper blepharoplasty, a popular cosmetic procedure, it is essential to measure outcomes from the patient perspective because these often outweigh objective outcomes. [OBJECTIVES] This study aimed…

[BACKGROUND] During a deep inferior epigastric perforator (DIEP) flap harvest, the identification and localization of the epigastric arteries and its perforators are crucial. Holographic augmented reality is an innovative technique that can…

[BACKGROUND] The profunda artery perforator (PAP) flap is a reliable flap for breast reconstruction. By extending the traditional flap, it is possible to include more tissue and thereby enhance flap volume. The aim of this study is to demon…

Cold storage remains the clinical standard for composite tissue preservation but is time-limited. A long ischemia time during surgery will adversely affect postoperative outcomes due to ischemia-reperfusion injury. Extracorporeal perfusion …

[BACKGROUND] Enhanced recovery after surgery protocols are successfully implemented in different surgical specialties, but a specific protocol for autologous breast reconstruction is missing. The aim of this study was to determine whether a…

[OBJECTIVES] To date, little is known about postoperative changes in breast volume after autologous breast reconstruction. The purpose of this retrospective study was to investigate breast volume changes following autologous free flap recon…

[BACKGROUND] Microvascular free tissue transfer is a reliable method for reconstructive surgery. However, pedicle thrombosis remains a serious complication following free tissue transfer as no consensus has been reached on the optimal manag…