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17건 · 최신순-
Efficacy of vascularized lymph node transfer for lower extremity lymphedema: A systematic review and meta-analysis of 395 patients from 25 peer-reviewed studies.
[BACKGROUND] Lower extremity lymphedema (LEL) is a debilitating disease causing limb enlargement secondary to fluid accumulation. Although vascularized lymph node transfer (VLNT) has emerged as a promising option for refractory cases, data …
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Association of decreased lymphatic vessel density with postoperative eyelid edema.
[PURPOSE] We sought to investigate whether variations in lymphatic morphology are associated with postoperative eyelid edema in patients who underwent upper eyelid blepharoplasty. [METHODS] This was a prospective study in which nine upper …
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Determining Accurate Dye Combinations for Sentinel Lymph Node Detection: A Systematic Review.
[BACKGROUND] Lymphatic dyes are commonly used to map the drainage path from tumor to lymphatics, which are biopsied to determine if spread has occurred. A blue dye in combination with technetium-99 is considered the gold standard for mappin…
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Review of treatment strategies after lymphadenectomy: From molecular therapeutics to immediate microsurgical lymphatic reconstruction.
[OBJECTIVE] Lymphedema is a common complication of cancer treatment, such as lymphadenectomy and radiation therapy. It is a debilitating condition with pathologic tissue changes that hinder effective curative treatment and jeopardize patien…
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Analysis of the microsurgery fellowship match: 2019-2022 update.
[BACKGROUND] A recent analysis of microsurgery fellowship match data published in 2019 demonstrated increased competition for available positions. With growing opportunities in the field, the authors hypothesize that the landscape for both …
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Silicone Breast Implant Surface Texture Impacts Gene Expression in Periprosthetic Fibrous Capsules.
[BACKGROUND] Silicone breast implants with smooth outer shells are associated with higher rates of capsular contracture, whereas textured implants have been linked to the development of breast implant-associated anaplastic large cell lympho…
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Use of a bovine pericardial patch angioplasty for completion of a complicated end to side anastomosis of a recipient vessel in the free flap reconstruction of a radiated wound: A case report.
Soft tissue sarcomas treated by extensive surgical resection and adjuvant radiation can lead to large tissue deficits that require free flap repair. Significant radiation can further compromise vessels necessitating novel therapeutic approa…
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Does plastic surgery need a rewiring? A survey and systematic review on robotic-assisted surgery.
[BACKGROUND] This is a paucity of data regarding plastic surgeons' opinions on robotic-assisted surgery (RAS). We developed a questionnaire aimed to survey plastic surgeons regarding training in robotics, concerns about widespread implement…
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Reconstructive Surgeons as Essential Operative Consultants: Quantifying the True Value of Plastic Surgeons to an Academic Medical Center.
[BACKGROUND] The revenue generated by plastic surgeons assisting other surgical services is poorly captured by hospital accounting systems, which categorize solely by attending physician of record. The financial impact of reconstructive sur…
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A Survey of Current Preferences of Plastic Surgeons Regarding the Assessment and Reduction of Preoperative Patient Anxiety.
[BACKGROUND] Preoperative anxiety is a common phenomenon in plastic surgery that has been associated with numerous negative patient outcomes. Little is known about the preferences of plastic surgeons regarding management of patient preopera…
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Supercharged Free Transverse Rectus Abdominis Myocutaneous Flap: An Autologous Reconstructive Option for the Thin Breast Reconstruction Patient.
The free transverse rectus abdominis myocutaneous (fTRAM) flap is a frequently used option for autologous breast reconstruction, typically based on deep inferior epigastric vessels anastomosed to either the axillary or internal mammary syst…
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Patient Characteristics Associated with Free Nipple Graft Reduction Mammoplasty.
[PURPOSE] Surgical approaches for reduction mammoplasty most commonly incorporate a parenchymal vascular pedicle. For patients with larger breasts where pedicle viability may be compromised due to excessive length, the free nipple graft (FN…
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Porcine Mesothelium-Wrapped Diced Cartilage Grafts for Nasal Reconstruction.
[BACKGROUND] Fascia-wrapped diced cartilage grafts have become a useful tool in modern rhinoplasty surgery. Unfortunately, fascial harvest is associated with donor site morbidity; therefore, a nonautologous alternative to fascia would be id…
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Simulation of plastic surgery and microvascular procedures using perfused fresh human cadavers.
[INTRODUCTION] Surgical simulation models are often limited by their lack of fidelity, which hinders their essential purpose, making a better surgeon. Fresh cadaveric tissue is a superior model of simulation owing to its approximation of li…
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Assessment of three-dimensional high-definition visualization technology to perform microvascular anastomosis.
[BACKGROUND AND AIM] Traditional visualization techniques in microsurgery require strict positioning in order to maintain the field of visualization. However, static posturing over time may lead to musculoskeletal strain and injury. Three-d…
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A systematic review and meta-analysis of complications associated with acellular dermal matrix-assisted breast reconstruction.
[BACKGROUND] Multiple outcome studies have been published on the use of acellular dermal matrix (ADM) in breast reconstruction with disparate results. The purpose of this study was to conduct a systematic review and meta-analysis to determi…
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Use of human acellular dermal matrix in implant- based breast reconstruction: evaluating the evidence.
The use of acellular dermal matrix (ADM) in implant based breast reconstruction has become increasingly popular to the point that a subset of surgeons use ADM for virtually every tissue expander/implant based reconstruction. While there may…