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27건 · 최신순-
A Practical Algorithm for Donor- and Recipient-site Selection in Vascularized Lymph Node Transfer in Extremity Lymphedema.
[BACKGROUND] Vascularized lymph node transfer (VLNT) involves the autologous transplantation of functioning lymph nodes to a lymphedematous region. Despite various donor and recipient sites, comparative effectiveness and complication rates …
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Perfusion control of the nipple-areola complex in reduction plasty for gigantomastia using indocyanine green: A prospective observational study.
[INTRODUCTION] Reduction mammaplasty in patients with severe macromastia poses technical challenges. In cases involving large resection volumes and long distances between the sternal notch and nipple, the risk of postoperative perfusion dis…
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Long-term Outcomes of Poly-4-Hydroxybutyrate (P4HB) in Aesthetic Breast Surgery: An International Experience.
[BACKGROUND] Poly-4-hydroxybutyrate (P4HB), a naturally occurring component of human connective tissue, serves as a biomedically produced thermoplastic polyester scaffold that has been used in many surgical subspecialties. The utilization o…
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The Ideal Breast: Insights From a Patient's Survey and a Global Aesthetic Surgery Consensus at the A.M.B.E.R.
The concept of the "ideal breast" in aesthetic surgery has historically varied across regions, with European surgeons favouring more natural outcomes and South American surgeons preferring fuller aesthetics. This study aimed to evaluate whe…
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Local recurrences after DIEP reconstruction of the breast - Epidemiology and strategies for treatment.
Breast cancer is the most common cancer diagnosed in women. Breast reconstruction can be performed with autologous fat tissue, implants, or a combination of both. Overall, there is no increased risk of breast cancer recurrence after autolog…
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Enhancing Aesthetics in Bilateral DIEP Flap Breast Reconstruction: the Role of Tissue Pre-Expansion.
[BACKGROUND] Achieving symmetrical outcomes in bilateral autologous breast reconstruction is challenging, particularly in cases of asymmetrical recipient sites. Tissue pre-expansion is proposed to improve aesthetics by enlarging the skin en…
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Evolution and practice pattern in microsurgical breast reconstruction-A European multicenter study.
[BACKGROUND] This study investigated the evolution and practice pattern in microsurgical breast reconstruction. [METHODS] A retrospective multicenter study was conducted including all patients who underwent microsurgical breast reconstruct…
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Novel Top Surgery in Small-Breasted Individuals with Gender Dysphoria: Periareolar Interlocking Suture and Waterjet-Assisted Liposuction.
[BACKGROUND] In small-breasted individuals with gender dysphoria (GD), the concentric periareolar approach is typically the preferred method for mastectomy. However, this method carries a notable risk of hypertrophic scars and changes in ar…
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Innovative Surgical Concept for Simon's Grade IIb Gynecomastia: A Systematic Integration of Circumareolar Mastectomy, Interlocking Suture, Inframammary Fold Detachment, and Waterjet-Assisted Liposuction for Superior Long-term Outcomes.
[BACKGROUND] Gynecomastia, particularly Simon's Grade IIb, poses aesthetic and psychological challenges because of glandular excess and skin redundancy. Standard circumareolar mastectomy (CM) often leads to hypertrophic scarring, areolar wi…
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Subcutaneous Lower Pole Release for Double Bubble Prevention in Constricted-Base Breasts: The "Plus One" Augmentation Technique.
[BACKGROUND] Breasts with a broad base, constricted inframammary fold (IMF) and a short distance between the nipple and the IMF are predisposed to form a double bubble (DB) deformity. Most publications have focused on the correction of a DB…
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[Gender-Affirming Top Surgery for Gender Incongruence/Dysphoria: A Literature Review and Alignment with the New German S2k Guidelines on Mastectomy and Breast Augmentation].
"Top surgery", which refers to gender-affirming chest procedures, is one of the most common surgeries for individuals with gender incongruence (GI). These surgeries include breast augmentation or mastectomy and aim to align the physical app…
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Secondary solution for breast reconstruction following total DIEP flap loss: A single-center experience after 3270 DIEP flaps.
[BACKGROUND] Total deep inferior epigastric perforator (DIEP) flap failure is a significant concern in autologous breast reconstruction. Literature on secondary reconstruction options following total flap failure is limited. This study outl…
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Combining reconstructive and ablative surgical treatment of chronic breast cancer-related lymphedema (BCRL): safe and effective.
[PURPOSE] We investigated whether a one-stage combination of vascularized lymph node transfer (VLNT) with water jet-assisted liposuction (WAL) can be safely performed and results in improved patient outcomes such as a greater reduction in a…
- A National Survey to Assess the Population's Perception of Breast Implant-Associated Anaplastic Large Cell Lymphoma and Breast Implant Illness.
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Randomized Single-Center Study of Effectiveness and Safety of a Resorbable Lysine-Based Urethane Adhesive for a Drain-Free Closure of the Abdominal Donor Site in a DIEP Flap Breast Reconstruction Procedure.
[OBJECTIVE] The hypothesis of this parallel group randomized trial testifies if TissuGlu is a safe and an effective alternative to the conventional drainage placement in regard to post-operative fluid management in the abdominal donor site …
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Preoperative Perforator Mapping in DIEP Flaps for Breast Reconstruction. The Impact of New Contrast-Enhanced Ultrasound Techniques.
Deep inferior epigastric artery flaps (DIEP) represent the gold standard of autologous breast reconstruction. Due to significant variations in vascular anatomy, preoperative perforator mapping (PM) is mandatory in order to ensure the presen…
- Invited Response on: "Prevention and Management of Double-Bubble Deformity in Augmentation Mammoplasty".
- Risk factor stratification of three different pedicle techniques in reduction mammaplasty-the importance of an armamentarium of techniques individually addressing mild to severe breast hypertrophy.
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Risk Factor Analysis for Flap and Donor Site Related Complications in 1274 DIEP Flaps - Retrospective Single Center Study.
Breast cancer is the most common cancer affecting women worldwide. In Germany, in almost 70% of cases, women require a complete mastectomy and wish for breast reconstruction which is especially difficult when the breast was previously irrad…
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Double-Unit Superomedio-Central (DUS) Pedicle Inverted-T Reduction Mammaplasty in Gigantomastia: A 7-year Single-Center Retrospective Study.
[INTRODUCTION] Reduction mammaplasty in patients with gigantomastia is challenging. The Double-Unit technique with a Superomedio-Central pedicle and inverted-T incision is the standard technique for reduction mammaplasty in our clinic. The …
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The DIEP Flap as Well-established Method of Choice for Autologous Breast Reconstruction with a Low Complication Rate - Retrospective Single-centre 10-Year Experience.
Breast cancer is the most common cancer affecting women in Germany. Despite breast-conserving therapy (BCT) being carried out in almost 70% of cases, a high number of women still require complete mastectomy. Prophylactic mastectomy is also …
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[Not Available].
Perioperative management in microsurgery is a key element of success in reconstructive surgery. There are no uniform concepts for this in the German-speaking countries and individual schemes differ significantly from each other, as ascertai…
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D-SUN Method to Prevent Double-Bubble Deformity in Broad Base Breasts with High-Rising Inframammary Fold.
Breast augmentation is the most commonly performed plastic surgery among women worldwide. With time, implant selection shifted from arbitrary implantation to precise planning. Different methods address the dimensional planning process. Many…
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[Quality assurance in breast reconstruction - Establishment of a prospective national online registry for microsurgical breast reconstructions].
[BACKGROUND] The loss of a breast, and thus of the female body shape, is often extremely traumatising for women affected. Although free flap grafts have become the gold standard in reconstructive breast surgery, it has not been possible to…
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Breast shaping by an isolated tissue flap.
Breast reshaping surgery for tuberous breast, breast reduction, and mastopexy procedures aim to keep the gained shape for a long time. In breast reduction, the surgeon must avoid loss of fullness in the upper pole, descent of the breast mas…
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Tissue engineering in plastic reconstructive surgery.
Tissue engineering (TE) is a new interdisciplinary field of applied research combining engineering and biosciences together with clinical application, mainly in surgical specialities, to develop living substitutes for tissues and organs. Ti…
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[Cell transplantation in surgery--reality and prospects for tissue engineering].
Traditionally surgical repair of tissue defects and loss or failure of function has relied on mechanical means, medical (drug) treatment, autologous and allogenic transplantation, and alloplastic/synthetic devices. Tissue engineering repres…