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Bridging the Gap: Enhancing Aesthetic Surgery Training through Post-bariatric Procedures in Plastic Surgery Residencies.
Plastic surgery includes both reconstructive and aesthetic procedures, with residency programs designed to provide comprehensive training. However, practical experience in aesthetic surgeries is often limited because these procedures are no…
- Modified McKissock Technique for Secondary Breast Reduction: A Prospective Study on Safety and Surgical and Aesthetic Outcomes.
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Implant-based versus autologous mastopexy after massive weight loss: Complications and patient satisfaction.
[UNLABELLED] Mastopexy surgery is among the procedures most requested by patients after massive weight loss. Many require a florid and voluminous breast, which is achieved thanks to the implantation of a breast prosthesis. However, mastopex…
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Microsurgical Reconstruction with Free Tissue Transfer in Skin Cancer Patients: A Systematic Review.
[BACKGROUND/OBJECTIVES] The gold standard of treatment for both melanoma and non-melanoma skin cancers is wide surgical resection to obtain oncological radicality, which occasionally results in functional or aesthetic impairment, potentiall…
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Reverse abdominoplasty: easily solving complicated situations.
[BACKGROUND] Epigastric tissue abundancy after abdominoplasty or liposuction is a complicated scenario that requires a precise and targeted approach. Especially when concurrent mammoplasty is planned or has already been done by the patient,…
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Generation Z in Plastic Surgery: Challenges, Solutions and New Horizons - A European and transatlantic overview.
[INTRODUCTION] The entrance of Generation Z (born 1997-2012) into professional life, including the practice of medicine, marks a transformational shift in priorities and values. This generation, shaped by digital immersion and a strong fo…
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Lower-Limb Salvage Procedure using Anterolateral Thigh Free Flap and Multiple Tendon Grafts in a Road Injury Patient: A Case Report.
[INTRODUCTION] The free anterolateral thigh (ALT) flap is commonly used to repair a large loss of soft tissue following a lower-limb injury. An issue to be managed is the choice of adequate recipient vessels when the tibial arteries result …
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Ovarian Leiomyosarcoma as Incidentaloma during Postbariatric Abdominoplasty Surgical Procedure.
This case report addresses the discovery, surgical management, histology, and postoperative outcomes of an incidentaloma during the preoperative evaluation of a 58-year-old woman planning to undergo abdominoplasty and hernia correction afte…
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Minimally invasive scar release by autologous adipose tissue transfer for post-traumatic neuropathic pain.
[INTRODUCTION] Addressing post traumatic lower limb neuropathic pain is challenging across medical specialties. To address this potentially devastating condition, several invasive and non-invasive approaches have been proposed with inconsis…
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Case Report: A new variant of the forehead flap for subtotal nose reconstruction in a single stage: the dragonfly flap.
[BACKGROUND] The forehead flap is probably the most used method for nose reconstruction after cancer resection. During the past century, this technique has been continuously refined to achieve better functional and aesthetic outcomes. Diffe…
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Aesthetic Surgery Tourism: An Opportunity or a Danger?
[BACKGROUND] Medical and surgical tourism is a rapidly growing phenomenon in post-pandemic Europe. The exodus of patients abroad to perform surgery, especially cosmetic treatments, is spreading recently in industrialized countries. In the s…
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The Effect of Adjuvant Radiotherapy on One- and Two-Stage Prosthetic Breast Reconstruction and on Autologous Reconstruction: A Multicenter Italian Study among 18 Senonetwork Breast Centres.
[PURPOSE] In modern breast cancer treatment, a growing role has been observed for breast reconstruction together with an increase in clinical indications for postmastectomy radiotherapy (PMRT). Choosing the optimum type of reconstructive te…
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Topography of the deep branch of the ulnar nerve between genders: a cadaveric study with potential clinical implications.
The lack of meticulous knowledge concerning the topographical anatomy of the deep branch of the ulnar nerve (DUN) may pose difficulties, leading to a delay or a misdiagnosis of a DUN injury. Identification of the DUN is quite difficult with…
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Retrospective Analysis of Predictive Factors for Complications in Abdominoplasty in Massive Weight Loss Patients.
[INTRODUCTION] Ex-obese patients present with redundancy of abdominal skin and soft tissue due to massive weight loss (MWL). The plastic surgeon can restore the body shape through body contouring procedures. Hence the need to adequately dir…
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Litigation Cases After Post-Bariatric Surgery: Lesson from the Past.
[BACKGROUND] Due to the high demand of post-bariatric surgeries, the number of litigation cases is rapidly growing. Even if surgical mistakes still represent one of the main causes of medico-legal issues, many disputes depend on what happen…
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Complete Implant Wrapping with Porcine-Derived Acellular Dermal Matrix for the Treatment of Capsular Contracture in Breast Reconstruction: A Case-Control Study.
[BACKGROUND] Capsular contracture (CC) represents one of the most common complications in breast reconstruction surgery, impairing final result and patients' well-being. The role of acellular dermal matrixes (ADM) has been widely described …
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Braxon-assisted prepectoral breast reconstruction: A decade later.
We are sitting on the cusp of the bioengineered breast era, in which implant-based breast reconstruction is seeing a growing trend and biotechnology research progressively empowers clinical practice. As never before, the choice of biomateri…
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A New CT Analysis of Abdominal Wall after DIEP Flap Harvesting.
The abdominal microsurgical flap based on the deep inferior epigastric artery perforator (DIEP) flap has become the most popular option worldwide for autologous breast reconstruction. Several authors have investigated the results of reconst…
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Extended latissimus dorsi flap with propeller ascending design for reconstruction of a complex lateral lumbar defect: A case report and review of the literature.
Lateral lumbar defects are rarely encountered and difficult to manage because of the limited reach of loco-regional flaps and the unfavorable position of recipient vessels for microsurgical transfer. The purpose of this report is to describ…
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Deep inferior epigastric perforator flap preoperative planning: A comparative analysis between dynamic infrared thermography, computerized tomography angiography, and hand-held Doppler.
[INTRODUCTION] Hand-held Doppler (HHD) sonography and computerized tomography angiography (CTA) are the common assessment tools for deep inferior epigastric perforator (DIEP) flap preoperative planning. CTA is considered the gold standard m…
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Reverse posterior interosseous flap: different approaches over the years - A systematic review.
The posterior interosseous flap (PIOF), as fasciocutaneous flap, represents an interesting option in reconstructive surgery of the upper limb. The PIOF allows coverage of losses of substance of the dorsal side of the hand and, with technica…
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Gluteal Region Reshaping of Massive Weight Loss Patients-A Decision-Making Strategy.
Massive weight loss (MWL) is a very common presentation that you may face as a plastic surgeon. Each patient has his own individual criteria, so, you should work according to a well-organized plan, especially when such cases have concerns …
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The McKissock's technique in reduction mammaplasty: A comparative study of outcomes and complications in 211 consecutive patients.
Reduction mammaplasty is one of the most popular plastic surgery procedures requested by patients. The areola holding flap can be sculpted using a variety of methods that have evolved over time dependent on vascularity. Our institution has …
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Chronic Knee and Ankle Pain Treatment through Selective Microsurgical Approaches: A Minimally Invasive Option in the Treatment Algorithm for Refractory Lower Limb Pain.
[BACKGROUND] Injury or compression of a sensory nerve is an under-reported source of disabling pain in the lower limb. It is known that peripheral nerve microsurgeons can reconstruct and rewire injured nerves to relieve chronic pain but th…
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Combining traditional and microsurgical reconstruction after a complex hand trauma with multiple tissue defects. A case report.
Complex injuries involving bones, tendons and soft tissues of the hand still represent a difficult challenge for reconstructive surgeons. Hereby, we present a case of a man suffering from a complex crush injury of the right hand that led to…
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Studying nerve transfers: Searching for a consensus in nerve axons count.
Axonal count is the base for efficient nerve transfer; despite its capital importance, few studies have been published on human material, most research approaches being performed on experimental animal models of nerve injury. Thus, standard…
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Safety of Reconstructive Microsurgery in the Elderly Population: a Multicentric Prospective Study.
[BACKGROUND] Safety of reconstructive microsurgery in elderly patients is still a topic of debate, because no conclusive evidence exists that provides indications and risk evaluation in elderly patients. The purpose of this study, which the…
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Current Surgical Therapy of Locally Advanced cSCC: From Patient Selection to Microsurgical Tissue Transplant. Review.
Among the non-melanoma skin cancers (NMSC) the squamous cell carcinoma (SCC) is one of the most challenging for the surgeon. Local aggressiveness and a tendency to metastasize to regional lymph nodes characterize the biologic behavior. The …
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Brief history in the time of SARS-CoV-2 pandemic in Italy. A close look on a Plastic Surgery Unit and Plastic Surgeons efforts during the COVID-19 outbreak.
[BACKGROUND] SARS-CoV-2 and its related COVID-19 are now affecting people worldwide. The pandemic, started at the end of 2019 and spread in Europe and all over the world at the beginning of the 2020, is the biggest threat to the health and …
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Bowel perforation after liposuction in abdominal contouring surgery: Case report.
[INTRODUCTION] Liposuction is one of the most performed procedures in aesthetic plastic surgery worldwide, and its spectrum of applications covers almost all body areas. Systemic or visceral complications following liposuction are rare, but…