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Interdisciplinary lower extremity reconstruction in peripheral artery disease with AV-loops and latissimus dorsi flaps.
[OBJECTIVES] Extensive soft tissue defects of the lower leg can be effectively addressed by transplantation of various free microvascular flaps. A fundamental requirement for successful free microvascular flap coverage is the availability o…
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[A Consensus Statement of the German-speaking Society for Reconstructive Microsurgery (GSRM): What Imaging Modalities are Necessary for Visualisation of Connecting Vessels prior to Microsurgical Transplantation in the Lower Extremity?].
At a consensus workshop, the following questions were discussed regarding the preoperative imaging of recipient vessels prior to microsurgical transplantation in the lower extremity: • Is preoperative imaging necessary for patients with cli…
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[A consensus statement of the German Speaking Society for Reconstructive Microsurgery (GSRM): role and potential of robotic microsurgery].
As part of a consensus workshop, the following key questions regarding the future of robotic microsurgery were discussed: • What functional and ergonomic requirements should future robotic microsurgery systems meet with respect to their har…
- [Correction: A Consensus Statement of the German-speaking Society for Reconstructive Microsurgery (GSRM): What Imaging Modalities are Necessary for Visualisation of Connecting Vessels prior to Microsurgical Transplantation in the Lower Extremity?].
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Robotic microsurgery for pediatric peripheral nerve surgery.
The technology of microsurgical robotic systems has shown potential benefit during the last decade for a variety of microsurgical procedures, such as vascular anastomoses, lymphatic anastomoses or nerve coaptation. At the same time, periphe…
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[Autologous Breast Reconstruction and Radiotherapy: Consensus Report of the German-Speaking Society for Reconstructive Microsurgery (GSRM)].
Autologous postmastectomy breast reconstruction is associated with favourable long-term clinical outcomes and superior patient-reported outcomes (PROMs) compared with implant-based reconstruction. However, adjuvant radiotherapy has traditio…
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ITIH5 inhibits proliferation, adipogenic differentiation, and secretion of inflammatory cytokines of human adipose stem cells-A new key in treating obesity?
Inter-α-trypsin inhibitor heavy chain 5 (ITIH5) is widely expressed in the human body, and it is detected to be particularly abundant in adipose tissue. ITIH5 expression is increased in people with obesity compared to lean persons and is de…
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First Series of Free Flap Reconstruction Using a Dedicated Robotic System in a Multidisciplinary Microsurgical Center.
Robotic microsurgery is a novel technology for microsurgical free flap transplantation in reconstructive surgery. Recently, the first free flap transplantation using a dedicated robotic system for microsurgery (Symani Surgical System; Medic…
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Comprehensive Analysis of Local Anesthetics Affecting Adipose Stem Cells In Vitro.
[BACKGROUND] Adipose stem cells (ASCs) hold a great regenerative capacity because of their differentiation capability and their secretory activity. Thus, ASC survival is of great significance during perioperative harvesting. Various local a…
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Effects of epinephrine, lidocaine, and prilocaine on viability and differentiation capacity of human adipose stem cells.
[INTRODUCTION] Local anesthetics (LAs) are routinely administered in plastic and reconstructive surgery, e.g., as tumescent anesthesia adjunct in liposuction. Historically, these substances were assumed to act cytotoxically. Thus, the appli…
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[Registry Research Funding of the German Society of Plastic, Reconstructive and Aesthetic Surgery (DGPRÄC) and Research Funding Report 2021/2022].
[BACKGROUND] Research is an integral part of academic medicine. In plastic surgery, it sets the course for innovations in the specialty. The purpose of this study is to present the research performance of plastic surgeons in Germany for the…
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Leaving the perfusion zones? Individualized flap design in 100 free DIEP and ms-TRAM flaps for autologous breast reconstruction using indocyanine green angiography.
[BACKGROUND] There is still no consensus regarding the ideal zoning in abdominal-based autologous breast reconstruction using free DIEP or ms-TRAM flaps. In particular, the perfusion pattern of the flap according to the number of perforator…
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Improving the Safety of DIEP Flap Transplantation: Detailed Perforator Anatomy Study Using Preoperative CTA.
Background: Deep inferior epigastric perforator and muscle sparing transverse rectus abdominis muscle flaps are commonly used flaps for autologous breast reconstruction. CT-angiography allows to analyse the perforator course preoperatively.…
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[New Technologies in Microsurgery: Potential, Indications and Economical Aspects - Report of the Consensus Workshop of the German-Speaking Society for Microsurgery of Peripheral Nerves and Vessels (DAM)].
Recently, several new technologies to support microsurgeons have received European market approval. This article summarizes and discusses the impressions of an expert panel to classify the potential of new technologies in terms of benefits …
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Effects of Silicone Breast Implants on Human Cell Types In Vitro: A Closer Look on Host and Implant.
[BACKGROUND] Silicone (gel) breast implants (SBI) are used world-wide for breast augmentation, and reconstruction or to correct breast deformities. They consist of two compounds: an elastomer silicone shell (envelope) and a silicone gel fil…
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[Registry Research Funding of the German Society of Plastic, Reconstructive and Aesthetic Surgeons (DGPRÄC) and Research Funding Report 2019/2020].
[BACKGROUND] Since 2015/16 the DGPRÄC collects, evaluates and publishes the research activities of academic sections, departments and clinics for plastic surgery at university hospitals in Germany, in order to raise the awareness of plasti…
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Interdisciplinary Treatment of Breast Cancer After Mastectomy With Autologous Breast Reconstruction Using Abdominal Free Flaps in a University Teaching Hospital-A Standardized and Safe Procedure.
Breast cancer is the most common malignancy in women. The interdisciplinary treatment is based on the histological tumor type, the TNM classification, and the patient's wishes. Following tumor resection and (neo-) adjuvant therapy strategie…
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Plastic Surgery Reconstruction of Chronic/Non-Healing Wounds.
In western countries, approximately 1 % of individuals are affected by chronic wounds during their lifetime. Due to changing demographics, this incidence will likely increase in the future. Additionally, the high prevalence is accompanied b…
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Plasticity of patient-matched normal mammary epithelial cells is dependent on autologous adipose-derived stem cells.
Due to the increasing clinical application of adipose-derived stem cells (ADSC), e.g. lipotransfer for breast reconstruction, this study aimed to gain novel insights regarding ADSC influence on breast tissue remodeling and determine patient…
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[Registry Research Funding of the German Society of Plastic, Reconstructive and Aesthetic Surgeons (DGPRÄC) and Research Funding Report 2017/2018].
[INTRODUCTION] This report serves to publicize the research of academic institutions for Plastic Surgery within our society DGPRÄC in 2017/2018 and sequels the funding report of 2015/2016. Applications to public, non-public, or industrial f…
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Scars and perforator-based flaps in the abdominal region: a contraindication?
[BACKGROUND] Although multiple strategies for autologous breast reconstruction exist, a vertical midline scar in the abdominal wall as a result of previous laparatomy or abdominoplasty represents a major surgical challenge. To date, little …
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[Microsurgical training - report on the consensus workshop of the 31st annual meeting of the German-language group for microsurgery of the peripheral nerves and vessels 2009 in Erlangen].
Based on the increasing importance of microsurgical procedures in the field of plastic and hand surgery, as well as in other related fields, a consensus workshop was held during the 31st annual meeting of the German-language working group f…
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Aesthetic and functional correction of female, asymmetric funnel chest - a combined approach.
There is still sparse information published about the surgical correction of female funnel chest deformity. Women with severe asymmetric funnel chest deformity often present with asymmetric, hypoplastic breasts. These patients frequently co…
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Surgical treatment of facial cutis verticis gyrata with direct excision.
[BACKGROUND] Cutis verticis gyrata (CVG) is a rare deformity of the skin presenting with thick gyrated folds and ridges, involving predominantly parts of the head and the face. [OBJECTIVE] We report on aspects of the surgical treatment of …