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Anatomical Study of SCIAP (Superficial Circumflex Iliac Artery Perforator) and SIEA (Superificial Inferior Epigastric Artery) Flaps for Flap Harvest Training in the Swine Model.
[INTRODUCTION] Microsurgery training necessitates a progression from basic to advanced techniques, utilizing artificial models, cadaver labs, and live animals. Living animals are of paramount importance to simulate flap harvest and have a r…
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Use of the Superficial Circumflex Iliac Artery Perforator Flap for Urethra and/or Shaft Reconstruction in Gender-Diverse Persons: 10-Year Single-Center Experience.
[BACKGROUND] Although the free radial forearm flap (FRFF) is the standard for phalloplasty, the conspicuous donor-site scar, need for microsurgery, and tendency for the phallus to deflate over time leads both patients and surgeons to seek a…
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Latissimus Dorsi Flap and Thoracodorsal Artery Perforator Flap with Immediate Fat Transfer (LIFT and TIFT): A Retrospective Study about Total Breast Reconstruction in High-Risk Patients.
[INTRODUCTION] Microsurgical breast reconstruction has become popular over the past twenty years and allows a tailor-tuck approach to each patient. However, smoking or coagulation disorders may switch surgeon's choice towards alternative op…
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"Functional trapezius muscle reconstruction after resection of a desmoid tumor using an innervated gracilis free flap".
Desmoid tumors are characterized by indolent growth, progressive invasion of surrounding tissues and a high rate of relapse. We present the case of a desmoid tumor rising from the trapezius of a young woman. Following resection, we performe…
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Meta-analysis of the effects of venous super-drainage in deep inferior epigastric artery perforator flaps for breast reconstruction.
[INTRODUCTION] Venous congestion is the most common vascular complication of the deep inferior epigastric artery perforator (DIEP) flaps. Adding a second venous drainage by anastomosing a flap vein and a recipient vein (super-drainage) is c…
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Different Hydraulic Constructs to Optimize the Venous Drainage of DIEP Flaps in Breast Reconstruction: Decisional Algorithm and Review of the Literature.
[BACKGROUND] Venous congestion is the most common perfusion-related complication of deep inferior epigastric artery perforator (DIEP) flap. Several hydraulic constructs can be created for venous superdrainage in case of flap venous engorge…
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Integrated Treatment of Breast Cancer-related Lymphedema: A Descriptive Review of the State of the Art.
[BACKGROUND/AIM] Upper limb breast cancer-related lymphedema (BCRL) is a chronic and severe condition affecting a significant percentage of breast cancer survivors. Even though its physiopathology is well-known, there is no worldwide consen…
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A sequence of flaps and dissection exercises in the living model to improve the learning curve for perforator flap surgery.
[INTRODUCTION] The training to learn how to perform perforator flaps requires practice on a living model to optimize dissection and to evaluate outcome. The purpose of this study was to describe a training model that optimizes the use of an…
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Nonsurgical treatment of earlobe aging in Mowlavi stages I and II earlobe ptosis with Hyaluronic acid fillers.
[BACKGROUND] Earlobe deflation caused by fat atrophy is normally treated with lipofilling, mostly in the context of facelift surgery. In this report, we aim at reporting on Hyaluronic Acid injections to treat earlobe deflation. [MATERIALS …
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The Thin bilateral and bipedicled DIEAP flap for axillary reconstruction in hidradenitis suppurativa.
[INTRODUCTION] Reconstruction after resection of advanced stage hidradenitis suppurativa is currently performed with pedicled perforator flaps, that allow functional reconstruction and preservation of shoulder function. Skin availability is…
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Chest Surgery for Transgender and Gender Nonconforming Individuals.
Chest surgery can greatly facilitate the experience of living in a gender role. For transfeminine chest surgery, most surgeons recommend a 12-month period of feminizing hormone therapy prior to breast augmentation. For those who already hav…
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An Update on the Surgical Treatment for Transgender Patients.
[INTRODUCTION] As gender dysphoria is becoming increasingly accepted in the general population, the number of patients seeking gender reassignment surgery is increasing. Although not every patient with gender dysphoria requires surgery, med…
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The face lift SMAS plication flap for reconstruction of large temporofrontal defects: reconstructive surgery meets cosmetic surgery.
[BACKGROUND] Reconstruction of large defects in the temporal region can be performed with skin grafts or pedicled or free flaps. Results are often not optimal because of the patch of a skin graft, lack of availability of local flaps, and di…