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The application of robot-assisted microsurgery in orthoplastic surgery.
[OBJECTIVES] The orthoplastic approach has emerged as the gold standard in the reconstruction of complex extremity injuries. While robot-assisted microsurgery (RAMS) enhances precision and ergonomics, its role in the challenging orthoplasti…
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Venous Thromboembolism After Pedicled TRAM Versus Free Flap Breast Reconstruction: A Propensity-Matched Analysis.
[BACKGROUND] Venous thromboembolism (VTE) is a potentially life-threatening complication after autologous breast reconstruction, but comparative data between pedicled transverse rectus abdominis myocutaneous (TRAM) and free flap techniques …
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Time well spent? The impact of operative time on breast reduction outcomes.
[BACKGROUND] Although extended operative duration increases risks in other surgeries, its impact on breast reduction outcomes remains unclear. This retrospective cohort study investigated the relationship between operative time and postoper…
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Indocyanine Green Fluorescence Angiography as a Predictor of Distal Flap Necrosis in Latissimus Dorsi Free Flaps.
[BACKGROUND] Vascularization of the distal latissimus dorsi (LD) muscle flap determines the success of the procedure, particularly in large defects. Failure due to distal flap necrosis can necessitate reoperation and increase mortality. Ind…
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"Microsurgical breast reconstruction - A salvage option for failed implant-based breast reconstruction".
[BACKGROUND] The objective of this study was to evaluate microsurgical breast reconstruction as a salvage option for patients with failed implant-based breast reconstruction. [METHODS] We conducted a retrospective single-center study inclu…
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Engineering Vascularized Transplantable Soft Tissue Free Flaps in Sheep Using the Arteriovenous Loop Technique.
The aim of this study was to grow axially vascularized soft tissue flaps in sheep using the arteriovenous loop (AVL) technique to be transplanted for defect reconstruction. This technique may be a promising alternative to conventional free …
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[The Reconstruction of Complex Thoracic Defects with Free Flaps and the Choice of the Appropriate Recipient Vessel].
Extensive thoracic wall defects can arise from the resection of malignant tumours or from sternal osteomyelitis following cardiac surgery. The aim of this study is to analyse the feasibility of reconstruction with free flaps, and considers …
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Comparison of Decellularized Human Dermal Scaffolds versus Bovine Collagen/Elastin Matrices for Engineering of Soft-Tissue Flaps.
[BACKGROUND] Free flap-based soft-tissue reconstruction comes at the price of donor-site morbidity. The arteriovenous loop (AVL) technique can overcome this issue by allowing for the de novo generation of axially vascularized soft-tissue fl…
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Free Flap Reconstruction of Sternal Defects after Cardiac Surgery: An Algorithmic Approach for Dealing with Sparse Recipient Vessels.
[BACKGROUND] Sparsity of recipient vessels poses a challenge for microsurgical free flap reconstruction of sternal defects following deep sternal wound infection after cardiac surgery. [METHODS] From January 2013, a standardized algorithm …
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A single-center retrospective comparison of muscle versus cutaneous free flaps for posterior elbow defect reconstruction.
[INTRODUCTION] Comparative data on free flap outcomes for elbow defect reconstruction are still lacking. This study aimed to compare complication rates of free muscle flaps (MFs) versus cutaneous flaps (CFs) for posterior elbow reconstructi…
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[Free medial sural artery perforator flap for reconstruction of hand defects].
[OBJECTIVE] Defect reconstruction of the hand by means of the free medial sural artery perforator (MSAP) flap. [INDICATIONS] Reconstruction of full-thickness defects on the hand with a thin non-bulky flap in cases of exposure of functional…
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Turn Your Vision into Reality-AI-Powered Pre-operative Outcome Simulation in Rhinoplasty Surgery.
[BACKGROUND] The increasing demand and changing trends in rhinoplasty surgery emphasize the need for effective doctor-patient communication, for which Artificial Intelligence (AI) could be a valuable tool in managing patient expectations du…
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Acellular Human Placenta Small-Diameter Vessels as a Favorable Source of Super-Microsurgical Vascular Replacements: A Proof of Concept.
In this study, we aimed to evaluate the human placenta as a source of blood vessels that can be harvested for vascular graft fabrication in the submillimeter range. Our approach included graft modification to prevent thrombotic events. Subm…
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Reconstruction of Hand and Foot Defects with Free Serratus Carpaccio Flap and Free Serratus Fascia Flap: A Comparative Retrospective Study of Surgical Outcomes.
[BACKGROUND] Defects of the hand and foot often require an individualized reconstructive approach, due to their unique functional and aesthetic characteristics. Transferred tissues should be thin, pliable, and durable, with free fascial fla…
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[The conjoined latissimus dorsi and parascapular free flap for reconstruction of extensive soft tissue defects].
[OBJECTIVE] Durable and resilient soft tissue reconstruction of vast defects of the extremities or the torso. [INDICATIONS] Reconstruction of disproportionately large defects, particularly in cases of simultaneous bone and joint reconstruc…
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A Retrospective Comparative Functional and Aesthetic Outcome Study of Muscle versus Cutaneous Free Flaps for Distal Upper Extremity Reconstruction.
[BACKGROUND] Function and cosmesis are crucial in upper extremity reconstruction. Yet, there persists a lack of outcome evaluations, particularly regarding differences between free flap types. [METHODS] In a single-center retrospective a…
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A single-center retrospective comparison of Duplex ultrasonography versus audible Doppler regarding anterolateral thigh perforator flap harvest and operative times.
[INTRODUCTION] We reported on the superiority of preoperative Duplex mapping ("Duplex") over audible Dopplers ("Doppler") in anterolateral thigh perforator (ALT) free flaps for upper extremity reconstruction. To corroborate our findings on …
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The Free Myocutaneous Tensor Fasciae Latae Flap-A Workhorse Flap for Sternal Defect Reconstruction: A Single-Center Experience.
[INTRODUCTION] Deep sternal wound infections (DSWI) after cardiac surgery pose a significant challenge in reconstructive surgery. In this context, free flaps represent well-established options. The objective of this study was to investigate…
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The prognostic role of extended preoperative hypercoagulability work-up in high-risk microsurgical free flaps: a single-center retrospective case series of patients with heterozygotic factor V Leiden thrombophilia.
[INTRODUCTION] Hypercoagulability is associated with an increased risk of microvascular complications and free flap failures. The authors present their experience and approach to diagnosing and treating patients with heterozygotic factor V …
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Microsurgical reconstruction of extensive lower extremity defects with the conjoined parascapular and latissimus dorsi free flap.
[BACKGROUND] Extensive lower extremity soft-tissue defects pose a reconstructive challenge. We present our experience with the conjoined parascapular and latissimus dorsi (CPLD) free flap. [METHODS] From October 2008 to October 2017, 69 pa…
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The Impact of Indocyanine-Green Fluorescence Angiography on Intraoperative Decision-Making and Postoperative Outcome in Free Flap Surgery.
[BACKGROUND] Reliable perfusion of the distal portions of free flaps is decisive for the reconstructive success. Indocyanine green near-infrared video angiography (ICG-NIR-VA) has been adopted for objective assessment of free flap tissue p…
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One-stage double free flap arteriovenous loop reconstruction of a massive abdominothoracic defect following necrotizing fasciitis: A case report.
We report the case of a 67-year old male with necrotizing fasciitis after injection of the glenohumeral joint. After extensive debridement a massive defect from the left hip joint to the left upper arm, exposing ribs, scapula, axillary vess…
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A multivariable miRNA signature delineates the systemic hemodynamic impact of arteriovenous shunt placement in a pilot study.
Arteriovenous (AV) fistulas for hemodialysis can lead to cardiac volume loading and increased serum brain natriuretic peptide (BNP) levels. Whether short-term AV loop placement in patients undergoing microsurgery has an impact on cardiac bi…