논문 목록
39건 · 최신순-
Abdominal-based vs. alternative flaps: Surgical outcomes and quality of life following different techniques of autologous breast reconstruction.
Abdominal-based flaps are considered the gold standard for autologous breast reconstruction (ABR). With the increasing number of women undergoing mastectomy, however, alternative free flaps from other regions have emerged as valuable altern…
-
Longitudinal evaluation of lymphatic reconstruction: Ten-year practice and outcome data from a single institution.
Lymphedema (LE) is a chronic condition, caused by a lymphatic system dysfunction, with no definitive cure. Conservative treatment is the standard of care, but lymphatic reconstructive surgery has demonstrated promising results. After perfor…
-
Advances in Reconstructive Robotic Microsurgery in the Extremity.
Robotic surgery has emerged as a promising technique for reconstructive procedures, offering potential advantages across various surgical fields. Following initial case reports on the use of the Symani Surgical System (Medical Microinstrume…
-
Robotic assisted free flap reconstruction of the scalp using the Symani surgical system.
[PURPOSE] Robotic-assisted surgery currently is evolving as a new field in microsurgery with potential benefits for reconstructive surgery. The Symani Surgical System has shown feasibility in performing microsurgical anastomosis. Reconstruc…
-
Brain Drain for Brain Gain: Potential Applications of Robotic-assisted Lymphatic Microsurgery in the Management of Neurological Disorders.
[BACKGROUND] The central nervous system (CNS) was long believed to be devoid of lymphatic drainage. However, the discovery of the glymphatic system and meningeal lymphatics has revolutionized our understanding of cerebrospinal fluid homeost…
-
Lymphatic Reconstructive Surgery in Primary and Secondary Lymphedema: A Comparative Outcome Study.
[INTRODUCTION] Primary lymphedema (PLE) presumably results from an abnormal development of the lymphatic system. Current PLE management strategies are mainly rooted on practice algorithms well established for secondary lymphedema (SLE). The…
-
Benefits of Additional Liposuction in Lymphatic Reconstructive Surgery.
[BACKGROUND AND OBJECTIVES] The goal of this study was to examine the benefits of immediate adjunctive liposuction in patients undergoing lymphatic reconstructive surgery with a focus on complications, limb volume, and patient-reported outc…
-
Multidisciplinary management of complex scalp wounds: an experience-based algorithm for involving plastic surgeons in complex neurosurgical wound closure.
[OBJECTIVE] In complex cranial wound closures, plastic and reconstructive surgeons provide advanced techniques to improve healing and reduce complications, including infection. Although this multidisciplinary approach shows promise, data su…
-
Robotic Microsurgery in Extremity Reconstruction - Experience With a Novel Robotic System.
Robotic systems have successfully been introduced into other surgical fields in the past. First attempts with different setups are made in the field of microsurgery. The Symani® Surgical System, a flexible platform consisting of two robotic…
-
100 anastomoses: a two-year single-center experience with robotic-assisted micro- and supermicrosurgery for lymphatic reconstruction.
Robotic-assisted microsurgery has gained significant attention in recent years following the introduction of two dedicated microsurgical robotic systems specifically designed for this purpose. These feature higher degrees of movement and mo…
-
Microsurgical central lymphatic reconstruction-the role of thoracic duct lymphovenous anastomoses at different anatomical levels.
[INTRODUCTION] In recent years advances have been made in the microsurgical treatment of congenital or acquired central lymphatic lesions. While acquired lesions can result from any surgery or trauma of the central lymphatic system, congeni…
-
Robotic-assisted Lymphovenous Anastomosis of the Central Lymphatic System.
[BACKGROUND] Recent advances in robotic microsurgery have enabled the application of robotic technology in central lymphatic reconstruction. Although the use of microsurgical robots demands careful consideration of associated costs and pote…
-
Learning curve of robotic assisted microsurgery in surgeons with different skill levels: a prospective preclinical study.
Achieving precision in microsurgery requires skill, adequate instruments and magnification, as well as extensive training. Dedicated surgical robotic systems have enhanced and expanded the application of (super-)microsurgical techniques by …
-
Management of Delayed Vascular Occlusion in Free Flap Breast Reconstruction: A Systematic Review of Literature and Case Report.
[INTRODUCTION] Free flap surgery is a reliable and safe procedure for breast reconstruction. The survival of free flaps depends on their vascular pedicle initially, but neovascularization can sustain their blood supply after a while. Manage…
-
Evaluation of the Effect of Botulinum Toxin A on the Lymphatic Endothelial Cells.
[INTRODUCTION] Botulinum toxin A (BoTA) is a neurotoxin formed by Clostridium botulinum, with a broad medical application spectrum. While the primary effect of BoTA is on the muscles, the effects of BoTA in other systems including the blood…
-
Predictors for limb amputation and reconstructive management in electrical injuries.
[BACKGROUND] Electrical injuries follow a specific pathophysiology and may progressively damage both skin and deeper tissues, frequently ending in amputations. Type and timing of soft tissue reconstruction after electrical burns is crucial …
-
Benefits of robotic-assisted lymphatic microsurgery in deep anatomical planes.
Micro- and supermicrosurgeries have become standard techniques for lymphatic reconstruction. As increasingly smaller vessels are being targeted, robotic-assisted surgery has emerged as a new approach to push reconstructive limits owing to i…
-
First-in-human Use of a Microsurgical Robotic System for Central Lymphatic Reconstruction.
Advances in the development of robotic systems have recently enabled the use of robotic technology in reconstructive lymphatic surgery. Although the advantages of microsurgical robots must be weighed carefully against the costs, their use m…
-
Botulinum toxin to improve facial expression in a patient with Urofacial (Ochoa) Syndrome.
The Urofacial or Ochoa Syndrome is a very rare congenital disorder that includes vesical bladder dysfunction and a peculiar inverse facial expression, which brings patients to express a sad-crying face while they intend to laugh. Up-to-date…
-
Efficacy of closed reduction of nasal fractures-a retrospective analysis with focus on factors affecting functional and aesthetic outcomes.
[BACKGROUND] Nasal bone fractures are the most common type of facial bone fractures. While the nasal anatomy and closed reduction techniques of nasal fractures are well described, there is a paucity of data reporting on the need for revisio…
-
[Robotics in plastic surgery].
In recent years surgical robotic systems which were specifically developed for microsurgery have expanded the application of robotic-assisted surgery to plastic reconstructive surgery. Currently, there are two microsurgical robotic systems …
-
Complications arising from aesthetic surgery procedures in foreign countries and Switzerland.
[BACKGROUND] Cosmetic surgery tourism has increased in popularity in recent years, with arising complications and post-operative follow-up care often managed in the client's home country, thereby burdening the Swiss health care system. [ME…
-
Early Experience Using a New Robotic Microsurgical System for Lymphatic Surgery.
Robotic microsurgery has emerged as a new technology with potential benefits for reconstructive surgery. We report the first-in-human use of the Symani surgical system to perform lympho-venous and arterial anastomosis for lymphatic reconstr…
-
Patient-Reported Outcomes in Free-Flap Breast Reconstructive Surgery over Time (PRO-BREST).
[INTRODUCTION] Patient-reported outcomes (PROMs) are increasingly relevant to assess surgical quality and guide decisions in breast reconstruction (BR). Satisfaction with outcomes may change as time progresses. We assessed satisfaction in p…
-
Exploring the learning curve of a new robotic microsurgical system for microsurgery.
Robotic systems have recently been introduced into micro- and supermicrosurgery showing potential benefits for reconstructive surgery. After showing the feasibility and safety of using the Symani Surgical System® for lymphatic microsurgical…
-
Facial Transplantation: Nonimmune-Related Hyperacute Graft Failure-The Role of Perfusion Injury: A Case Report.
[BACKGROUND] The aim of this study was to report the first case of acute facial allograft transplantation (facial allograft transplantation) failure with allograft removal and autologous free-flap reconstruction. [METHODS] A 49-year-old fe…
-
Insurance coverage policies for reconstructive lymphatic microsurgery procedures in Switzerland.
[BACKGROUND] Lymphoedema is a progressive and potentially disabling disease. A growing number of studies show promising clinical results after microsurgical reconstruction. However, this treatment is currently not supported by level 1 evide…
-
Fluorescence angiography-assisted debridement of critically perfused glabrous skin in degloving foot injuries: Two case reports.
[RATIONALE] Degloving foot injuries are challenging to treat and associated with life-long sequelae for patients. An appropriate debridement of ischemic soft tissues with maximal preservation of glabrous skin is key during the reconstructio…
-
'Viewer discretion advised when preparing for surgery' - why YouTube cannot teach you how to do an upper blepharoplasty. An evaluation of the educational potential of surgical videos on blepharoplasty on YouTube.
Over the last years, the layout of surgical training has significantly changed. Surgical residents rely on YouTube videos to prepare for upcoming cases. Eyelid surgery including blepharoplasty ranks among the 5 most often performed cosmetic…
-
YouTube as a resource for surgical education with a focus on plastic surgery - a systematic review.
Surgery trainees use videos as a means to learn about surgical procedures. YouTube is the biggest online video platform and used for educational content as well but the medical information provided does not undergo peer review or other form…