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Comparison of Robotic-assisted and Conventional Deep Inferior Epigastric Perforator Flaps: A Retrospective Cohort Study.
[BACKGROUND] The deep inferior epigastric perforator (DIEP) flap is widely regarded as the gold standard for breast reconstruction. Recent advancements in robotic-assisted microsurgery have enabled perforator-to-perforator anastomoses. This…
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Perioperative Tranexamic Acid Reduces Bleeding and Wound Complications in Post-Bariatric Abdominoplasty: A Retrospective Cohort Study.
Post-bariatric abdominoplasty is associated with a high risk of bleeding and wound complications due to extensive tissue resection and impaired tissue quality. Tranexamic acid (TXA) reduces perioperative bleeding in multiple surgical discip…
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Why the "" Becomes a "Trans-": Validation of the "Number " for Implant Height Prediction in Gender-Affirming Breast Augmentation Using Anatomical Implants.
Breast augmentation is the most frequently performed gender-affirming surgery (GAS) for transfeminine individuals. Because of anatomical differences between transfeminine and cisgender women, implant selection requires tailored planning. Th…
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Robotic-Assisted Microsurgery in Gender-Affirming Phalloplasty.
Genital gender-affirming masculinization surgeries require handling of small vessels and nerves handling in deep planes. Since the introduction of the Symani Surgical System for robotic-assisted microsurgery in clinical practice, its value …
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Efficient Free Flap Monitoring-A Single-Center Study Comparing Different Monitoring Periods.
[INTRODUCTION] Postoperative monitoring is an important part in the complex process of reconstructive microsurgery. While it can improve quality and outcome of microsurgical reconstructions, it is also very resource intensive. The aim of th…
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Insights Into Minimally Invasive Aesthetic Procedure-Defining Demographic Factors and Impact of the Treatment on Self-Perception: A Propensity-Matched Cross-Sectional Study.
[BACKGROUND] The lion's share of the research on facial aesthetic procedures focuses on visual results and patient satisfaction. [OBJECTIVES] To characterize treated and untreated potential patients and the identification of determinants t…
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Effect of transversus abdominis plane blocks in abdominoplasties on postoperative outcomes.
[BACKGROUND] Acute postoperative pain after surgery may lead to significant complications including chronification of pain, impaired cardiopulmonary function, and increased healthcare costs. As a common and complex procedure, abdominoplasty…
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Comparative Analysis of Liposuction and Conservative Treatment in Lipedema Patients: A Modified Body-Q Questionnaire Study.
: Despite its estimated high prevalence among women and increasing awareness, lipedema remains under-investigated. Ignoring its debilitating nature, surgical treatment for this condition is frequently covered by health insurance only in adv…
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Water-Jet Assisted Liposuction in Lipedema: Which Cannula is the Safest?
[BACKGROUND] Liposuction in lipedema is a safe and effective treatment, but there currently are no studies analyzing the individual complications of water-jet-assisted liposuction in lipedema or the impact of the cannula's design. [OBJECTI…
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Gender Gap? A Survey among Plastic Surgeons in Germany.
[INTRODUCTION] There is an ongoing increase in the percentage of females in the field of Plastic Surgery in Germany. Currently, 29,1% of fellows and 46% of residents in Germany are female. Several studies have pointed out the various obstac…
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[Robot-assisted Microsurgery for Autologous Breast Reconstruction - Robotic Breast Reconstruction].
[BACKGROUND] With the introduction of novel surgical robots and surgical microscopes for the special needs of open microsurgery, the concept of robotic-assisted microsurgery is gaining popularity. While initial preclinical studies indicate …
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Preclinical Performance of the Combined Application of Two Robotic Systems in Microsurgery: A Two-center Study.
[BACKGROUND] Recent advancements in the development of robotic devices increasingly draw the attention toward the concept of robotic microsurgery, as several systems tailored to open microsurgery are being introduced. This study describes t…
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Ideal suturing technique for robot-assisted microsurgical anastomoses.
The development of novel robotic devices specifically designed for open microsurgery leads to increasing applications in reconstructive procedures. While initial studies revealed improved precision and surgical ergonomics upon robotic assis…
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Fully Telemetric Robotic Microsurgery: Clinical Experience With 23 Cases.
[BACKGROUND] Recently, there is an ongoing trend in plastic surgery with robotic-assisted microsurgery and supermicrosurgery devices being developed. Combining a telemetrically controlled robotic microscope with an also telemetrically contr…
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Functionality and Scar Evaluation of the Donor Site in Extended Radial Forearm Flap Phalloplasty: How Affected Is the Arm in Day-to-Day Life?
The radial forearm flap remains the gold standard in phalloplasty in gender-affirming surgery due to its versatility and functional outcome, but the significant donor site morbidity and its impact on daily functioning and aesthetic percepti…
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Seasonal Impact on Free Flap Surgery in Terms of Flap Loss and Wound Healing Disorders: A Retrospective Cohort Study of 158 Free Flaps.
(1) Background: Postoperative flap loss and wound healing disorders are severe complications after microsurgical free flap surgery. Despite multiple clinical observations, a possible influence of season and external temperature on outcome a…
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Breast Reconstruction with DIEP Flap: The Learning Curve at a Breast Reconstruction Center and a Single-Surgeon Study.
Although microsurgical breast reconstruction represents a very interesting and rewarding field of plastic surgery, appropriate microsurgical training is not possible in every plastic surgery department. In this retrospective study, we prese…
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Comparison of surgical and patient-reported outcomes between 85 profunda artery perforator flaps and 122 deep inferior epigastric perforator flaps as first-choice treatment for breast reconstruction.
[BACKGROUND] The profunda artery perforator (PAP) flap for breast reconstruction was first published in 2012. Since then, many centers implemented its application as second-line treatment for breast reconstruction in cases where patient cha…
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Use of the superficial inferior epigastric vein in breast reconstruction with a deep inferior epigastric artery perforator flap.
[BACKGROUND] Autologous breast reconstruction is highly regarded in reconstructive surgery after mastectomy. DIEP flap reconstruction represents the gold standard for autologous breast reconstruction. The major advantages of DIEP flap recon…
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[Stacked PAP flap for unilateral breast reconstruction: a case report].
[BACKGROUND] In recent years, the PAP (profunda artery perforator) flap has gained popularity in reconstructive breast surgery. However, the tissue available for flap harvest is usually limited. Therefore, grafting two PAP flaps to form a s…
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[Choice of flaps for phalloplasty: what is the contemporary standard? Consensus Statement of the German-Speaking Society for Microsurgery of Peripheral Nerves and Vessels].
The ever-expanding number of transmen as well as their surgeons share an increasing interest in the construction of a neophallus. While the indication for surgery and the positive effect of a phalloplasty on the quality of life, mental heal…
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Measurement of Postoperative Quality of Pain in Abdominoplasty Patients-An Outcome Oriented Prospective Study.
(1) Background: Postoperative pain is a frequently underestimated complication significantly influencing surgical outcome and patient satisfaction. While abdominoplasty is one of the most commonly performed plastic surgery procedures, studi…
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Breaking the circle-effectiveness of liposuction in lipedema.
[BACKGROUND] Lipedema is a common chronic fat distribution disorder often aligned with pain and reduced quality of life affecting 6-10% of the female population. Although lipedema has acquired more scientific attention in the last decade, v…
- [Liposuktion beim Lipödem - Doch besser als ihr Ruf?].
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Patient-Reported Outcomes of Liposuction for Lipedema Treatment.
[BACKGROUND] Lipedema, as a disabling and consequential disease, is gaining more awareness due to its potential omnipresence. Patients suffering from lipedema show a characteristic painful display of symmetric accumulations of adipose tissu…
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Complication Rates after Breast Surgery with the Motiva Smooth Silk Surface Silicone Gel Implants-A Systematic Review and Meta-Analysis.
[BACKGROUND] In an era where textured devices are being phased out due to concerns about BIA-ALCL, the Motiva SilkSurface breast implants intend to alleviate historical prosthesis-related complications. However, its safety and feasibility r…
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Mastopexy Strategies for Ptotic Breasts in Patients Choosing Autologous Reconstruction Following Prophylactic Mastectomy.
[BACKGROUND] Autologous breast reconstruction is a reliable solution for many patients after mastectomy. While this technique represents a standardized approach in many patients, patients with ptotic breasts may require a combination of pro…
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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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Initial experience with the superficial circumflex iliac artery perforator (SCIP) flap for extremity reconstruction in Caucasians.
[BACKGROUND] The superficial circumflex iliac artery perforator (SCIP) flap has been established in Asia to provide an excellent option for soft tissue defect coverage. The main advantage of this delicate flap is its very thin design. Howev…
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Robotic-Assisted Microsurgery and Its Future in Plastic Surgery.
Within the last 20 years, robotic-assisted surgeries have been implemented as routine procedures in many surgical fields, except in plastic surgery. Although several case series report promising results, technical and economic aspects have …