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31건 · 최신순-
Preliminary study for the development of enhanced recovery after surgery program for free flap reconstruction in older population with advanced oral cancer: a single-center retrospective study.
[BACKGROUND] The enhanced recovery after surgery (ERAS) program is a combined perioperative bundle designed to reduce perioperative stress. However, whether these programs are safe and effective for older patients who have undergone free-fl…
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Role of Hyperbaric Oxygen Therapy in Maximizing Flap Survival in Compromised Free Flaps: A Case Report.
[BACKGROUND] Hyperbaric oxygen therapy (HBOT) has shown potential in salvaging compromised flaps, although its application has primarily been focused on local flaps rather than free flaps. [CASE] In this case report, we present the success…
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Methotrexate-associated lymphoproliferative disorder presenting as an ulcer with tendon exposure on the dorsum of the hand: a case report and literature review.
[INTRODUCTION] MTX-LPD is a complication that occurs during MTX treatment. Skin lesions in MTX-LPD are often subcutaneous nodules with occasional necrosis and ulceration. Although MTX-LPD regression is frequently observed upon discontinuati…
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Venous end-to-side anastomosis for free-flap reconstruction in the extremities: A case series and meta-analysis.
This case series aimed to investigate the result of venous end-to-side (ETS) anastomosis in the extremities to contribute to a meta-analysis to evaluate the postoperative complications of venous ETS anastomosis in the extremities. This was …
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Combined Revascularization and Free Flap Reconstruction for Chronic Limb-Threatening Ischemia: A Systematic Review and Meta-Analysis.
[BACKGROUND] Combined revascularization and free flap reconstruction is one treatment method for chronic limb-threatening ischemia (CLTI) with complex wounds. The purpose of this systematic review and meta-analysis was to investigate the c…
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Osteocutaneous superficial circumflex iliac perforator flap for the lower extremity bone and soft tissue reconstruction with perforator-to-perforator anastomosis after radical debridement of tibia osteomyelitis: A case report.
Reconstruction of soft tissue and bone defects in tibia chronic osteomyelitis is challenging and often managed by free flap with bone graft. However, the use of osteocutaneous free flap combined with perforator-to-perforator anastomosis has…
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Sural communicating nerve for application as a vascularized nerve graft: A microneurovascular anatomic study in cadavers.
[INTRODUCTION] Sural nerve harvest causes paraesthesia to the lateral heel of the foot, which can debilitate those with already compromised proprioception. To circumvent this, we investigated an alternative donor nerve, branch of the latera…
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Comparison of the Effectiveness of Liposuction for Lower Limb versus Upper Limb Lymphedema.
[OBJECTIVE] Liposuction is the most frequently performed debulking procedure in patients with lymphedema. However, it remains uncertain whether liposuction is equally effective for upper extremity lymphedema (UEL) and lower extremity lymphe…
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Conservative treatment versus lymphaticovenular anastomosis for early-stage lower extremity lymphedema.
[OBJECTIVE] Several options for the treatment of lower extremity lymphedema (LEL) can be broadly classified into conservative treatment, such as compression garments and decongestive lymphatic therapy, and surgical treatment, such as lympha…
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Facial Nerve Revascularization Strategies in Facial Restoration.
[UNLABELLED] Facial transplants represent the current exemplar in the reconstruction of severely damaged faces, whereas conventional free flap reconstruction has its limitations in restoring both function and surface cover. [METHODS] In a …
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Upgradation of Lymph Supermicrosurgical Skills through Lymphatic Venous Anastomosis.
Supermicrosurgery, a technique involving the dissection and anastomosis of small vessels, has revolutionized the field of lymphedema treatment. However, in a lymphatic venous anastomosis, an arduous technique is required to manipulate the 0…
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International Microsurgery Club Webinar Series-Bridging the Knowledge Gap during the COVID-19 Pandemic.
[BACKGROUND] The impact of the coronavirus disease 2019 (COVID-19) outbreak shut down most conferences. To minimalize the influence, virtual meetings sprang up subsequently. International Microsurgery Club (IMC), as one of the largest prof…
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Combined Treatment with Lymphaticovenular Anastomosis and Ethanol Sclerotherapy for Cystic Lymphangioma in a Limb.
Several treatment options, including sclerotherapy and surgical excision, are available for the management of cystic lymphangioma. Lymphaticovenular anastomosis (LVA) has recently garnered attention in the field of microsurgery as a minimal…
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Selection of deep or superficial recipient vein in lower extremity reconstruction using free flap: A systematic review and meta-analysis.
[BACKGROUND] Free flap surgeries are useful procedures for lower-extremity reconstruction. Recipient vein selection for anastomosis is important to avoid venous congestion and thrombosis. Although deep or superficial venous system can be us…
- Transitioning from Microsurgery to Supermicrosurgery: The Recurrent Ulnar Artery Model.
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Muscle/musculocutaneous versus fasciocutaneous free flap reconstruction in the lower extremity: A systematic review and meta-analysis.
[BACKGROUND] Free flaps for soft tissue coverage of the lower extremity can be broadly divided into muscle/musculocutaneous and fasciocutaneous flaps. The purpose of this systematic review and meta-analysis was to assess their different pos…
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Correlation between Lymphatic Surgery Outcome and Lymphatic Image-Staging or Clinical Severity in Patients with Lymphedema.
Lymphoscintigraphy and indocyanine green (ICG) lymphography reveal the severity of extremity lymphedema. Lower extremity lymphedema (LEL) index and NECST classification are related to the clinical severity of lymphedema. We aimed to investi…
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Microsurgery for management of primary and secondary lymphedema.
[OBJECTIVE] The objective of this study was to evaluate the efficacy and safety of lymphaticovenular anastomosis (LVA) in patients with lymphedema. [METHODS] A retrospective analysis was conducted of 70 patients suffering from primary or s…
- A Case-control Analysis of the Knight's Move Technique in a Chicken Wing Microsurgery Model: Video Article.
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Effect of Postoperative Compression Therapy on the Success of Liposuction in Patients with Advanced Lower Limb Lymphedema.
[OBJECTIVE] There is limited information on postoperative care after liposuction for lymphedema limb. The aim of this retrospective study was to identify the threshold compression pressure and other factors that lead liposuction for lower l…
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Pathological changes of adipose tissue in secondary lymphoedema.
[BACKGROUND] The pathophysiology of lymphoedema is poorly understood. Current treatment options include compression therapy, resection, liposuction and lymphatic microsurgery, but determining the optimal treatment approach for each patient …
- Versatility of a near-infrared vein visualization device in plastic and reconstructive surgery.
- Hair transplantation for reconstruction of scalp defects using artificial dermis.
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Vascular anomalies and lymphedema.
[LEARNING OBJECTIVES] After studying this article, the participant should be able to: 1. Define the difference between vascular tumors and malformations. 2. Distinguish between the natural history of hemangiomas and that of vascular malform…
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Island medial plantar artery perforator flap for reconstruction of plantar defects.
Three cases in which island medial plantar artery perforator flaps were successfully transferred for coverage of the plantar defects are described. This perforator flap is different from the medial plantar flap based on the medial plantar a…
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Deep inferior epigastric perforator dermal-fat or adiposal flap for correction of craniofacial contour deformities.
Craniofacial contour deformities are difficult to reconstruct. This article summarizes the authors' use of deep inferior epigastric perforator dermal-fat or adiposal flaps in eight patients with such deformities. Of these patients, three ha…
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New microsurgical breast reconstruction using free paraumbilical perforator adiposal flaps.
Pedicled transverse rectus abdominis musculocutaneous (TRAM) flaps have generally been used for bilateral breast losses. The major disadvantages of this method are the total or partial loss of the rectus abdominis muscles and various result…
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A double-muscle transfer using a divided rectus femoris muscle for facial-paralysis reconstruction.
There are two types of smiling: without exposure of the teeth (usual smile), and with their exposure (square smile). Performance of the former involves use of the major zygomatic muscle, while the latter is created by the major zygomatic an…
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Extended anterior thigh flaps for repair of massive cervical defects involving pharyngoesophagus and skin: an introduction to the "mosaic" flap principle.
"Mosaic" flaps, i.e., connected anteromedial thigh-groin flaps, and connected anterolateral thigh-medial thigh flaps, the pedicles of which are the perforators of the lateral circumflex femoral system, the superficial circumflex iliac vesse…
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Sixty cases of partial or total toe transfer for repair of finger losses.
Our experience with partial or total toe transfers for the reconstruction of finger deficits is presented. Sixty-one toes were transferred to reconstruct finger deficits in 60 patients. The transfers from the big toe consisted of 3 vascular…