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Computer-Based Tracking of Microsurgical Instruments: A Novel Assessment Tool for Robot-Assisted and Conventional Microsurgery.
[BACKGROUND] Efficient and objective tools for self-assessment of microsurgical skills are needed to ensure high-quality microsurgical training and optimized use of surgeons' time and resources. In addition, the successful clinical integrat…
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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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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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Expanding Applications and Future of Robotic Microsurgery.
Robotic-assisted microsurgery has emerged as a transformative technology, offering enhanced precision for complex procedures across various fields, including lymphatic surgery, breast reconstruction, trauma, and neurosurgery. This paper rev…
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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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Clinical experience in open robotic-assisted microsurgery: user consensus of the European Federation of Societies for Microsurgery.
This study provides a comprehensive guide to robotic-assisted microsurgery. Following more than 900 clinical cases in 13 centers, this joint project was initiated to summarize and consent to the user experience. Two robotic systems specific…
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A Novel Microsurgical Model of Cervical Lymph Node-to-Vein Anastomosis (LNVA) for Studying Brain Lymphatic Outflow.
[BACKGROUND] Cervical lymphaticovenous bypass has recently emerged as an innovative surgical approach to enhance brain lymphatic clearance for the treatment of Alzheimer disease (AD). Although early clinical findings are promising, the abse…
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[A consensus statement of the German Speaking Society for Reconstructive Microsurgery (GSRM): role and potential of robotic microsurgery].
As part of a consensus workshop, the following key questions regarding the future of robotic microsurgery were discussed: • What functional and ergonomic requirements should future robotic microsurgery systems meet with respect to their har…
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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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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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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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Minimally Invasive Robotic-assisted Perforator-to-Perforator DIEP Flap Breast Reconstruction.
Reducing morbidity has been the goal of many reconstructive microsurgery efforts. Several techniques have been described for deep inferior epigastric perforator flap breast reconstruction to minimize abdominal donor-site morbidity. Although…
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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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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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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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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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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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Free flap breast reconstruction using a novel robotic microscope.
[INTRODUCTION] Robotic-assisted surgery (RAS) has evolved over the past decades. Currently, novel robotic systems for microsurgery are being launched onto the European market. This novel microscope (RoboticScope®, BHS, Innsbruck, Austria) i…
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[New Technologies in Microsurgery: Potential, Indications and Economical Aspects - Report of the Consensus Workshop of the German-Speaking Society for Microsurgery of Peripheral Nerves and Vessels (DAM)].
Recently, several new technologies to support microsurgeons have received European market approval. This article summarizes and discusses the impressions of an expert panel to classify the potential of new technologies in terms of benefits …
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After weight loss, what skin removal procedure has the most effect using Body Q metrics?
[BACKGROUND] Although postbariatric body contouring procedures have the ultimate goal of restoring quality of life, there currently exist minimal data assessing the effect of these procedures. [OBJECTIVES] To identify the most important bo…
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Characteristics and Patient Reported Outcome Measures in Lipedema Patients-Establishing a Baseline for Treatment Evaluation in a High-Volume Center.
[UNLABELLED] Lipedema patients suffer not only from visual stigma but also reduction in their quality of life through pain and performance loss in daily life. In clinical practice, it is still difficult to reliably diagnose the disease. Thi…
- Launching a Plastic Surgery Clinic on Instagram: The Dynamic of a New Account.
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The Collagenase of the Bacterium Clostridium histolyticum for the Treatment of Capsular Fibrosis after Silicone Implants.
[BACKGROUND] The main part of the fibrotic capsule in capsular contracture is collagen. The collagenase of the bacterium Clostridium histolyticum is U.S. Food and Drug Administration approved for the treatment of Dupuytren contracture and m…
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Skin Excision as an Adjunctive Technique to Rhinoplasty in Middle-Aged and Elderly Patients.
Rhinoplasty in middle-aged and elderly patients comes with its own set of challenges. There is relative lengthening of the nose with drooping of the nasal tip. With aging, the skin loses its elasticity, and the combination of nasal skeletal…
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Surgical treatment of primary gynecomastia in children and adolescents.
[PURPOSE] Idiopathic gynecomastia is a common diagnosis in children and adolescents. Though medical treatments reveal potentially harmful side effects, surgical interventions are performable in numerous techniques. In children and adolescen…