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44건 · 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…
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Ageing and the lymphatic system: Implications for immunity, brain health, and possible therapeutic interventions.
The lymphatic system is essential for maintaining interstitial fluid balance, supporting immune surveillance, and clearing metabolic waste, yet its role in ageing has only recently come into focus. With age, lymphatic vessels and lymphoid o…
- Advancing Robotic-assisted Microsurgery for Access to Deep Anatomical Structures.
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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…
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Systematic Review of Robotic-Assisted Peripheral and Central Lymphatic Surgery.
[BACKGROUND] Robotic-assisted lymphatic reconstruction has gained increasing interest over the past few years. [OBJECTIVES] The aim of this study was to systematically investigate the benefits of robotic-assisted lymphatic surgery based on…
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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…
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Microsurgical versus complex physical decongestive therapy for chronic breast cancer-related lymphoedema.
This is a protocol for a Cochrane Review (intervention). The objectives are as follows: To assess the effects of microsurgery versus complex physical decongestive therapy in people with chronic breast cancer-related lymphoedema.…
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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…
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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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Evolution and practice pattern in microsurgical breast reconstruction-A European multicenter study.
[BACKGROUND] This study investigated the evolution and practice pattern in microsurgical breast reconstruction. [METHODS] A retrospective multicenter study was conducted including all patients who underwent microsurgical breast reconstruct…
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Robotic-assisted lymphovenous anastomosis to treat periorbital lymphedema and systematic review of lymphatic reconstruction of face and neck lymphedema.
Head and neck lymphedema has gained increasing interest due to improved head and neck cancer survival. However, there exist no guidelines on its management so far. The study reports on the first robotic-assisted lymphovenous anastomosis (LV…
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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…
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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…
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The LYMPH trial: comparing microsurgical with conservative treatment for chronic breast cancer-associated lymphoedema - study protocol of a pragmatic randomised international multicentre superiority trial.
[INTRODUCTION] Up to one-fifth of breast cancer survivors will develop chronic breast cancer-related lymphoedema (BCRL). To date, complex physical decongestion therapy (CDT) is the gold standard of treatment. However, it is mainly symptomat…
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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…
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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…
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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…
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[Robotic-Assisted Lymphatic Surgery].
Surgical robotic systems specifically developed for microsurgery are increasingly being used in recent years, particularly in reconstructive lymphatic surgery. Currently, there are two robotic systems that are used in microsurgery. Both sys…
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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…
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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…
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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…
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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 …
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Tissue-engineered cellulose tubes for microvascular and lymphatic reconstruction: A translational and feasibility study.
[BACKGROUND] Lymphedema microsurgery is an emerging treatment modality, with dissimilar long-term outcomes. One of the main technical challenges in lymphatic microsurgery is the identification and availability of suitable donor vessels for …
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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…
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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…
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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…
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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…
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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…
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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…
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[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 …