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40건 · 최신순-
Total Nasal Reconstruction Redefined: Classic Craft Meets Microsurgical Innovation.
The authors illustrate a unique case of total nasal reconstruction that successfully combined historical reconstructive techniques with modern microsurgery, supported by artificial intelligence-assisted operative planning. The patient prese…
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Hand-performed minimal fascial incision DIEP flap breast reconstruction: A scoring system and early single-centre experience.
[BACKGROUND] The deep inferior epigastric artery perforator (DIEP) flap remains the gold standard for autologous breast reconstruction. Traditional harvest techniques often require a large fascial incision that increases donor-site morbidit…
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Optimising the unilateral DIEP flap breast reconstruction: A United Kingdom-Netherlands multi-centre comparative study.
[BACKGROUND] The deep inferior epigastric perforator (DIEP) flap represents the gold standard in autologous breast reconstruction; however, it is restricted by prolonged operative duration and substantial demands on inpatient capacity. We c…
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Laparoscopic Total Extraperitoneal Deep Inferior Epigastric Perforator Flap Harvest: First Experience in the United Kingdom and Technical Guidance.
The deep inferior epigastric artery perforator (DIEP) flap is considered the gold standard for autologous breast reconstruction. Traditional DIEP flap harvest involves a large rectus sheath incision, which can lead to considerable abdominal…
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Evolution and Adaptations of Robotic DIEP Flap Surgery: A Systematic Review.
[BACKGROUND] The integration of robotic technology into surgical procedures has gained considerable attention for its promise to enhance a variety of clinical outcomes. Robotic deep inferior epigastric perforator (DIEP) flap harvest has eme…
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Recent Advancements in Robotic-assisted Plastic Surgery Procedures: A Systematic Review.
[BACKGROUND] There has been a delayed, yet steady uptake of robotic-assisted surgery over the past decade within the field of plastic surgery. In an era of rapidly evolving scientific and technological development, there is a need for an up…
- Arterial End-To-Side Anastomosis as a Salvage Maneuver in DIEP-Flap Breast Reconstruction.
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The future of free flap monitoring by laser continuous doppler flowmetry: A prospective assessment in consecutive 71 patients.
[OBJECTIVE] This study evaluated the effectiveness of laser Doppler flowmetry (LDF) in detecting perfusion disturbances during microvascular free tissue transfer. [METHODS] Conducted at a single centre from December 2020 to September 2022,…
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Top 75 most-cited articles in hand microsurgery: A bibliometric and visualised analysis.
[INTRODUCTION] Hand microsurgery is an important advancement of the speciality that has improved outcomes in hand trauma and hand surgical conditions. This bibliometric analysis aims to identify the 75 most cited hand microsurgery articles …
- Indications for the DIEP flap in extra-mammary complex wounds: From head to extremity reconstruction.
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Venous outflow augmentation protects against fat necrosis in the DIEP flap breast reconstruction: A retrospective analysis.
[BACKGROUND] In the deep inferior epigastric perforator (DIEP) flap breast reconstruction, fat necrosis is a common and distressing complication for patients. While venous outflow augmentation using the superficial inferior epigastric vein …
- Reverse abdominoplasty in post-lung transplantation mediastinitis: A report of three cases.
- Early experience with Synovis Flow Coupler and major pitfalls in its use in 18 microsurgical free flaps.
- The hypothenar propeller flap.
- Maximising venous outflow in DIEP flap breast reconstruction with SIEV jump grafts to address intraoperative venous congestion.
- Correlation between laser Doppler flowmetry metrics and continuous blood pressure in free flap monitoring.
- Ultrathin Anterolateral Thigh Free Flap: An Adipocutaneous Flap with the Most Superficial Elevation Plane.
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Clinical, Preclinical, and Educational Applications of Robotic-Assisted Flap Reconstruction and Microsurgery: A Systematic Review.
[INTRODUCTION] Microsurgery and super-microsurgery allow for highly technical reconstructive surgeries to be performed, with repairs of anatomical areas of less than 1 mm. Robotic-assisted surgery might allow for further advances within mic…
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Salvage of anterolateral thigh (ALT) flap with indocyanine green assessment of a flap pedicle and subsequent perforator-to-perforator anastomosis.
Indocyanine green (ICG) fluorescence angiography has emerged as an intraoperative method to accurately assess real-time tissue vascularity, perfusion and anastomotic patency in flap surgery. We illustrate a complex case of elbow reconstruct…
- The use of pediatric pulse oximetry to monitor the post-operative integrity of a free flap in a case.
- Versatility of Indocyanine Green (ICG) dye in microsurgical flap reconstruction.
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A Single-center Comparison of Unipedicled and Bipedicled Diep Flap Early Outcomes in 98 Patients.
[UNLABELLED] The deep inferior epigastric perforator (DIEP) flap is the gold standard for autologous breast reconstruction. One or two pedicles may be used. Our study is the first to compare unipedicled and bipedicled DIEP flaps on donor an…
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Management of capitate avascular necrosis in an adult with a free medial femoral condyle flap.
The treatment of the extremely uncommon avascular necrosis of the capitate with a medial femoral condyle corticocancellous free flap has been described previously by one group reporting on outcomes in a paediatric patient. However, no liter…
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Uses of Smartphone Thermal Imaging in Perforator Flaps as a Versatile Intraoperative Tool: The Microsurgeon's Third Eye.
[INTRODUCTION] In this study, we evaluate the versatility of smartphone thermal imaging technology as a valuable intraoperative modality in different stages of perforator flap surgery aiming to minimize the complications and achieve the bes…
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Prolonged operative time is a risk factor for adverse postoperative outcomes in the unilateral deep inferior epigastric perforator (DIEP) flap surgery: A retrospective cohort study.
[BACKGROUND] Currently, one published study documented operative time (OT) as a predictor for postoperative outcomes in bilateral deep inferior epigastric perforator (DIEP) flap breast reconstructions. No literature has investigated this in…
- Setting patient boundaries in social media use in plastic surgery.
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Repair of a postaural fistula with a suprafascial radial forearm free flap.
We describe the case of a patient with the rare complication of a chronic postaural fistula following repeated and extensive surgery and adjuvant radiotherapy to the head and neck for a pleomorphic adenoma of the parotid gland. This case de…
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Ectopic extramammary Paget's disease of the abdominal wall with abdominoplasty reconstruction.
Ectopic extramammary Paget's disease describes an exceedingly rare intraepithelial adenocarcinoma arising within non-apocrine tissues. We present a case report of E-EPMD arising on the lower abdomen without underlying secondary malignancy i…
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Survival Statistics of Digital Replantation in the UK.
Background Digital replantation is associated with a substantial risk of failure. There is considerable variation in survival rates globally, and the current data are limited by poor statistical methods and bias of selection, which limits i…
- The Dunning-Kruger effect: Revisiting "the valley of despair" in the evolution of competency and proficiency in reconstructive microsurgery.