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23건 · 최신순-
Moving Toward a Near-Total Reduction, Refinement, and Replacement of Live Animal Use in Microvascular Training.
Simulation training in microsurgery primarily relies on live rat models due to their high-fidelity physiological characteristics, which presents ethical and educational challenges. The increasing emphasis on reducing, replacing, and refinin…
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Advanced Tips and Tricks for the Microvascular Coupler Anastomosis.
Microvascular anastomotic couplers are a safe alternative to traditional vein suture techniques. They are versatile and widely used for flap vein anastomoses; however, the technique has limitations. Most problems which can arise, have reaso…
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Artificial intelligence in microsurgery and supermicrosurgery training within plastic surgery: A systematic review.
[INTRODUCTION] Artificial Intelligence (AI) is increasingly integrated into plastic surgery. Technical complexities of microsurgery and supermicrosurgery demand incorporation of AI in facilitating steep learning curves. Although simulation …
- Here's My QR, So Call Me Maybe: Facilitating Communication in Free Flap Monitoring Using QR Code Printed Dressing.
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Four-Layer Wound Closure Technique with Barbed Sutures for Inframammary Fold in Mastopexy Augmentation.
[BACKGROUND] The inframammary fold (IMF) is an important landmark in breast aesthetic surgery. In augmentation mastopexy procedures, secure and accurate placement of the IMF is essential to aesthetic outcomes and to allow the new IMF to hea…
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The tale of the "unlucky" 13 errors in the "journey" towards an outstanding end -product in microvascular anastomosis training.
In microsurgery training, where the first steps occur in a safe simulated environment, we believe there is a lack of emphasis on well reflected commonly occurring mistakes; education manuals provide stepwise instructions on performing tasks…
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The Role of Measurement of Pedicle Length for DIEP Flap Transferring in Breast Reconstruction: A Single-Center, Open-Label, Randomized Controlled Trial.
[BACKGROUND] Intraoperative venous congestion is a main complication in deep inferior epigastric artery perforator (DIEP) flap for breast reconstruction. We present a pedicle measuring technique to precisely predict the length of pedicle ne…
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Osteocutaneous Turn-Up Fillet Flaps: A Spare-Parts Orthoplastic Surgery Option for a Functional Posttraumatic Below-Knee Amputation.
This article portrays the authors' experience with a complex lower limb bone and soft tissue defect, following chronic osteomyelitis and pathological fracture, which was managed by the multidisciplinary orthoplastic team. The decision for f…
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The "Domino Flaps" Concept: Functional Composite Reconstruction for Traumatic Transmetacarpal Thumb Amputation.
Complex transmetacarpal thumb amputation remains a challenging reconstructive injury. Optimal reconstructive options aim to achieve a neo-thumb with optimal length, sensitivity, stability, and an aesthetically functional result. In cases wh…
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Anatomical Variations of the Pectoralis Muscle and Its Importance for Breast Implant Surgery.
[UNLABELLED] In breast augmentation, during submuscular or dual plane dissection, anatomical variations of the inferior and costal origin of the pectoralis major muscle (PMM) play a key role to ensure optimal implant coverage. Especially, a…
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Silicone Migration From Breast Implants: A Case of Ocular Siliconoma and Literature Review.
[BACKGROUND] Breast augmentation with implants is one of the most popular cosmetic surgery operations performed worldwide. Complications of breast implants are well recognized, and include capsular contracture, implant rupture, and infreque…
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Microtools: A systematic review of validated assessment tools in microsurgery.
[BACKGROUND] Microsurgery is a technically demanding aspect of surgery that is integral to a variety of sub-specialties. Microsurgery is required in high-risk cases where time is limited and pressure is high, so there is increasing demand f…
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The impact of parity in primary breast augmentation: A clinical and cost-effective case control study.
[INTRODUCTION] Breast augmentation is one of the most commonly performed aesthetic procedures in women. Despite the structural changes which occur during pregnancy and lactation have been extensively studied, there is no clarity in terms of…
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Single-stage buried autologous breast reconstruction (BABR).
[BACKGROUND] Breast reconstructive standards are increasingly high oncologically, aesthetically, and practically. Autologous breast reconstruction remains the gold standard which, buried, after nipple-sparing mastectomy (where oncologically…
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Microvascular anastomotic arterial coupling: A systematic review.
[INTRODUCTION] There are several reasons microsurgeons may not use a coupler device in arterial anastomosis: may be thick-walled, non-pliable due to atherosclerotic calcification or present vessel geometrical discrepancies. This review summ…
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The effect of implant surface on the recurrence rates of capsular contracture following revision breast surgery: Early results from a single surgeon retrospective comparative study.
[INTRODUCTION] This retrospective comparative study aimed to evaluate the effect of implant surface in two cohorts of consecutive patients who underwent revision surgery following capsular contracture (Baker III-IV) after primary breast aug…
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Extensive Microsurgical Reconstruction of Chest Wall Defects for Locally Advanced Breast Cancer: A 10-Year Single-Unit Experience.
[BACKGROUND] Despite improvements in the early detection of breast cancer, locally advanced breast cancer (LABC) involving the chest wall exists in developing countries. Surgical resection remains a controversial management option. This stu…
- The Dunning-Kruger effect: Revisiting "the valley of despair" in the evolution of competency and proficiency in reconstructive microsurgery.
- The Butterly iQ: An ultra-simplified color Doppler ultrasound for bedside pre-operative perforator mapping in DIEP flap breast reconstruction.
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The Exoscope versus operating microscope in microvascular surgery: A simulation non-inferiority trial.
[BACKGROUND] The Exoscope is a novel high-definition digital camera system. There is limited evidence signifying the use of exoscopic devices in microsurgery. This trial objectively assesses the effects of the use of the Exoscope as an alte…
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Three-dimensional Printed Microvascular Clamps: A Safe, Cheap, and Effective Instrumentation for Microsurgery Training.
Microsurgical training involves practice in ex vivo models during the early learning curve, and poor instrument handling by the inexperienced microsurgeons can cause damage to microsurgical instrumentation or clamps, which is particularly c…
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International microsurgery simulation society (IMSS) consensus statement on the minimum standards for a basic microsurgery course, requirements for a microsurgical anastomosis global rating scale and minimum thresholds for training.
[INTRODUCTION] Microsurgery is a surgical technique that uses optical magnification as well as specific instruments to address necessary reconstructive procedures in different medical specialties. The apprenticeship of this technique requir…
- Re: Microvascular free flaps are a safe and suitable training procedure during structured plastic surgery residency: A comparative cohort study with 391 patients.