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18건 · 최신순-
"Immediate Free Nipple Grafting with Autologous Breast Reconstruction for Large and/or Ptotic Breasts: Preserving the "Nipple-Sparing" Option".
[BACKGROUND] Free nipple grafting (FNG) has been long reported as a viable alternative for aesthetic results and patient satisfaction in the setting of reduction mammaplasty in severe macromastia. This study demonstrates that FNG concepts u…
- Introduction to "Advances in Microsurgical Breast Reconstruction".
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Extreme Limb Salvage: The Thin SCIP Flap for Distal Amputation Coverage in Highly Comorbid Patients.
[BACKGROUND] Limb length preservation is correlated with overall survival. Successful free flap coverage of forefoot, midfoot, and hindfoot amputations can prevent more proximal below-knee amputations but is challenging in patients with mul…
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Microsurgery in oncoplastic breast reconstruction.
Oncoplastic breast reconstruction has allowed for the optimization of oncologic and reconstructive outcomes after breast-conserving surgery (BCS). Volume replacement procedures in oncoplastic reconstruction most commonly utilize regional pe…
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Oncoplastic breast reconstruction: Principles, current techniques, and future directions.
Oncoplastic breast reconstruction has improved esthetic results after breast-conserving surgery with low complication rates and stable oncologic outcomes. Basic principles can be applied across different volume displacement and replacement …
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Reconstructive Surgeons as Essential Operative Consultants: Quantifying the True Value of Plastic Surgeons to an Academic Medical Center.
[BACKGROUND] The revenue generated by plastic surgeons assisting other surgical services is poorly captured by hospital accounting systems, which categorize solely by attending physician of record. The financial impact of reconstructive sur…
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Thin Perforator Flaps for Reconstruction of the Lower Extremity.
Thin flaps, a modification of traditional flaps that minimize the need for debulking and revision, offer unique advantages in the field of lower limb reconstruction. Advances in the field of microsurgery have made this streamlined method of…
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The Efficacy of Negative Pressure Wound Therapy and Antibiotic Beads in Lower Extremity Salvage.
[BACKGROUND] Antibiotic beads and negative pressure wound therapy (NPWT) represent two methods of wound management used during staged debridement in the post-trauma limb salvage pathway. The efficacy of NPWT and antibiotic beads in preventi…
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Contemporary Management of Alopecia: A Systematic Review and Meta-analysis for Surgeons.
[BACKGROUND] The decision of surgical approach for hair restoration often involves evaluation of the type of alopecia; however, the impact of surgical hair restoration from existing techniques in specific population subsets has not been com…
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Patient Characteristics Associated with Free Nipple Graft Reduction Mammoplasty.
[PURPOSE] Surgical approaches for reduction mammoplasty most commonly incorporate a parenchymal vascular pedicle. For patients with larger breasts where pedicle viability may be compromised due to excessive length, the free nipple graft (FN…
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Breast implant-associated anaplastic large cell lymphoma, a systematic review and in-depth evaluation of the current understanding.
Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a T-cell neoplasm that arises in the capsule around breast implants. While an association with implants has been proposed, no causal link has been identified and the pat…
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Microtexture and the Cell/Biomaterial Interface: A Systematic Review and Meta-Analysis of Capsular Contracture and Prosthetic Breast Implants.
[BACKGROUND] The use of textured breast implants over smooth implants has been widely shown to have a lower incidence of capsular contracture. However, the impact of micropatterning techniques on the incidence of postoperative patient morbi…
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Emerging nonsurgical and surgical techniques to treat erectile dysfunction: A systematic review of treatment options and published outcomes.
Erectile dysfunction (ED) is one of the most common causes of morbidity in male patients, with a prevalence of 50-60% in men aged 40-70 years. EDs may be caused by physical or psychological trauma, the former of which may be treatable throu…
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Lymphatic mapping and lymphedema surgery in the breast cancer patient.
Upper limb lymphedema can be an unfortunate sequela following the oncologic treatment of breast cancer. The surgical treatment of lymphedema has had a recent renewed clinical interest paralleling innovative descriptions of surgical techniqu…
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Patient-centred decision making in breast reconstruction utilising the delayed-immediate algorithm.
Delayed-immediate reconstruction is an increasingly valuable algorithm for patients anticipating post-mastectomy radiation therapy. Despite the cosmetic and long-term advantages of autologous tissue repair, a subset of patients choose impla…
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Evaluating long-term outcomes following nipple-sparing mastectomy and reconstruction in the irradiated breast.
[BACKGROUND] Although it is well established that reconstruction of the irradiated breast is associated with diminished cosmetic results and more frequent complications, little is known about the specific effects of radiation therapy on the…
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Reduction mammaplasty and mastopexy in previously irradiated breasts.
[BACKGROUND] Little data exist on the safety of elective breast surgery following breast conservation therapy. [OBJECTIVES] The authors evaluate their experience performing reduction mammaplasties and mastopexies in previously irradiated b…
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Survey on ventral hernias: surgeon indications, contraindications, and management of large ventral hernias.
Repair of ventral hernias constitutes one of the most common surgical procedures. Although an abundance of data exists on objective outcome measures, very little information exists on subjective measures of surgeon preference and patient sa…