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The Lumbar Artery Perforator Free Flap as an Alternative Option for Breast Reconstruction in Low BMI Patients: Analysis of CT Angiography of Donor Sites Across BMI.
[BACKGROUND] In patients with a low body mass index (BMI), the options for autologous breast reconstruction are limited. With the hypothesis that adipose tissue deposition favors the lumbar region over the abdominal wall, this study sought…
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Robotic microvascular anastomoses in free flap reconstruction - A first UK report.
We report the first UK case of a robot-assisted free flap reconstruction using the Symani Surgical System for microvascular anastomosis. Following resection of a pre-sternal DFSP, a DIEP flap was used for chet wall reconstruction, with the …
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Prophylactic Lymphovenous Bypass at the Time of Axillary Lymph Node Dissection Decreases Rates of Lymphedema.
[BACKGROUND] Breast cancer-related lymphedema impacts 30% to 47% of women who undergo axillary lymph node dissection (ALND). Studies evaluating the effectiveness of prophylactic lymphovenous bypass (LVB) at the time of ALND have had small p…
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Are Surgical Drains Needed in DIEP Flap Surgery? The Drain-Free DIEP Flap Concept.
[BACKGROUND] Studies support an inherent morbidity associated with the use of surgical drains-such as postoperative pain, infection, reduction in mobility, and delay in patient discharge-and they do not prevent seroma or hematoma. The autho…