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Validation of the triangular prism method using computed tomography to estimate DIEP flap weight in routine clinical practice - a St Andrew free flap audit registry study.
[INTRODUCTION] An accurate preoperative estimation of deep inferior epigastric perforator (DIEP) flaps in breast reconstruction facilitates planning. Different methods have been proposed, but few methods have been validated for the degree o…
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Internal mammary perforator vessels as recipient for microvascular breast reconstruction: Technique and outcomes in 161 flaps.
[BACKGROUND] The use of internal mammary perforator (IMP) vessels as recipients for free flap breast reconstruction was first described in 1999. Despite numerous advantages over the internal mammary (IM) and thoracodorsal recipient vessels,…
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A systematic review of the scientific evidence of venous supercharging in autologous breast reconstruction with abdominally based flaps.
[BACKGROUND] Abdominally based free flaps are commonly used in breast reconstruction. A frequent complication is venous congestion, which might contribute to around 40% of flap failures. One way to deal with it is venous supercharging. The …
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Stacked TUG and DIEP flaps to reconstruct a single breast: Expanding the scope of autologous breast reconstruction.
When the entire abdominal tissue is inadequate to match the contralateral breast volume and shape or in bilateral cases, the deep inferior epigastric perforator (DIEP) flap alone might not be adequate, even if bipedicled. In such cases, usi…
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Aesthetic Surgery Practice Resumption in the United Kingdom During the COVID-19 Pandemic.
[BACKGROUND] The global COVID-19 pandemic has significantly impacted all aspects of healthcare, including the delivery of elective aesthetic surgery practice. A national, prospective data collection was carried out of the first aesthetic pl…
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Safety of major reconstructive surgery during the peak of the COVID-19 pandemic in the United Kingdom and Ireland - multicentre national cohort study.
[BACKGROUND] The safety of surgery during and after the coronavirus disease-2019 (COVID-19) pandemic is paramount. Early reports of excessive perioperative mortality in COVID-positive patients promoted the widespread avoidance of operations…
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Comparison of PEAK PlasmaBlade™ to conventional diathermy in abdominal-based free-flap breast reconstruction surgery-A single-centre double-blinded randomised controlled trial.
[BACKGROUND] Electrosurgery makes dissection with simultaneous haemostasis possible. The produced heat can cause injury to the surrounding tissue. The PEAK PlasmaBlade™(PPB) is a new electrosurgery device which may overcome this by having t…
- Preliminary Report of a National Audit of Aesthetic Surgery Practice in the United Kingdom During the COVID-19 Pandemic.
- Current Risk Estimate of Breast Implant-Associated Anaplastic Large Cell Lymphoma in Textured Breast Implants.
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Microsurgical Tissue Transfer in Breast Reconstruction.
Autologous breast reconstructions have grown in popularity because of their durability, aesthetic outcomes, symmetry, increase in external beam radiotherapy use, and potential aesthetic enhancement at the donor site. Increasing patient expe…
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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…
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Characteristics and outcomes of primary interposition vascular grafts in free flap breast reconstruction.
[INTRODUCTION] There is paucity of data on primary interposition vascular grafts (IVG) use in microsurgery. Our study examines the characteristics, indications and outcomes of IVG in free flap breast reconstruction. [METHODS] All cases of …
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Plastic Surgeon-Led Ultrasound.
[BACKGROUND] Portable high-frequency ultrasound is a useful adjunct to a plastic surgeon's practice. With a short learning curve, this patient-friendly imaging modality has a variety of uses that aid patient management/treatment plans. The …
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21 year follow up of a DIEP (deep inferior epigastric perforator) flap: a tale of a "nulltiple".
Since the first description of "The free abdominoplasty flap for breast reconstruction" by Hans Holmstrom in 1979, [see Ref. 1] the use of lower abdominal tissue has revolutionised reconstruction of the breast. DIEP (deep inferior epigastri…
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A comparison of a new skin closure device and intradermal sutures in the closure of full-thickness surgical incisions.
[BACKGROUND] A novel topical skin adhesive system was developed to close the outermost layer of skin in an expeditious manner. To determine its clinical utility, a clinical investigation was undertaken to demonstrate equivalence of a new ad…
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Developmental breast asymmetry.
Developmental breast asymmetry (DBA) can affect psychosocial well-being in the young female. Correction of breast asymmetry may present a reconstructive challenge, especially in tuberous breasts. Fifty-two cases of DBA treated between Janua…
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A large encapsulated seroma presenting as a mass 5 years post paraumbilical hernia repair.
Abdominoplasty is a procedure commonly performed by the modern reconstructive plastic surgeon, but despite its apparent routine nature complications are well documented in the literature and should be respected by even the most experienced …
- The "onion skinning" technique for infection control.