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14건 · 최신순-
Characterization of Trimmed Nerve Morphology Using High-Resolution Imaging: Comparison of Three Surgical Instruments.
[PURPOSE] Trimmed proximal and distal nerve stumps should be morphometrically matching and show evidence of healthy fascicular tissue to potentiate nerve regeneration. We hypothesized that differences exist between nerve trimming instrument…
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Venous Flap Coverage of the Mangled Hand.
Mangled upper-extremity injuries represent composite tissue injuries that threaten the viability or function of the limb. Successful reconstruction is critical to both the patient's mental and physical well-being, and early soft tissue cove…
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Extended vs Inpatient Chemoprophylaxis for Venous Thromboembolism in DIEP Flap Breast Reconstruction: A Systematic Review and Meta-analysis.
Venous thromboembolism (VTE) is a significant complication following deep inferior epigastric artery perforator (DIEP) flap breast reconstruction. The optimal duration of chemoprophylaxis remains debated, with differing recommendations on s…
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Clinical Outcomes and Safety Profile of a Novel Hyaluronic Acid/Alginate Hydrogel in Hand and Microsurgical Procedures.
[BACKGROUND] Soft tissue adhesions following hand and microsurgical procedures are frequent and debilitating complications, limiting tendon gliding, entrapping nerves, and impairing outcomes. A fully resorbable hyaluronic acid/alginate hydr…
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Staged Mastopexy or Mammaplasty Prior to Nipple-Sparing Mastectomy: A Systematic Review of Safety and Nipple-Areola Complex Outcomes.
Patients with large or ptotic breasts undergoing nipple-sparing mastectomy (NSM) face reconstructive challenges, including higher risks of complications and suboptimal aesthetic outcomes. Preshaping procedures, such as mastopexy or reductio…
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Phalloplasty Flap Salvage Using a Superficial Circumflex Iliac Artery Perforator Propeller Flap.
[BACKGROUND] Partial phalloplasty flap loss presents an evolving challenge, largely due to the complex demands required for both aesthetics and function. We describe our novel experience using the superficial circumflex iliac perforator (SC…
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The Use of Pedicular Arteriovenous Fistula (PAVF) in Microvascular Reconstruction to Enhance Flow Across the Microvascular Anastomoses.
[BACKGROUND] Free flap success rates have improved dramatically over the past three decades, setting a high standard for microvascular reconstruction. However, rates of arterial or venous thrombosis, and subsequent failure, remain high in b…
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Evidence based recommendations for perioperative vasopressor use and fluid resuscitation in microsurgery.
Blood pressure regulation is critical in patients undergoing microsurgical free tissue transfer; however, guidelines for addressing and preventing perioperative hypotension remain highly debated, with two current thought paradigms: (1) intr…
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Reconstruction of Digit Soft Tissue Defects With the Fourth Common Digital Artery Perforator Flap.
[PURPOSE] The hand has unique skin characteristics. Intrinsic flap donors are limited due to functional specificity and compactly connected structures. The hypothenar area is a reliable option for the reconstruction of finger defects. We pe…
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Great Toe Transplantation.
Despite being relatively uncommon in the general population, thumb amputations cause severe disability. More than 3,300 thumb amputations occurred in the United States. The thumb makes up around 40% of the function of the hand. Therefore, l…
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Immediate Lymphovenous Bypass Treated Donor Site Lymphedema during Phalloplasty for Gender Dysphoria.
Demand for gender-affirming phalloplasty continues to grow worldwide, and the extended radial forearm flap phalloplasty remains one of the most commonly performed techniques. One potential morbidity that has emerged is postoperative donor s…
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Gender-Affirming Health Insurance Reform in the United States.
[INTRODUCTION] In May 2014, the US Department of Health and Human Services prohibited insurance discrimination of transgender individuals. Despite this, insurance plans often lack explicit guidelines on gender transition-related care and co…
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An abnormal clinical Allen's Test is not a contraindication for free radial forearm flap.
An abnormal clinical Allen's test is not a definitive exclusion criterion for free radial forearm flap use. A surgical Allen's test may be useful to determine whether flap harvest is feasible in patients with an abnormal clinical Allen's te…
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Opinions on Authorship: A Survey of Plastic Surgery Residents and Fellows.
[BACKGROUND] Scientific publications are the cornerstone of scholarly activities. The importance of appropriately assigned authorship cannot be overstated. Hence, we felt it prudent to examine the perception of plastic surgery trainees rega…