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Surgical Site Infection in Microvascular Free Flap Reconstruction of the Head and Neck: An Analysis of Risk Factors.
[BACKGROUNDS] Free flap reconstruction has become the standard of care in the repair of complex defects of the head and neck; however, surgical site infection remains a key area for improvement. This study aims to better understand the risk…
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Multistage microsurgical reconstruction after catastrophic shark attack: Vascularized ulnar nerve grafting for a large segmental sciatic nerve defect.
We present a 48-year-old woman who sustained life threatening polytrauma from a shark attack in New Caledonia, including posterior trunk and thigh crush-avulsion, bilateral upper-limb amputations and a 16 cm segmental sciatic nerve defect. …
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Breast Reconstruction With Bipedicled DIEP Flap From an Irradiated and Scarred Abdomen.
Autologous reconstruction using a deep inferior epigastric perforator (DIEP) flap is the gold standard due to its reliability and versatility. However, abdominal scarring and radiotherapy significantly impact vascularity, posing challenges …
- The effect of CREST syndrome in planning a DIEP flap reconstruction.
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Reconstruction of a Large Composite Hemicraniofacial Defect with Bipedicled DIEP/TRAM Flaps.
Head and neck reconstructions are often challenging due to the mix of functional and aesthetic goals. It can be tricky when different tissue types are required to reconstruct each subunit. Craniofacial reconstructions require a large volume…
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The first 150 consecutive DIEP free flaps: Lessons learnt and a guide to efficiency for the junior plastic surgeon.
[INTRODUCTION] The deep inferior epigastric artery perforator (DIEP) free flap is the gold-standard for breast reconstruction but is technically demanding, resource intensive and time-consuming, making it a daunting task for the junior surg…
- Laparoscopic-assisted deep inferior epigastric artery perforator (DIEP) flap in breast reconstruction.