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Fifty years of free tissue transfer: the past, present and future of microsurgical reconstruction.
G. Ian Taylor and Rollin Daniel described the first fasciocutaneous vascularized free tissue transfer in 1973 using the groin flap. Over the last 50 years, the field of microsurgery has advanced significantly, with the advent of improved su…
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In Pursuit of the "Perforator" in the Perforator Skin Flap.
Another congress of the World Society for Reconstructive Microsurgery (WSRM) this past year in Bologna was magnificent not just for the presentation of so many keynote lectures by the giants of our field nor the novel and innovative ideas s…
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The Role of Anastomotic Vessels in Controlling Tissue Viability and Defining Tissue Necrosis with Special Reference to Complications following Injection of Hyaluronic Acid Fillers.
[BACKGROUND] Most target areas for facial volumization procedures relate to the anatomical location of the facial or ophthalmic artery. Occasionally, inadvertent injection of hyaluronic acid filler into the arterial circulation occurs and, …
- Reply: Scarpa Fascia Preservation in Abdominoplasty: Does It Preserve the Lymphatics?
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Scarpa Fascia Preservation in Abdominoplasty: Does It Preserve the Lymphatics?
[BACKGROUND] The course of the cutaneous lymphatic collectors of the abdominal wall in relation to the Scarpa fascia is unclear in the literature. Preserving the Scarpa fascia in the lower abdomen to reduce the seroma rate following abdomin…
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The superficial venous drainage of the breast: a clinical study and implications for breast reduction surgery.
[BACKGROUND] An understanding of the vascular anatomy of the breast is paramount in breast reduction surgery in order to minimize vascular complications. While most vascular compromise in breast reduction is largely venous in nature, the ve…
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Rotation mastopexy: an anatomical approach.
The goal of a mastopexy is to restore the shape and volume of the breast after ptosis of the breast. Ptosis occurs commonly in response to aging and breastfeeding. A low nipple position on the breast mound can be corrected by addressing the…
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Perforator dilatation induced by body weight gain is not reversed by subsequent weight loss: implications for perforator flaps.
[BACKGROUND] Perforator flaps frequently rely on small vessels for their supply, which may lead to problems with flap viability. To ensure a more dependable blood supply, larger perforators are sought either on preoperative imaging or intra…
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Subglandular breast reduction: the evolution of a minimal scar approach to breast reduction.
The authors describe a new modification of the breast reduction procedure. By means of an inframammary incision, the breast is mobilized from the chest wall, and a "doughnut" annulus of breast tissue is removed from the undersurface of the …
- The Twenty-Third Sir Harold Gillies Memorial Lecture. Keeping a head.
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The vascular territories of the anterior chest wall.
A series of 31 fresh cadaver injection, dissection and radiographic studies were undertaken to define the vascular architecture of the anterior chest wall and to correlate the findings of previous writers in this area. The findings confirme…
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The extended deep inferior epigastric flap: a clinical technique.
A versatile flap based on the deep inferior epigastric artery is presented. Its application for local and free-flap transfer is discussed and presented in two clinical cases. The possible inclusion of bone as an osteocutaneous flap is outli…
- Aesthetic aspects of microsurgery: composite tissue transfer to the face.
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Superiority of the deep circumflex iliac vessels as the supply for free groin flaps. Clinical work.
In this paper we present 16 cases of free transfer of compound flaps from the groin, 11 using the deep circumflex iliac vessels as a stem and 5 using the superficial circumflex iliac vessels as a stem. We found the deep vessels superior in …
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One-stage repair of compound leg defects with free, revascularized flaps of groin skin and iliac bone.
The successful revascularized free transfer of a composite flap of groin skin with attached iliac bone is presented in two patients. The findings in the preliminary dissections and injection studies in cadavers are discussed, and the superf…
- Whither microsurgery?
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The deltopectoral flap: an anatomical and hemodynamic approach.
An anatomical and hemodynamic study of the deltopectoral flap in cadaver dissections and clinical cases is described. Anatomically, the deltopectoral flap represents a fusion of 3 vascular regions supplied by 3 different sets of vessels. He…
- The free flap: composite tissue transfer by vascular anastomosis.
- Distant transfer of an island flap by microvascular anastomoses. A clinical technique.