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The Use of the Great Toe Pulp Free Flap in Dystrophic Fingertips.
: Lesions of the digital apices are common, and several treatment strategies can be considered for them. Among these, the free great toe pulp flap can be used. : This is a retrospective report in which five patients undergoing hallux free f…
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Anatomical Study of SCIAP (Superficial Circumflex Iliac Artery Perforator) and SIEA (Superificial Inferior Epigastric Artery) Flaps for Flap Harvest Training in the Swine Model.
[INTRODUCTION] Microsurgery training necessitates a progression from basic to advanced techniques, utilizing artificial models, cadaver labs, and live animals. Living animals are of paramount importance to simulate flap harvest and have a r…
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Current Principles in the Management of a Mangled Hand.
Mangled upper-extremity injuries can have devastating consequences for the patient. The goal of treatment was to recreate a functional hand with a minimum of three sensitive and opposable fingers to achieve an acceptable quality of life. Ea…
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Clinical experience in open robotic-assisted microsurgery: user consensus of the European Federation of Societies for Microsurgery.
This study provides a comprehensive guide to robotic-assisted microsurgery. Following more than 900 clinical cases in 13 centers, this joint project was initiated to summarize and consent to the user experience. Two robotic systems specific…
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Microsurgical reconstruction of the nail.
Very often, post-traumatic defects involve multiple tissues. Microsurgical techniques can reconstruct them with tissues taken from a toe: from the nail complex alone to compound osteo-onychocutaneous flaps. Several techniques have been repo…
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Studying nerve transfers: Searching for a consensus in nerve axons count.
Axonal count is the base for efficient nerve transfer; despite its capital importance, few studies have been published on human material, most research approaches being performed on experimental animal models of nerve injury. Thus, standard…
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The surgical outcomes of radial artery forearm free-flap phalloplasty in transgender men: single-centre experience and systematic review of the current literature.
Radial artery forearm free-flap (RAFFF) phalloplasty is considered by most authors as the gold-standard technique for genital gender-affirming surgery (GGAS). RAFFF surgical complications have rarely been investigated, and the aim of this s…
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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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A sequence of flaps and dissection exercises in the living model to improve the learning curve for perforator flap surgery.
[INTRODUCTION] The training to learn how to perform perforator flaps requires practice on a living model to optimize dissection and to evaluate outcome. The purpose of this study was to describe a training model that optimizes the use of an…