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19건 · 최신순-
Conventional High-Frequency Ultrasound for Preoperative Planning of Superficial Circumflex Iliac Artery Perforator (SCIP) Pure Skin Perforator (PSP) Flaps.
[BACKGROUND] Pure skin perforator (PSP) flaps had shown their reliability and usefulness for the reconstruction of thin soft-tissue defects. However, accurate localization of PSP is required for safe and fast flap elevation. This study aime…
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Intraoperative analysis of lymph nutrient vessels of 104 human lymph vessels using video-capillaroscopy.
The vasa vasorum of the superficial collecting lymph vessel (VCL) has been reported to show morphological changes in lymphedematous limbs. This study aimed to develop a pathophysiological severity staging of the superficial collecting lymph…
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Knacks and pitfalls for superficial circumflex iliac artery perforator flap.
[PURPOSE] To review the utility of the Superficial Circumflex Iliac Artery Perforator (SCIP) flap for a wide range of defect reconstructions, emphasizing the groin's vascular anatomy, relevant anatomical variations, and recent advancements …
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Transverse Branch-based Superficial Circumflex Iliac Artery Perforator (SCIP) Flap: Expanding Indication of SCIP Flap with a Longer Pedicle and/or Multiple Skin Paddles.
[BACKGROUND] Superficial circumflex iliac artery (SCIA) perforator (SCIP) flap is becoming popular for relatively small defect reconstruction. However, little is known regarding the use of the SCIA transverse branch (SCIAt) as a pedicle of …
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Three-dimensional non-contrast magnetic resonance lymphography severity stage for upper extremity lymphedema.
[PURPOSES] Non-contrast magnetic resonance lymphography (NMRL) has recently shown the capability of evaluating anatomical fluid distribution in upper extremity lymphedema (UEL). However, there is still a lack of knowledge about the correlat…
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Evaluation of the Superficial Collecting Lymph Vessels' Vasa Vasorum in Lymphoedematous Limbs Using Video Capillaroscopy.
[OBJECTIVE] The pre-collecting and collecting lymph vessels have smooth muscle cells, and sufficient perfusion is vital to maintain their function. Although the vasa vasorum of the collecting lymph vessels (VVCL) have been histologically in…
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Various handcrafted artificial vessels: Evaluation of practicality and feasibility for supermicrosurgery training.
[BACKGROUND] Supermicrosurgery demands more refined skills compared to traditional microsurgery, necessitating comprehensive training prior to clinical implementation. Despite the existence of various training models, they often fall short …
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Dermal-adipose lymphatic flap venous wrapping: A novel lymphaticovenous shunt method for progression of upper extremity lymphedema with severe lymphosclerosis.
[BACKGROUND] Upper extremity lymphedema (UEL) causes a significant deterioration in the quality of life of breast cancer survivors. Lymphaticovenous shunt creation will address the pathophysiology of obstructive UEL; however, its efficacy h…
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Expanding indication of free hypothenar flap transfer: Sequential pedicled ulnar palm flap transfer to a relatively large hypothenar flap donor site.
[BACKGROUND] Free hypothenar flap (HTF) transfer allows sensible soft tissue reconstruction of the fingertip. However, HTF is basically indicated for a relatively small soft tissue defect, as width of an HTF is limited up to approximately 2…
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Radical reduction and reconstruction for male genital elephantiasis: Superficial circumflex iliac artery perforator (SCIP) lymphatic flap transfer after elephantiasis tissue resection.
[BACKGROUND] Treatment of elephantiasis, the most severe lymphedema, is challenging. Management of male genital elephantiasis (MGE) is even more challenging than extremity elephantiasis due to its complicated shape and high risk of lymphorr…
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Domino Free Flap Transfer Using a Superficial Circumflex Iliac Artery Perforator Flap for the Toe Flap Donor Site.
[BACKGROUND] Toe-to-hand transfer is a favorable option for finger reconstruction, but donor site healing can be challenging. The superficial circumflex iliac artery perforator (SCIP) flap has yet to be used widely for toe reconstruction. T…
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Thoracoacromial artery and vein as main recipient vessels in deep inferior epigastric artery perforator (DIEP) flap transfer for breast reconstruction.
[BACKGROUND] The internal mammary artery/vein (IMA/V) are commonly used recipients for free flap breast reconstruction, but requires costal cartilage resection and limits future use of the IMA. This study aimed to evaluate the feasibility o…
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Lymph-interpositional-flap transfer (LIFT) based on lymph-axiality concept: Simultaneous soft tissue and lymphatic reconstruction without lymph node transfer or lymphatic anastomosis.
[BACKGROUND] Lymphatic system is important to maintain homeostasis. Lymph-axiality concept has been reported, which suggests possibility of lymphatic reconstruction using flap transfer without lymph node or supermicrosurgical lymphatic anas…
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Free medialis tarsus flap transfer for reconstruction of toe necrosis: A case report.
The medial tarsal area is a commonly used donor site for skin grafts to the digits and toes, with good color and texture match as well as a concealable donor site scar. Yet, there has been no report as a perforator free flap donor site. The…
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Supermicrosurgery for oncologic reconstructions.
With advancement of microsurgical techniques, supermicrosurgery has been developed. Supermicrosurgery allows manipulation (dissection and anastomosis) of vessels and nerves with an external diameter of 0.5 mm or smaller. Because quality of …
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Technical pearls in lymphatic supermicrosurgery.
Lymphedema is becoming a major public issue with improvement of cancer survival rate, as the disease is incurable and progressive in nature, and the number of cancer survivor with lymphedema is increasing over time. Surgical treatment is re…
- Watershed of posterior thigh lymph flows: Posterior midline vs. mid-lateral injection for posterior thigh indocyanine green lymphography.
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Nerve vascularity in free vascularized nerve flaps.
The blood supply of peripheral nerves consists of a complex internal vessels' network, feeding external vessels and the interlinking vasa nervorum. Patients with nerve damage may require nerve substitution. While the commonly performed avas…
- Mesenteric indocyanine green lymphography for lymphatic microsurgery navigation.