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Comparison of Robotic-assisted and Conventional Deep Inferior Epigastric Perforator Flaps: A Retrospective Cohort Study.
[BACKGROUND] The deep inferior epigastric perforator (DIEP) flap is widely regarded as the gold standard for breast reconstruction. Recent advancements in robotic-assisted microsurgery have enabled perforator-to-perforator anastomoses. This…
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Perioperative Tranexamic Acid Reduces Bleeding and Wound Complications in Post-Bariatric Abdominoplasty: A Retrospective Cohort Study.
Post-bariatric abdominoplasty is associated with a high risk of bleeding and wound complications due to extensive tissue resection and impaired tissue quality. Tranexamic acid (TXA) reduces perioperative bleeding in multiple surgical discip…
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Efficient Free Flap Monitoring-A Single-Center Study Comparing Different Monitoring Periods.
[INTRODUCTION] Postoperative monitoring is an important part in the complex process of reconstructive microsurgery. While it can improve quality and outcome of microsurgical reconstructions, it is also very resource intensive. The aim of th…
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Insights Into Minimally Invasive Aesthetic Procedure-Defining Demographic Factors and Impact of the Treatment on Self-Perception: A Propensity-Matched Cross-Sectional Study.
[BACKGROUND] The lion's share of the research on facial aesthetic procedures focuses on visual results and patient satisfaction. [OBJECTIVES] To characterize treated and untreated potential patients and the identification of determinants t…
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Comparative Analysis of Liposuction and Conservative Treatment in Lipedema Patients: A Modified Body-Q Questionnaire Study.
: Despite its estimated high prevalence among women and increasing awareness, lipedema remains under-investigated. Ignoring its debilitating nature, surgical treatment for this condition is frequently covered by health insurance only in adv…
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[Robot-assisted Microsurgery for Autologous Breast Reconstruction - Robotic Breast Reconstruction].
[BACKGROUND] With the introduction of novel surgical robots and surgical microscopes for the special needs of open microsurgery, the concept of robotic-assisted microsurgery is gaining popularity. While initial preclinical studies indicate …
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Ideal suturing technique for robot-assisted microsurgical anastomoses.
The development of novel robotic devices specifically designed for open microsurgery leads to increasing applications in reconstructive procedures. While initial studies revealed improved precision and surgical ergonomics upon robotic assis…
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Fully Telemetric Robotic Microsurgery: Clinical Experience With 23 Cases.
[BACKGROUND] Recently, there is an ongoing trend in plastic surgery with robotic-assisted microsurgery and supermicrosurgery devices being developed. Combining a telemetrically controlled robotic microscope with an also telemetrically contr…
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Functionality and Scar Evaluation of the Donor Site in Extended Radial Forearm Flap Phalloplasty: How Affected Is the Arm in Day-to-Day Life?
The radial forearm flap remains the gold standard in phalloplasty in gender-affirming surgery due to its versatility and functional outcome, but the significant donor site morbidity and its impact on daily functioning and aesthetic percepti…
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Seasonal Impact on Free Flap Surgery in Terms of Flap Loss and Wound Healing Disorders: A Retrospective Cohort Study of 158 Free Flaps.
(1) Background: Postoperative flap loss and wound healing disorders are severe complications after microsurgical free flap surgery. Despite multiple clinical observations, a possible influence of season and external temperature on outcome a…
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Breast Reconstruction with DIEP Flap: The Learning Curve at a Breast Reconstruction Center and a Single-Surgeon Study.
Although microsurgical breast reconstruction represents a very interesting and rewarding field of plastic surgery, appropriate microsurgical training is not possible in every plastic surgery department. In this retrospective study, we prese…
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Comparison of surgical and patient-reported outcomes between 85 profunda artery perforator flaps and 122 deep inferior epigastric perforator flaps as first-choice treatment for breast reconstruction.
[BACKGROUND] The profunda artery perforator (PAP) flap for breast reconstruction was first published in 2012. Since then, many centers implemented its application as second-line treatment for breast reconstruction in cases where patient cha…
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Use of the superficial inferior epigastric vein in breast reconstruction with a deep inferior epigastric artery perforator flap.
[BACKGROUND] Autologous breast reconstruction is highly regarded in reconstructive surgery after mastectomy. DIEP flap reconstruction represents the gold standard for autologous breast reconstruction. The major advantages of DIEP flap recon…
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[Stacked PAP flap for unilateral breast reconstruction: a case report].
[BACKGROUND] In recent years, the PAP (profunda artery perforator) flap has gained popularity in reconstructive breast surgery. However, the tissue available for flap harvest is usually limited. Therefore, grafting two PAP flaps to form a s…
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Measurement of Postoperative Quality of Pain in Abdominoplasty Patients-An Outcome Oriented Prospective Study.
(1) Background: Postoperative pain is a frequently underestimated complication significantly influencing surgical outcome and patient satisfaction. While abdominoplasty is one of the most commonly performed plastic surgery procedures, studi…
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Breaking the circle-effectiveness of liposuction in lipedema.
[BACKGROUND] Lipedema is a common chronic fat distribution disorder often aligned with pain and reduced quality of life affecting 6-10% of the female population. Although lipedema has acquired more scientific attention in the last decade, v…
- [Liposuktion beim Lipödem - Doch besser als ihr Ruf?].
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Patient-Reported Outcomes of Liposuction for Lipedema Treatment.
[BACKGROUND] Lipedema, as a disabling and consequential disease, is gaining more awareness due to its potential omnipresence. Patients suffering from lipedema show a characteristic painful display of symmetric accumulations of adipose tissu…
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Complication Rates after Breast Surgery with the Motiva Smooth Silk Surface Silicone Gel Implants-A Systematic Review and Meta-Analysis.
[BACKGROUND] In an era where textured devices are being phased out due to concerns about BIA-ALCL, the Motiva SilkSurface breast implants intend to alleviate historical prosthesis-related complications. However, its safety and feasibility r…
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Mastopexy Strategies for Ptotic Breasts in Patients Choosing Autologous Reconstruction Following Prophylactic Mastectomy.
[BACKGROUND] Autologous breast reconstruction is a reliable solution for many patients after mastectomy. While this technique represents a standardized approach in many patients, patients with ptotic breasts may require a combination of pro…
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Initial experience with the superficial circumflex iliac artery perforator (SCIP) flap for extremity reconstruction in Caucasians.
[BACKGROUND] The superficial circumflex iliac artery perforator (SCIP) flap has been established in Asia to provide an excellent option for soft tissue defect coverage. The main advantage of this delicate flap is its very thin design. Howev…
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Free flap breast reconstruction using a novel robotic microscope.
[INTRODUCTION] Robotic-assisted surgery (RAS) has evolved over the past decades. Currently, novel robotic systems for microsurgery are being launched onto the European market. This novel microscope (RoboticScope®, BHS, Innsbruck, Austria) i…
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Breast Reconstruction- Developing a Volumetric Outcome Algorithm.
Postoperative loss of breast volume represents a significant parameter for outcome evaluation of breast reconstruction. Breast volume broadly varies- depending of reconstruction method as well as surgical differences. A structural pattern o…
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After weight loss, what skin removal procedure has the most effect using Body Q metrics?
[BACKGROUND] Although postbariatric body contouring procedures have the ultimate goal of restoring quality of life, there currently exist minimal data assessing the effect of these procedures. [OBJECTIVES] To identify the most important bo…
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Characteristics and Patient Reported Outcome Measures in Lipedema Patients-Establishing a Baseline for Treatment Evaluation in a High-Volume Center.
[UNLABELLED] Lipedema patients suffer not only from visual stigma but also reduction in their quality of life through pain and performance loss in daily life. In clinical practice, it is still difficult to reliably diagnose the disease. Thi…
- Launching a Plastic Surgery Clinic on Instagram: The Dynamic of a New Account.
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[The influence of harvesting and processing on the regenerative potential in fat grafting].
The autologous lipotransfer represents an established method in the field of Plastic Surgery. As a reliable and safe method for breast reconstruction and breast augmentation it offers an alternative to established methods such as implants a…