임상 질문으로 논문 찾기

The "July Effect" refers to the potential increase in adverse outcomes associated with the annual turnover of medical trainees, although its impact on surgical fields remains uncertain. Additionally, few studies have examined whether the op…

[BACKGROUND] Reconstruction of tongue defects following oncologic resection remains a clinical challenge, requiring both functional and aesthetic restoration. Lateral arm free flap (LAFF) provides a thin and pliable option with minimal dono…

[BACKGROUND] Complex lower limb injuries involving soft tissue defects, fractures, and vascular compromise present significant reconstructive challenges. Free tissue transfer is often the gold standard for reconstruction; however, reverse s…

[OBJECTIVE] This study aims to evaluate the salvage rates of re-explored free flaps in extremity reconstruction, focusing on the timing of re-exploration, types of vascular compromise, and related factors that affect outcomes. [METHODS] A …

Mucormycosis is a rare but potentially fatal opportunistic fungal infection with high morbidity and mortality rates despite aggressive treatment. Rhinocerebral mucormycosis represents the most common form, requiring prompt recognition and m…

Microvascular free-flap transfer is a widely used technique for reconstructing complex tissue defects. While early postoperative flap survival depends on intact vascular anastomoses, neovascularization may contribute to long-term viability.…

The radial forearm free flap (RFFF) remains a cornerstone in head and neck reconstruction. Despite various venous anastomotic techniques, including single and dual anastomoses, venous compromise continues to be the leading cause of free fla…

Artificial intelligence (AI) and machine learning (ML) technologies are transforming reconstructive microsurgery through data-driven approaches that enhance precision and standardize clinical workflows. These innovations address long-standi…

Postoperative venous thrombosis is a known complication of free flap reconstruction, yet thrombosis of the external jugular vein (EJV) remains underreported. We present two cases of EJV thrombosis following free jejunal transfer, both detec…

Reconstructing large knee defects after sarcoma resection poses a significant surgical challenge, particularly when vascular anatomy variations or intraoperative vessel damage limit conventional reconstructive options. Achieving stable, ten…

[BACKGROUND] Microsurgical free flap reconstruction is a highly technical surgery, usually performed in high-volume specialized centers. During the last 20 years, we had to perform occasional microsurgical reconstructions in our plastic sur…

[OBJECTIVE] Late free flap failure is an unusual setback for patients; we investigated the etiology and management of late flap failure. [STUDY DESIGN] Single-institution retrospective review of 1959 free flaps from 2010 to 2023 for head a…

[INTRODUCTION] Tranexamic acid (TXA) is commonly used in surgical settings to reduce blood loss. Due to its antifibrinolytic properties, TXA theoretically increases the risk of thrombosis. In this study, the use of TXA was assessed in patie…

Indocyanine green (ICG) fluorescence angiography has emerged as an intraoperative method to accurately assess real-time tissue vascularity, perfusion and anastomotic patency in flap surgery. We illustrate a complex case of elbow reconstruct…

Free muscle flaps can develop significant postoperative edema and wound exudation, thereby increasing interstitial pressure and potentially compromising microcirculation. While concerns exist regarding negative pressure wound therapy (NPWT)…

The radial forearm free flap (RFFF) is a workhorse flap for head and neck reconstruction. We present an unusual case of radial artery occlusion, likely from previous transradial cardiac catheterization, in a patient for whom an RFFF was rai…

Although many free tissue transfers have been performed, free flap loss can still occur because of vascular compromise. To facilitate microsurgery, we invented the axial-view microscope (aMS), a new type of microscope that can axially visua…

[BACKGROUND]  Pedicle occlusion with total free flap loss after microvascular lower extremity reconstruction is a considerably rare yet devastating complication. Fortunately, in the majority of cases, emergency salvage takebacks of compromi…

[OBJECTIVES] Postoperative flap monitoring is essential in oral microvascular reconstruction for timely detection of vascular compromise. This study investigated the use of attached surface probes for the oxygen-2-see (O2C) analysis system …

Trauma or lesion resection often causes complex wounds with deep soft tissue defects in extremities. Simply covering with a skin flap will leave a deep dead space resulting in infection, non-healing wounds, and poor long-term outcomes. Thus…