2,671 results match your criteria Journal of Reconstructive Microsurgery [Journal]


Gender Comparison of Medical Student Microsurgical Skills in a Laboratory Model.

J Reconstr Microsurg 2019 Mar 14. Epub 2019 Mar 14.

Department of Plastic and Reconstructive Surgery, Kaohsiung Chang Gung Memorial Hospital, and Chang Gung University College of Medicine, Taiwan.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1683447DOI Listing

Erratum: The Supraclavicular Artery Perforator Flap: A Comparative Study of Imaging Techniques Used in Preoperative Mapping.

J Reconstr Microsurg 2018 Sep 14;34(7):e1. Epub 2019 Mar 14.

Department of Plastic and Reconstructive Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autonoma de Barcelona, Barcelona, Catalunya, Spain.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1683899DOI Listing
September 2018
1 Read

A Novel Rat Model for Comprehensive Microvascular Training of End-to-End, End-to-Side, and Side-to-Side Anastomoses.

J Reconstr Microsurg 2019 Mar 5. Epub 2019 Mar 5.

Department of Neurosurgery, Beijing Hospital, National Center of Gerontology, Dong Dan, Beijing, China.

Background:  End-to-end, end-to-side, and side-to-side microvascular anastomoses are the main types of vascular bypass grafting used in microsurgery and neurosurgery. Currently, there has been no animal model available for practicing all three anastomoses in one operation. The aim of this study was to develop a novel animal model that utilizes the rat abdominal aorta (AA), common iliac arteries (CIAs), and the median sacral artery (MSA) for practicing these three types of anastomosis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1679957DOI Listing

Cross-Leg Flaps for Lower Extremity Salvage: A Scoping Review.

J Reconstr Microsurg 2019 Mar 5. Epub 2019 Mar 5.

Division of Plastic Surgery, University of Utah Health, Salt Lake City, Utah.

Background:  Lower extremity trauma with soft tissue loss presents a challenge to the reconstructive surgeon. Cross-leg flaps, first described by Hamilton in 1854, are still used to salvage traumatized lower extremities in patients not suitable for free tissue transfer, or those who are receiving care in locations with limited resources.

Methods:  A scoping review methodology was used to examine the evidence supporting the use of cross-leg flaps in modern healthcare. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1679955DOI Listing

Continuous Video-Rate Laser Speckle Imaging for Intra- and Postoperative Cutaneous Perfusion Imaging of Free Flaps.

J Reconstr Microsurg 2019 Mar 5. Epub 2019 Mar 5.

BG Trauma Center Ludwigshafen, Department of Hand, Plastic and Reconstructive Surgery, Microsurgery, Burn Center, University of Heidelberg, Heidelberg, Germany.

Background:  Success of free tissue transfer depends on standardized intraoperative flap design, microsurgical technique, and postoperative monitoring. We sought to investigate whether laser speckle imaging (LSI) is suitable for optimization of intraoperative flap design and postoperative monitoring of free flaps with skin paddles.

Methods:  Skin perfusion was assessed with LSI in 27 free flaps after dissection at the donor site, after anastomosis at the recipient site, after inset and on postoperative days (POD) 1, 5, and 10. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1681076DOI Listing

Reply: Gender Comparison of Medical Student Microsurgical Skills in a Laboratory Model.

J Reconstr Microsurg 2019 Mar 5. Epub 2019 Mar 5.

Academic Plastic Surgery Group, Blizard Institute, Barts and the London School of Medicine and Dentistry, London, United Kingdom.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1683401DOI Listing
March 2019
1 Read
1.006 Impact Factor

Surgical Management of Pediatric Lymphedema: A Systematic Review.

J Reconstr Microsurg 2019 Feb 27. Epub 2019 Feb 27.

Division of Plastic Surgery, Albany Medical Center, Albany, New York.

Introduction:  Lymphedema is a rare, progressive, and debilitating condition caused by failure of the lymphatic system to adequately drain the protein-rich fluid exiting the capillaries. Conservative management is often emphasized in pediatric patients, resulting in a paucity of literature describing surgical treatment in this population.

Methods:  A systematic review was performed using PubMed, ScienceDirect, and Google Scholar to identify all studies describing surgical management of lymphedema in the pediatric population. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1681068DOI Listing
February 2019
6 Reads

Anterolateral Thigh Flap in a Chicken Model: A Novel Perforator Training Model.

J Reconstr Microsurg 2019 Feb 22. Epub 2019 Feb 22.

Department of Human Pathology of the Adult, the Child and the Adolescent, University of Messina, Messina, Italy.

Background:  Preclinical training in perforator flap harvesting is typically conducted on living animal models; however, repeated training is not possible with these models because of ethical and/or economical constraints. We describe an anterolateral thigh flap (ALT flap) training model using chicken thigh that seems to be an appropriate training model prior, for example, to raise a perforator flap in a living rat or swine model.

Methods:  A total of 10 chicken legs were used in this study. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1679882DOI Listing
February 2019
1 Read

Intraoperative Perfusion Assessment in Mastectomy Skin Flaps: How Close are We to Preventing Complications?

J Reconstr Microsurg 2019 Feb 21. Epub 2019 Feb 21.

Department of Plastic and Reconstructive Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland.

Background: Mastectomy flap necrosis is the source of considerable morbidity and cost following breast reconstruction. A great deal of effort has been put forth to predicting and even preventing its incidence intraoperatively.

Methods: A review of the literature was performed evaluating the evidence of mastectomy skin flap perfusion technologies. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1679958DOI Listing
February 2019

Flap Reconstruction of Gastrointestinal-to-Genitourinary Fistulas: A 20-Year Experience.

J Reconstr Microsurg 2019 Feb 21. Epub 2019 Feb 21.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Mayo Clinic, Rochester, Minnesota.

Background:  Gastrointestinal-to-genitourinary fistulas may occur secondary to obstetric complications, radiation therapy, cancer without radiation, inflammatory bowel disease, or previous surgery. Flap reconstruction is useful for complex cases refractory to standard techniques, separating the fistula tracts to aid healing. The purpose of this study was to investigate outcomes and risk factors for complications in flap reconstruction of fistulas from several different etiologies performed over a 20-year period. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1679880DOI Listing
February 2019
1 Read
1.006 Impact Factor

Tertiary Breast Reconstruction for Salvage of the Failed Implant-Based Reconstruction Using the Deep Inferior Epigastric Perforator Flap.

J Reconstr Microsurg 2019 Feb 21. Epub 2019 Feb 21.

Department of Plastic and Reconstructive Surgery, North Bristol NHS Trust, Southmead Hospital, Bristol, United Kingdom.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1679885DOI Listing
February 2019
1 Read

Impact of Social Media on Current Medical Conferences.

J Reconstr Microsurg 2019 Feb 13. Epub 2019 Feb 13.

Department of Plastic and Reconstructive Surgery, Linkou Medical Center and Chang Gung Medical College and Chang Gung University, Chang Gung Memorial Hospital, Taoyuan, Taiwan.

Background:  Medical conferences are forums for research, continuing medical education, and networking. Social media is increasingly used for communication and networking due to its low cost and ability to overcome large distances. This study investigates the impact that social media brings to the current conference system. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1677765DOI Listing
February 2019
4 Reads

Patient-Reported Satisfaction and Quality of Life in Postmastectomy Radiated Patients: A Comparison between Delayed and Delayed Immediate Autologous Breast Reconstruction in a Predominantly Minority Patient Population.

J Reconstr Microsurg 2019 Feb 4. Epub 2019 Feb 4.

Division of Plastic Surgery, Montefiore Medical Center, Bronx, New York.

Background:  Delayed immediate (DI) autologous breast reconstruction consists of immediate postmastectomy tissue expander placement, radiation therapy, and subsequent autologous reconstruction. The decision between timing of reconstructive methods is challenging and remains to be elucidated. We aim to compare patient reported outcomes and quality of life between delayed and DI reconstruction. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1677798DOI Listing
February 2019
1 Read

Anatomical Study of a Chimeric Fascio-Osteomyocutaneous Fibula Flap for Free Microvascular Tissue Transfer.

J Reconstr Microsurg 2019 Jan 31. Epub 2019 Jan 31.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.

Background:  Functional restoration in reconstructive surgery can require complex and adaptable approaches. In this anatomical study, the combined angiosome of the septofasciomyocutaneous vessels originating from the fibular artery was defined as basis for a chimeric flap of the lateral lower leg.

Methods:  Methylene blue injection into the fibular artery was performed in 10 legs of fresh cadavers for visualization of the angiosome on the skin, fibula, and adjacent muscles as the lateral hemisoleus (HS) muscle. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1677769DOI Listing
January 2019
2 Reads

Preoperative Angiography for Free Fibula Flap Harvest: A Meta-Analysis.

J Reconstr Microsurg 2019 Jan 29. Epub 2019 Jan 29.

Division of Plastic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.

Background:  The necessity for routine preoperative imaging for free fibula harvest is controversial. The primary objective of this meta-analysis is to determine if lower extremity angiography is necessary to detect abnormalities that may alter flap selection. The secondary objective is to determine if physical examination alone is sufficient to predict these abnormalities. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0038-1677012DOI Listing
January 2019

Modified Kunlin's Technique for Microsurgical End-to-End Anastomoses: A Series of 100 Flaps.

J Reconstr Microsurg 2019 Jan 25. Epub 2019 Jan 25.

Section of Plastic and Reconstructive Surgery, Department of Surgery, University of Chicago Medical Center, Chicago, Illinois.

Background:  In 1949, a French vascular surgeon, Jean Kunlin, first described a venous end-to-side anastomotic technique to address large vessel size mismatches. It was later modified by Dr. Robert Linton for end-to-end (ETE) anastomoses on the "macrovascular" scale. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1677797DOI Listing
January 2019

Intraoperative Detection of Efferent Lymphatic Vessels Emerging from Lymph Node during Lymphatic Microsurgery.

J Reconstr Microsurg 2019 Jan 21. Epub 2019 Jan 21.

Department of Plastic, Reconstructive, and Aesthetic Surgery, Chiba University Graduate School of Medicine, Chiba, Japan.

Background:  Although the usefulness of efferent lymphaticovenular anastomosis (ELVA) in lymphatic microsurgery has been reported, the optimal method to distinguish efferent from afferent lymphatics is not yet established. We propose a novel technique to detect efferent lymphatics appropriate for anastomosis.

Methods:  In total, 62 groin lymph nodes (LNs) of 46 limbs were divided into four groups based on the findings of indocyanine green lymphography:  = 15 in normal, 15 in dermal backflow stage 0, 18 in stage I, and 14 in stage II groups. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0038-1677039DOI Listing
January 2019
2 Reads

Comparison of Outcomes in Oncoplastic Pelvic Reconstruction with VRAM versus Omental Flaps: A Large Cohort Analysis.

J Reconstr Microsurg 2019 Jan 18. Epub 2019 Jan 18.

Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, Minnesota.

Background:  The purpose of this study is to describe our experience and outcomes in oncoplastic pelvic reconstruction for patients who underwent either vertical rectus abdominis musculocutaneous (VRAM) or omental flap following abdominoperineal resection (APR) at a single tertiary care institution.

Methods:  All patients who underwent pelvic reconstruction following APR with either VRAM or omental flaps from January 1992 to January 2017 were retrospectively reviewed. Patient demographics and relevant comorbidities including chemotherapy and radiation therapy data were collected and analyzed. Read More

View Article

Download full-text PDF

Source
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1677524
Publisher Site
http://dx.doi.org/10.1055/s-0038-1677524DOI Listing
January 2019
16 Reads

The Impact of Age on Perioperative Complications after Extremity Reconstruction with the Free Gracilis Flap: A Retrospective Cohort Study Involving 153 Patients.

J Reconstr Microsurg 2019 Jan 9. Epub 2019 Jan 9.

Department of Hand, Plastic, Reconstructive and Burn Surgery, BG Trauma Center, Eberhard Karls University Tuebingen, Tuebingen, Germany.

Background:  The need for plastic and reconstructive surgery on elderly patients has been on the rise due to an increase in life expectancy in the past decades. Therefore, a study was conducted on young and elderly patients following microsurgical extremity reconstructions with free gracilis muscle flaps with the primary aim to investigate the influence of age and the American Society of Anesthesiologists (ASA) score on the general outcome, as well as surgical and medical complications.

Methods:  A retrospective analysis of 153 patients receiving free gracilis muscle flaps for extremity reconstructions between November 2009 and January 2018 was performed at two partner institutions specialized in microsurgical reconstructions. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0038-1677455DOI Listing
January 2019
8 Reads

Microsurgical Reconstruction of the Plantar Foot: Long-Term Functional Outcomes and Quality of Life.

J Reconstr Microsurg 2019 Jan 9. Epub 2019 Jan 9.

Department for Plastic, Reconstructive, Hand, and Burn Surgery, Technical University Munich, StKM - Klinikum Bogenhausen, Academic Teaching Hospital, Munich, Germany.

Background:  When faced with plantar defects, reconstruction of the weight-bearing areas presents unique surgical challenges. Several free flap modalities have been described in this respect, but there remains debate regarding the best-suited flap modality. Aim of this study was to compare free muscle and non-neurotized fasciocutaneous flaps for plantar reconstruction with respect to long-term functional outcomes. Read More

View Article

Download full-text PDF

Source
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1677038
Publisher Site
http://dx.doi.org/10.1055/s-0038-1677038DOI Listing
January 2019
14 Reads

Microvascular Anastomotic Coupler: An Unexpected Adverse Event.

J Reconstr Microsurg 2019 Jan 9. Epub 2019 Jan 9.

Department of Plastic and Reconstructive Surgery, La Conception Hospital, Marseille, France.

View Article

Download full-text PDF

Source
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1677036
Publisher Site
http://dx.doi.org/10.1055/s-0038-1677036DOI Listing
January 2019
2 Reads

The "Dual-Plane" DIEP Flap: Measuring the Effects of Superficial Arterial and Venous Flow Augmentation on Clinical Outcomes.

J Reconstr Microsurg 2019 Jan 7. Epub 2019 Jan 7.

Division of Plastic and Reconstructive Surgery, University of California San Francisco, San Francisco, California.

Background:  Deep inferior epigastric perforator (DIEP) flaps are routinely elevated on a single dominant perforator from the deep epigastric vascular system. However, the single perforator may not always perfuse an entire flap adequately, particularly suprascarpal tissue. We often perform "dual-plane" single perforator DIEP flaps by rerouting the superficial (SIEA/V) system directly into a branch of the deep (DIEA/V) vascular system pedicle, thus allowing both systems to contribute and enhance flap perfusion. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0038-1677013DOI Listing
January 2019
2 Reads

Bleeding After Free Flap-Based Breast Reconstruction: A NSQIP Analysis.

J Reconstr Microsurg 2019 Jan 7. Epub 2019 Jan 7.

Division of Plastic and Reconstructive Surgery, Duke University Medical Center, Durham, North Carolina.

Background:  Despite limited oncologic benefit for women without an increased risk for breast cancer, the rates of contralateral prophylactic mastectomy (CPM) have increased. Patients undergoing CPM are more likely to undergo bilateral and immediate breast reconstruction. This study assessed the relationship between the timing and laterality of free flap-based breast reconstruction and the risk of postoperative bleeding complications. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0038-1677037DOI Listing
January 2019
1 Read
1.006 Impact Factor

Three-Dimensional Vascular Anatomical Study of the Tensor Fasciae Latae Muscle and Perforators.

J Reconstr Microsurg 2019 Jan 7. Epub 2019 Jan 7.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Dalhousie University, Halifax, Canada.

Background:  To harvest any flap on the lateral circumflex femoral artery (LCFA) including tensor fasciae latae (TFL) muscle, a precise description of the vascular anatomy is required. There have been conflicting reports of the vascular supply of TFL and its overlying skin. The objective of this study was to evaluate the anatomy of the TFL muscle according to the location, origin, type, caliber, and length of vessels that supply the muscle. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0038-1677010DOI Listing
January 2019
11 Reads

Obesity and Lower Extremity Reconstruction: Evaluating Body Mass Index as an Independent Risk Factor for Early Complications.

J Reconstr Microsurg 2018 Dec 22. Epub 2018 Dec 22.

Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, New York.

Background:  The prevalence of obesity in the United States continues to grow and is estimated to affect over a quarter of the working-age population. Some studies have identified obesity as a risk factor for flap failure and complications in free flap-based breast reconstruction, but its clinical significance is less clear in nonbreast reconstruction. The role of obesity as a risk factor for failure and complications following lower extremity reconstruction has not been well described, and the limited existing literature demonstrates conflicting results. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0038-1676538DOI Listing
December 2018
2 Reads

Lateral Crisscross Position for Lymphaticovenular Anastomosis: Comfortable for Both the Patient and the Surgeon.

J Reconstr Microsurg 2018 Dec 22. Epub 2018 Dec 22.

Department of Breast Center, Kameda Medical Center, Chiba, Japan.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0038-1676602DOI Listing
December 2018
1 Read

Surgical "Safe Zone": Rapid Anatomical Identification of the Lesser Occipital Nerve.

J Reconstr Microsurg 2018 Dec 18. Epub 2018 Dec 18.

Division of Plastic and Reconstructive Surgery, Rush University Medical Center, Chicago, Illinois.

Background:  Surgical intervention has established a vital role in the management of chronic headaches. The lesser occipital nerve (LON) is a common target in patients suffering from occipital neuralgia and is often resected as a first-line option. We endeavored to define the relationships of the LON in the posterolateral neck to facilitate its safe and rapid intraoperative identification. Read More

View Article

Download full-text PDF

Source
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1676601
Publisher Site
http://dx.doi.org/10.1055/s-0038-1676601DOI Listing
December 2018
3 Reads

Is Early Compression Therapy after Perforator Flap Safe and Reliable?

J Reconstr Microsurg 2018 Dec 17. Epub 2018 Dec 17.

Department of Plastic and Reconstructive Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Background:  Due to the concern of circulation compromise, many surgeons hesitate to dangle or challenge the flap in the early postoperative phase. In our experience, early compression may have advantages such as collapse of dead space, evacuation of hematoma, reduction of edema, and stabilization of flap when ambulating. In this study, the effect of early compression of flaps with regard to flap physiology and outcome is evaluated. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0038-1676604DOI Listing
December 2018
5 Reads

Comparison of Polypropylene and Bioabsorbable Mesh for Abdominal Wall Reinforcement following Microsurgical Breast Reconstruction.

J Reconstr Microsurg 2018 Dec 17. Epub 2018 Dec 17.

Department of Plastic Surgery and Reconstructive Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.

Background:  Abdominal wall morbidity following microvascular breast reconstruction continues to be an area of interest due to both functional and aesthetic concerns. Donor-site closure technique has been shown to affect bulge and hernia rates and ranges from primary closure to various uses of mesh. Few studies to date have compared types of mesh. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0038-1676470DOI Listing
December 2018
10 Reads

Flow-Through Flaps in the Absence of an Arterial Gap for Extremity Defect Reconstruction: Minimizing the Donor-Site Morbidity.

J Reconstr Microsurg 2018 Dec 17. Epub 2018 Dec 17.

Department of Plastic and Reconstructive Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.

Background:  The use of flow-through flaps was popularized in the early 1990s by Costa, Soutar and Lamberty in cases where an arterial gap was present or a major artery of the limb was damaged. We hypothesized that flow-through flaps can be used in all extremity reconstruction cases, where there is an indication for a free-flap, irrespective of the existence of arterial defect due to its many advantages while not increasing the flap loss significantly.

Methods:  A retrospective study was performed by examining patient status and surgery reports of all patients who underwent extremity reconstruction with a flow-through flap from January 2011 to January 2016. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0038-1676497DOI Listing
December 2018
3 Reads

Tissue Oximetry Monitoring for Free Deep Inferior Epigastric Perforator Flap Viability: Factors to be Considered toward Optimizing Postoperative Outcome.

J Reconstr Microsurg 2018 Dec 17. Epub 2018 Dec 17.

Department of Plastic and Reconstructive Surgery, Catholic University Sacred Heart - Policlinico Agostino Gemelli, Rome, Italy.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0038-1676605DOI Listing
December 2018
2 Reads

Tissue Oximetry for Monitoring Free DIEP Flap Viability: Factors to Consider towards Optimizing Postoperative Outcome.

J Reconstr Microsurg 2018 Dec 17. Epub 2018 Dec 17.

Department of Plastic, Reconstructive and Hand Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0038-1676493DOI Listing
December 2018
4 Reads

Bioelectrical Impedance Analysis of Water Reduction in Lower-Limb Lymphedema by Lymphaticovenular Anastomosis.

J Reconstr Microsurg 2018 Nov 2. Epub 2018 Nov 2.

Department of Plastic and Reconstructive Surgery, School of Medicine, Shinshu University, Matsumoto, Japan.

Background:  Although lymphedema is fundamentally abnormal accumulation of excess water in the extracellular space, previous studies have evaluated the efficacy of physiological bypass surgery (lymphaticovenular anastomosis [LVA]) for lymphedema without measuring water volume. This study clarified the water reductive effect of LVA using bioelectrical impedance analysis (BIA).

Methods:  The efficacy of LVA for unilateral lower-limb lymphedema was evaluated using BIA in a retrospective cohort. Read More

View Article

Download full-text PDF

Source
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1675368
Publisher Site
http://dx.doi.org/10.1055/s-0038-1675368DOI Listing
November 2018
4 Reads

Torsion Does Not Affect Early Vein Graft Patency in the Rat Femoral Artery Model.

J Reconstr Microsurg 2018 Oct 30. Epub 2018 Oct 30.

Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, New York.

Background:  Torsion of vein grafts is a commonly cited reason for graft failure in clinical setting. Many microsurgery training courses have incorporated vein graft procedures in their curricula, and vein graft torsion is a common technical error made by the surgeons in these courses. To improve our understanding of the clinical reproducibility of practicing vein graft procedures in microsurgery training courses, this study aims to determine if torsion can lead to early vein graft failure in nonsurvival surgery rat models. Read More

View Article

Download full-text PDF

Source
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1675224
Publisher Site
http://dx.doi.org/10.1055/s-0038-1675224DOI Listing
October 2018
14 Reads

Do-It-Yourself Microsuture from Human Hair for Basic Microsurgical Training.

J Reconstr Microsurg 2018 Oct 26. Epub 2018 Oct 26.

Department of Biochemistry and Orthopaedics, Vinai Parkpian Orthopaedic Research Center, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Background:  Microsuture is an essential material for basic microsurgical training. However, it is consumable, expensive, and sometimes unavailable in the microsurgical laboratory. To solve this problem, we developed a microsuture made from human hair and needle gauge. Read More

View Article

Download full-text PDF

Source
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1675203
Publisher Site
http://dx.doi.org/10.1055/s-0038-1675203DOI Listing
October 2018
12 Reads

Flap Reconstruction of Sarcoma Defects in the Setting of Neoadjuvant and Adjuvant Radiation.

J Reconstr Microsurg 2018 Oct 24. Epub 2018 Oct 24.

Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, New York.

Purpose:  Limb-sparing treatment of extremity soft tissue sarcomas requires wide resections and radiation therapy. The resulting complex composite defects necessitate reconstructions using either muscle or fasciocutaneous flaps, often in irradiated wound beds.

Methods:  A retrospective chart review was performed of all limb-sparing soft tissue sarcoma resections requiring immediate flap reconstruction from 2012 through 2016. Read More

View Article

Download full-text PDF

Source
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1675147
Publisher Site
http://dx.doi.org/10.1055/s-0038-1675147DOI Listing
October 2018
20 Reads

Evaluation of the Extent of Vessel Avulsion Injury: An Experimental Study Using a Rabbit Model.

J Reconstr Microsurg 2018 Oct 16. Epub 2018 Oct 16.

Department of Plastic and Reconstructive Surgery, Karadeniz Technical University Faculty of Medicine, Trabzon, Turkey.

Background:  Determining the extent of damage in vascular avulsion type injuries still represents a challenge for the microsurgeon. Excision of the damaged section is critical for the success of anastomosis. The purpose of this study was to determine which among vascular endothelial and adventitia damage findings is most effective in determining the extent of avulsion injury. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0038-1675178DOI Listing
October 2018
2 Reads

Work-Related Musculoskeletal Discomfort and Injury in Microsurgeons.

J Reconstr Microsurg 2018 Oct 16. Epub 2018 Oct 16.

Division of Plastic and Reconstructive Surgery, Mayo Clinic, Phoenix, Arizona.

Background:  Long surgical procedures with loupe magnification and microscopes may put microsurgeons at an increased risk of musculoskeletal discomfort. Identifying the prevalence and impact of work-related musculoskeletal discomfort may guide preventive strategies to prolong well-being, job satisfaction, and career duration.

Methods:  An online 29-question survey was designed to evaluate work-related musculoskeletal discomfort. Read More

View Article

Download full-text PDF

Source
https://www.researchgate.net/profile/Sherise_Epstein/publica
Web Search
http://www.ajog.org/article/S0002937816303465/pdf
Web Search
http://downloads.hindawi.com/journals/prm/2017/5757108.pdf
Web Search
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1675177
Publisher Site
http://dx.doi.org/10.1055/s-0038-1675177DOI Listing
October 2018
5 Reads

Lower Extremity Free Tissue Transfer in the Setting of Thrombophilia: Analysis of Perioperative Anticoagulation Protocols and Predictors of Flap Failure.

J Reconstr Microsurg 2018 Oct 16. Epub 2018 Oct 16.

Department of Plastic Surgery, Center for Wound Healing, MedStar Georgetown University Hospital, Washington, District of Columbia.

Aim:  No consensus exists regarding the optimal strategy for perioperative thromboprophylaxis in high-risk microsurgical populations. We present our experience with lower extremity free tissue transfer (FTT) in thrombophilic patients and compare outcomes between non-stratified and risk-stratified anticoagulation protocols.

Methods:  Between January 2013 and December 2017, 57 patients with documented thrombophilia underwent FTT for non-traumatic, lower extremity reconstruction by a single surgeon. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0038-1675145DOI Listing
October 2018
3 Reads

Long-Term Outcome after Successful Lower Extremity Free Flap Salvage.

J Reconstr Microsurg 2018 Oct 16. Epub 2018 Oct 16.

Department of Hand, Plastic and Reconstructive Surgery, Burn Center, BG Trauma Center Ludwigshafen, University of Heidelberg, Ludwigshafen, Germany.

Background:  Vascular occlusion after free flap surgery has become a rare complication but still poses a major challenge. It necessitates urgent re-exploration, but the logistic challenge to provide sufficient resources for the emergency intervention remains. The aim of this study was to analyze the long-term outcome after successful lower extremity free flap salvage. Read More

View Article

Download full-text PDF

Source
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1675146
Publisher Site
http://dx.doi.org/10.1055/s-0038-1675146DOI Listing
October 2018
5 Reads

Catheter-Based Computed Tomography Angiography in Anterolateral Thigh Perforator Mapping of Chinese Patients.

J Reconstr Microsurg 2019 Mar 2;35(3):221-228. Epub 2018 Oct 2.

Department of Diagnostic Radiology, City of Hope National Medical Center, Duarte, California, United States.

Background:  During reconstructive surgery, anterolateral thigh (ALT) flap harvest is challenging due to variation and uncertainty in perforator distribution. We performed a pilot study to identify the predictive value of catheter-based computed tomography angiography (C-CTA) and traditional CTA (T-CTA) in ALT perforator mapping for patients whose ALT perforators were difficult to identify.

Methods:  Thirty-four consecutive T-CTA/C-CTA-mapped ALT flaps were evaluated for extremity reconstruction. Read More

View Article

Download full-text PDF

Source
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1672129
Publisher Site
http://dx.doi.org/10.1055/s-0038-1672129DOI Listing
March 2019
18 Reads

Reduced Anterolateral Thigh Flap Donor-Site Morbidity Using Incisional Negative Pressure Therapy.

J Reconstr Microsurg 2019 Mar 27;35(3):229-234. Epub 2018 Sep 27.

Department of Plastic and Reconstructive Surgery, Pontificia Universidad Católica de Chile, Santiago, Chile.

Background:  Primary closure of the donor-site after harvest of a large anterolateral thigh flap (ALT) is associated with significant morbidity. Incisional negative pressure therapy (INPT) may decrease complications in high-risk incisions. This study assessed if the incidence of complications after primary closure of the ALT flap donor-site decreases with INPT. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0038-1672126DOI Listing
March 2019
5 Reads

Long-Term Effects on Volume Change in Musculocutaneous Flaps after Head and Neck Reconstruction.

J Reconstr Microsurg 2018 Sep 21. Epub 2018 Sep 21.

Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.

Objective:  Musculocutaneous flap reconstruction surgery is one of the standard procedures following head and neck cancer resection. However, no previous studies have classified flaps in terms of muscle and fat or examined them after long-term follow-up. The purpose of this study was to estimate the fat and muscle volume changes in musculocutaneous flaps during long-term follow-up. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0038-1672134DOI Listing
September 2018
1 Read

Ahead of the Curve: Tracking Progress in Novice Microsurgeons.

J Reconstr Microsurg 2019 Mar 21;35(3):216-220. Epub 2018 Sep 21.

Division of Plastic Surgery, University of Nevada, Las Vegas School of Medicine, Las Vegas, Nevada.

Background:  The purpose of this study was to evaluate learning curves for an existing microsurgical training model. We compared efficiency and amount of training needed to achieve proficiency between novice microsurgeons without operative experience versus those who had completed a surgical internship.

Methods:  Ten novice microsurgeons anastomosed a silastic tube model. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0038-1670652DOI Listing
March 2019
2 Reads
1.010 Impact Factor

Management of Microsurgical Patients using Intraoperative Unfractionated Heparin and Thromboelastography.

J Reconstr Microsurg 2019 Mar 19;35(3):198-208. Epub 2018 Sep 19.

Institute for Reconstructive Surgery, Houston Methodist Hospital, Weill Cornell Medicine, Houston, Texas, United States.

Background:  Maintaining optimal coagulation is vital for successful microvascular tissue transfer. The viscoelastic thromboelastography (TEG) is a modern and dynamic method to assess a patient's coagulation status. The aim of this study was to evaluate its diagnostic capabilities of identifying microvascular complications. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0038-1670683DOI Listing
March 2019
1 Read

Effects of Systemic and Local Caffeine on Vessel Diameter, Anastomosis Patency, and Intimal Hyperplasia in the Rat.

J Reconstr Microsurg 2018 Sep 19. Epub 2018 Sep 19.

Department of Plastic, Reconstructive, and Aesthetic Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey.

Background:  The use of caffeine is not recommended prior to elective microsurgery due to its demonstrated negative effects on vessel anastomosis by the presumed sympathomimetic induction of vasoconstriction. In this study, we aimed to elucidate the systemic and local effects of caffeine on vessel diameter, anastomosis patency, and degree of intimal hyperplasia during the healing process.

Methods:  Twenty-five rats were randomly assigned to five groups: (1) negative control, (2) preoperative systemic caffeine, (3) postoperative systemic caffeine, (4) perioperative systemic caffeine, and (5) a local caffeine group. Read More

View Article

Download full-text PDF

Source
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1672130
Publisher Site
http://dx.doi.org/10.1055/s-0038-1672130DOI Listing
September 2018
6 Reads

Radiation-Induced Skin Changes after Postmastectomy Radiation Therapy: A Pilot Study on Indicators for Timing of Delayed Breast Reconstruction.

J Reconstr Microsurg 2019 Mar 19;35(3):209-215. Epub 2018 Sep 19.

Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Michigan.

Background:  Delayed autologous breast reconstruction is commonly recommended in patients requiring postmastectomy radiation. This study examines gross and histologic changes in the breast skin of patients who have undergone postmastectomy radiation to help determine when radiation-induced skin changes begin to stabilize.

Methods:  A prospective pilot study was conducted on eight patients with invasive breast cancer who required mastectomy and radiotherapy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0038-1670650DOI Listing
March 2019
2 Reads

Neurovascular Anatomy at the "Box Junction": Considerations in the Anterolateral Thigh Flap.

J Reconstr Microsurg 2018 Sep 15. Epub 2018 Sep 15.

Department of Plastic and Reconstructive Surgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.

Background:  The anterolateral thigh (ALT) perforator flap is one of the most widely used flaps in reconstructive microsurgery. This study investigated a previously unexplored and clinically relevant aspect of perforator anatomy: the "box junction" (BxJn), the point at which the perforator arises from its source vessel. Negotiating the BxJn can be a challenging and time-consuming step in flap harvest, due to the neurovascular structures in the area which must be protected from injury. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0038-1670649DOI Listing
September 2018
2 Reads

The Untold Story of the First Hand Transplant: Dedicated to the Memory of one of the Great Minds of the Ecuadorian Medical Community and the World.

J Reconstr Microsurg 2019 Mar 31;35(3):163-167. Epub 2018 Aug 31.

Long Island Plastic Surgical Group, Nassau University Medical Center, New York.

Background:  In 1964, faced with the challenge of traumatic amputation, a team of surgeons at Clinica Guayaquil was convinced that the transplantation of a hand could significantly improve function and quality of life for the recipient. With a current but basic understanding of immunosuppression, the surgeons identified a recipient and waited for the correct donor. A human hand transplant had never been performed to date. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0038-1668535DOI Listing
March 2019
1 Read

Predictors of Hand Dexterity after Single-Digit Replantation.

J Reconstr Microsurg 2019 Mar 28;35(3):194-197. Epub 2018 Aug 28.

Department of Orthopaedic Surgery, Nara Medical University, Nara, Japan.

Background:  Microsurgical replantation of the thumb and digits has become an increasingly familiar technique in clinical practice worldwide. However, successful digit replantation does not always provide better hand function than revision amputation. Little information is available regarding predictors of motor skill activities of replanted hands. Read More

View Article

Download full-text PDF

Source
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1669446
Publisher Site
http://dx.doi.org/10.1055/s-0038-1669446DOI Listing
March 2019
10 Reads