3,362 results match your criteria Microsurgery [Journal]


Topical tacrolimus and steroids modulate T cells in acute rejection of hand allotransplantation: Two case reports.

Microsurgery 2019 Feb 15. Epub 2019 Feb 15.

Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.

Acute rejection is not uncommon after vascularized composite allotransplantation. We reported the effects of adjunctive topical immunosuppressant with topical tacrolimus (Protopic®) and steroid cream (Clobetasol®) in the management of acute rejection in two hand transplantation patients. Case 1 is a 45-year-old male with distal forearm deficit 4 years ago and Case 2 is a 30-year-old male with a proximal forearm deficiency 2 years ago, respectively. Read More

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http://dx.doi.org/10.1002/micr.30439DOI Listing
February 2019

Post-traumatic lymphedema treatment with superficial circumflex iliac artery perforator lymphatic free flap: A case report.

Microsurgery 2019 Feb 15. Epub 2019 Feb 15.

Department of Plastic Surgery and Burns, Hospital del Trabajador, Santiago, Chile.

Post-traumatic lymphedema is poorly understood. It is rarely considered in limb reconstruction decision-making approach. We report a case of a 41-year-old female who presented with right upper extremity lymphedema after degloving injury and split thickness skin graft, successfully treated with a superficial circumflex iliac artery perforator (SCIP) free flap restoring the lymphatic drainage. Read More

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http://dx.doi.org/10.1002/micr.30437DOI Listing
February 2019

Lymphatic supermicrosurgery for the treatment of recurrent lymphocele and severe lymphorrhea.

Microsurgery 2019 Feb 14. Epub 2019 Feb 14.

International Lymphedema Center, Hiroshima University Hospital, Hiroshima, Japan.

Background: Lymphocele and lymphorrhea are frequent complications after lymph node excision. Recurrent lymphoceles and intractable lymphorrhea are particularly difficult to treat conservatively. We describe the outcomes of four patients with recurrent lymphocele and nine patients with persistent lymphorrhea that were treated by supermicrosurgery. Read More

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http://dx.doi.org/10.1002/micr.30435DOI Listing
February 2019
1 Read

Elbow flexion reconstruction with nerve transfer or grafting in patients with brachial plexus injuries: A systematic review and comparison study.

Microsurgery 2019 Feb 13. Epub 2019 Feb 13.

Department of Orthopaedics and Traumatology, Division of Hand Surgery, Hacettepe University, Faculty of Medicine, Ankara, Turkey.

Introduction: Posttraumatic brachial plexus (BP) palsy was used to be treated by reconstruction with nerve grafts. For the last two decades, nerve transfers have gained popularity and believed to be more effective than nerve grafting. The aim of this systematic review was to compare elbow flexion restoration with nerve transfers or nerve grafting after traumatic BP injury. Read More

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http://dx.doi.org/10.1002/micr.30440DOI Listing
February 2019

An anatomical variation of the DIEP flap: Left abdominus perforator arising from the right DIEA.

Microsurgery 2019 Feb 11. Epub 2019 Feb 11.

Division of Plastic and Reconstructive Surgery, IdiPaz and University Hospital La Paz, Madrid, Spain.

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http://dx.doi.org/10.1002/micr.30436DOI Listing
February 2019

Functional penile replantation after traumatic avulsion amputation below the pubis: A case report.

Microsurgery 2019 Feb 3. Epub 2019 Feb 3.

Division of Plastic Surgery, Department of Surgery, University of Wisconsin-Madison, Madison, Wisconsin.

Penile amputation is a rare injury with significant posttraumatic ramifications. We present a case of successful immediate replantation after traumatic penile avulsion in a 52-year-old male patient. The patient reported his penis was caught in machinery during a boating accident, and avulsed at the level of the pubis. Read More

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http://dx.doi.org/10.1002/micr.30425DOI Listing
February 2019

Microvascular lining options for subtotal and total nasal reconstruction: A scoping review.

Microsurgery 2019 Jan 31. Epub 2019 Jan 31.

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

Background: Restoration of nasal lining is essential in reconstruction of subtotal/total nasal defects. When local flaps are inadequate, a microvascular flap should be used. The purpose of this scoping review is to map the literature and identify the described flap options for subtotal/total nasal reconstruction. Read More

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http://doi.wiley.com/10.1002/micr.30432
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http://dx.doi.org/10.1002/micr.30432DOI Listing
January 2019
6 Reads

Convergent end-to-end neurorrhaphy: An alternative technique for dual innervation of the gastrocnemius muscle in rats.

Microsurgery 2019 Jan 31. Epub 2019 Jan 31.

Plastic Surgery Department, Hospital das Clínicas, University of São Paulo, São Paulo, São Paulo, Brazil.

Introduction: Muscle contraction generated by electrical impulses simultaneously originating from two different neural sources may be an interesting treatment alternative for long term facial palsy. An experimental model was designed to compare single and dual innervation of the gastrocnemius muscle (GM) in rats.

Methods: Fifty adult Wistar rats underwent transection of their right peroneal nerve and were divided into five groups (n = 10): control (C), tibial nerve section (TS), tibial nerve primary end-to-end neurorrhaphy (PEE), tibial nerve primary repair associated with end-to-side peroneal-to-tibial nerve transfer (PRES), and tibial nerve repair by convergent end-to-end (CEE) neurorrhaphy between the proximal stumps of the tibial and peroneal nerves to the distal stump of the tibial nerve. Read More

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http://dx.doi.org/10.1002/micr.30433DOI Listing
January 2019

Successful free flap salvage upon venous congestion in bilateral breast reconstruction using a venous cross-over bypass: A case report.

Microsurgery 2019 Jan 28. Epub 2019 Jan 28.

Department of Plastic and Hand Surgery, University Hospital of Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany.

Abdominal free flaps such as the muscle sparing transverse rectus abdominis myocutaneous (ms-TRAM) or deep inferior epigastric artery perforator (DIEP) flap represent the gold standard in autologous breast reconstruction. We describe a salvage procedure during bilateral free flap breast reconstruction due to insufficient venous drainage using a venous cross-over bypass. A 54-year-old woman with a thrombosis of the left subclavian port-system in the medical history was elected for simultaneous bilateral breast reconstruction with ms-TRAM and DIEP flaps. Read More

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http://dx.doi.org/10.1002/micr.30423DOI Listing
January 2019
2 Reads

Role of early postoperative urethroscopy for urethral vitality assessment after penis replantation.

Microsurgery 2019 Jan 25. Epub 2019 Jan 25.

Department of Urology, Faculty of Medicine and Dentistry, Palacky University and University Hospital Olomouc, Olomouc, Czech Republic.

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http://dx.doi.org/10.1002/micr.30430DOI Listing
January 2019

Venous bypass grafts versus arteriovenous loops as recipient vessels for microvascular anastomosis in lower extremity reconstructions: A matched-pair analysis.

Microsurgery 2019 Jan 24. Epub 2019 Jan 24.

Department of Hand, Plastic and Reconstructive Surgery, BG Trauma Center Ludwigshafen, University of Heidelberg, Ludwig-Guttmann-Str. 13, Ludwigshafen, Germany.

Background: Limb salvage in patients with peripheral vascular disease (PVD) and soft tissue defects often requires both a restoration of blood flow to the lower extremity and soft tissue coverage. Outcomes of free tissue transfer may be affected by vein grafts, which can be used for the placement of an autologous venous bypass or an arteriovenous (AV) loop leading to different hemodynamic situations. The purpose of this study was to investigate whether free flap anastomosis to a bypass or an AV loop can be performed with comparable results. Read More

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http://dx.doi.org/10.1002/micr.30428DOI Listing
January 2019
2 Reads

Microsurgical reconstruction of complex maxillofacial gunshot wounds: Outcomes analysis and algorithm.

Microsurgery 2019 Jan 24. Epub 2019 Jan 24.

Department of Plastic Surgery, MetroHealth & Veterans Affairs, Cleveland, Ohio.

Background: Satisfaction with appearance, functional outcomes (speech, swallowing), work status after microsurgical reconstruction for maxillofacial gunshot wounds (GSW) remain largely unknown. The purpose of this study is to report these parameters. By investigating these outcomes, we also aimed to provide microsurgical algorithms for complex maxillofacial GSW. Read More

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http://dx.doi.org/10.1002/micr.30418DOI Listing
January 2019
1 Read

Risk factors for microvascular free flaps in pediatric lower extremity trauma.

Microsurgery 2019 Jan 23. Epub 2019 Jan 23.

Hansjörg Wyss Department of Plastic Surgery, New York University School of Medicine, New York, New York.

Purpose: There is a dearth of literature dedicated to specifically evaluating the use of free flap reconstruction in pediatric lower extremity traumas. This study aims to identify specific risk factors for flap failure in pediatric lower extremity trauma reconstruction.

Methods: Retrospective review of 53 free flaps in our lower extremity database (1979-2017) identified all free flaps performed for traumatic reconstruction in children <18 years of age at our institution. Read More

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http://dx.doi.org/10.1002/micr.30427DOI Listing
January 2019
1 Read

Steam burn as a late complication of nonsensate DIEP flap after breast reconstruction.

Microsurgery 2019 Jan 22. Epub 2019 Jan 22.

Department of Plastic, Reconstructive and Aesthetic Surgery, Medical Faculty, Bezmialem Vakif University, Istanbul, Turkey.

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http://dx.doi.org/10.1002/micr.30422DOI Listing
January 2019
1 Read

Comparison between donor nerves to motorize the free functional gracilis muscle transfer for elbow flexion: Retrospective study of 38 consecutive cases in traumatic adult brachial plexus injuries.

Microsurgery 2019 Jan 22. Epub 2019 Jan 22.

Hand and Microsurgery Unit, Department of Orthopaedic Surgery, São Paulo University, São Paulo, Brazil.

Purpose: Elbow flexion deficit is a frequent problem in traumatic brachial plexus injuries and reestablishment of this function is the primary treatment goal. When management is delayed, or the initial acute approach fails, free functional transfer of the gracilis muscle for elbow flexion is the treatment of choice. In this report, the authors present the results of a comparison study on different donor nerves (spinal accessory and ulnar) in elbow flexion reconstruction with gracilis flap for traumatic adult brachial plexus injuries. Read More

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http://dx.doi.org/10.1002/micr.30426DOI Listing
January 2019
4 Reads

Reconstruction of complex soft tissue defects including tendons with anterolateral thigh flap extended to fascia lata: Long term recovery and functional outcomes.

Microsurgery 2019 Jan 22. Epub 2019 Jan 22.

Department of Plastic, Reconstructive and Hand Surgery, University Hospital of Lausanne (CHUV), Lausanne, Switzerland.

Background: We evaluated composite anterolateral thigh (ALT) flaps including vascularized fascia lata (FL), for stable soft tissue coverage and tendons restoration at various joint levels in a one-stage procedure.

Methods: We performed a retrospective investigation including 21 "functional" ALT flaps between November 2006 and December 2016. In all patients included, FL was shaped to anatomical reproduce a tendon structure. Read More

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http://dx.doi.org/10.1002/micr.30431DOI Listing
January 2019
9 Reads

Simultaneous deep inferior epigastric and bilateral anterolateral thigh perforator flap reconstruction of an extended perineoscrotal defect in Fournier's gangrene: A case report.

Microsurgery 2019 Jan 21. Epub 2019 Jan 21.

Department of Urology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Fournier's gangrene is lethal necrotizing fasciitis that involves the perineum and external genitalia. We describe the case of a 52-year-old man with Fournier's gangrene who underwent reconstruction of an extensive perineoscrotal defect using three pedicled perforator flaps. Three debridement procedures resulted in a skin and soft tissue defect of 36 × 18 cm involving the perineum, scrotum, groin, medial thigh, buttocks, and circumferential perianal area and left the perforating arteries originating from these locations unavailable for reconstruction. Read More

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http://dx.doi.org/10.1002/micr.30409DOI Listing
January 2019
2 Reads

The use of cross-limb venous bridge in extremity reconstruction of soft tissue defects following surgical excision of chronic wound.

Microsurgery 2019 Jan 21. Epub 2019 Jan 21.

Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.

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http://dx.doi.org/10.1002/micr.30416DOI Listing
January 2019
1 Read

Surgical anatomy of ovine facial and hypoglossal nerves for facial nerve reconstruction and regeneration research: An experimental study in sheep.

Microsurgery 2019 Jan 21. Epub 2019 Jan 21.

Department of Anesthesiology, University of Texas Medical Branch, Galveston, Texas.

Background: The lack of a clinically relevant animal model for facial nerve research is a challenge. The goal of this study was to investigate the anatomy of the ovine facial and hypoglossal nerves to establish a clinically relevant facial nerve research model.

Materials And Methods: Six cadaver female Merino sheep (33. Read More

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http://doi.wiley.com/10.1002/micr.30405
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http://dx.doi.org/10.1002/micr.30405DOI Listing
January 2019
5 Reads

Muscle-splitting approach to thoracoacromial vein for superdrainage in deep inferior epigastric artery perforator flap breast reconstruction.

Microsurgery 2019 Jan 21. Epub 2019 Jan 21.

Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.

Background: Thoracoacromial vein (TAv) is seldomly considered as a secondary outflow recipient option when venous congestion of deep inferior epigastric artery perforator (DIEP) flap is encountered. The purpose of this study was to present a computed tomography (CT)-based anatomy and a method of approaching TAv in performing superdrainage using superficial inferior epigastric vein (SIEV) in DIEP flap breast reconstruction.

Methods: For CT-based anatomical study, 42 thoracoacromial vessels (TAV) of 21 patients who underwent DIEP flap breast reconstruction were analyzed. Read More

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http://dx.doi.org/10.1002/micr.30421DOI Listing
January 2019
1 Read

Refinement of the chicken wing supermicrosurgical training model: Pre-operative indocyanide green injection highlighting vessels' visualization under 0.4 mm of diameter.

Microsurgery 2019 Jan 21. Epub 2019 Jan 21.

Department of Plastic and Reconstructive Surgery, Center Hospital of the National Center for Global Health and Medicine, Tokyo, Japan.

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http://dx.doi.org/10.1002/micr.30414DOI Listing
January 2019
1 Read

Functional reconstruction of total upper eyelid defects with a composite radial forearm-palmaris longus tenocutaneous free flap: A report of two cases.

Microsurgery 2019 Jan 21. Epub 2019 Jan 21.

Department of Plastic and Reconstructive Surgery, Osaka Medical College, Osaka, Japan.

This report presents reconstruction of wide- and full-thickness upper eyelid defects with a composite radial forearm-splitting palmaris longus tendon flap, which maintains eyelid opening and closing functions and supporting tissue in a Meibomian gland carcinoma in the right upper eyelid (case 1) and Merkel cell carcinoma in the right upper eyelid (case 2). After tumor resection with excisional margins, the defects involved the muscle, tarsal, and mucosa, with defect sizes of 60 × 40 mm and 85 × 40 mm, respectively. A radial forearm flap with the palmaris longus tendon was transferred. Read More

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http://doi.wiley.com/10.1002/micr.30410
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http://dx.doi.org/10.1002/micr.30410DOI Listing
January 2019
9 Reads

Quadriceps tendon reconstruction using a fascia lata included in a reverse-flow anterolateral thigh flap.

Microsurgery 2019 Jan 21. Epub 2019 Jan 21.

Plastic and Reconstructive Microsurgery, Careggi University Hospital, Florence, Italy.

Quadriceps tendon re-rupture after surgical repair is an overall estimated 2% complication. We report a case of reconstruction in a large tendon and soft tissue defect using a reverse-flow anterolateral thigh (ALT) perforator flap including fascia lata in a 75-year-old man presented with septic necrosis of a reconstructed quadriceps tendon. A reverse-flow ALT flap was transferred to the knee defect; the fascia lata was sutured to the residual tendon. Read More

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http://dx.doi.org/10.1002/micr.30420DOI Listing
January 2019
1 Read

Reconstruction of digit planer injuries using component transfer of double second toes: A case report.

Microsurgery 2019 Jan 21. Epub 2019 Jan 21.

The Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, Maryland.

The purpose of this report is to show that customized component second-toe transfers may improve functional and aesthetic outcomes following bone, soft tissue, and joint destruction of traumatically injured digits. A 22-year-old male sustained a planer injury resulting in loss of the distal volar soft tissues of the middle, ring, and small fingers, along with variable destruction of middle phalanges and distal interphalangeal joints. Simultaneous vascularized second-toe transfers were performed with customized joint and pulp reconstruction of middle and small fingers. Read More

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http://dx.doi.org/10.1002/micr.30411DOI Listing
January 2019
1 Read

Lateral thoracic artery as recipient vessel for head and neck free flap reconstruction in the vessel depleted neck: A case report.

Microsurgery 2019 Jan 21. Epub 2019 Jan 21.

Otolaryngology, Head and Neck Surgery Department, University of Kansas Medical Center, Kansas City, Kansas.

Vessel depleted necks present a challenge to identifying suitable recipient vessels for microvascular head and neck reconstruction. Many alternative recipient vessels have been described. The purpose of this report is to describe the feasibility of using the lateral thoracic artery as a recipient vessel for head and neck free flap reconstruction in vessel depleted necks. Read More

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http://dx.doi.org/10.1002/micr.30419DOI Listing
January 2019
1 Read

Microsurgical head and neck reconstruction in patients with coronary artery disease: A perioperative assessment algorithm.

Microsurgery 2019 Jan 15. Epub 2019 Jan 15.

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

Background: With the rising number of patients in advanced age receiving microsurgical procedures, coronary artery disease (CAD) and its challenging management is of increasing importance. Evidence based data concerning morbidity and mortality are rare. We present our experiences with this highly selected patient population and propose a preoperative assessment algorithm. Read More

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http://dx.doi.org/10.1002/micr.30429DOI Listing
January 2019
4 Reads

Localization of the emergence of perforator vessels according to the sartorius muscle from the proximal superficial femoral artery in case of cutaneous flap in a cadaver study.

Microsurgery 2019 01 22;39(1):95. Epub 2018 Dec 22.

Département d'anatomie, Université du Québec à Trois-Rivières, Trois-Rivières, QC, Canada.

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http://dx.doi.org/10.1002/micr.30392DOI Listing
January 2019
1 Read

"Blood letting" technique with externalized microvascular anastomotic coupler: A salvage option to release intraoperative venous congestion of propeller flap.

Microsurgery 2018 Dec 19. Epub 2018 Dec 19.

Department of Plastic Surgery, The Christie NHS Foundation Trust, Manchester, United Kingdom.

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http://dx.doi.org/10.1002/micr.30412DOI Listing
December 2018
1 Read

A novel approach to maximizing data fidelity in clinical microsurgery research.

Microsurgery 2018 Dec 19. Epub 2018 Dec 19.

Department of Plastic Surgery, Ohio State University, Columbus, Ohio.

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http://doi.wiley.com/10.1002/micr.30415
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http://dx.doi.org/10.1002/micr.30415DOI Listing
December 2018
8 Reads

A clinical multi-center registry study on digital nerve repair using a biodegradable nerve conduit of PGA with external and internal collagen scaffolding.

Microsurgery 2018 Dec 18. Epub 2018 Dec 18.

Faculty of Medicine, Department of Plastic and Reconstructive Surgery, Kindai University, Osakasayama, Japan.

Background: In this study, we evaluated the clinical efficacy of a biodegradable nerve conduit constructed of polyglycolic acid (PGA) tube with external and internal collagen scaffolding for digital nerve repair.

Patients And Methods: A multi-center registry study was conducted in 11 locations between July 2013 and May 2016. Multiple mechanisms of injury included clean-cut (12 patients), crush (5 patients), and avulsion (3 patients) types of injuries. Read More

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http://dx.doi.org/10.1002/micr.30417DOI Listing
December 2018
1 Read

Expanding the applications of the combined transverse upper gracilis and profunda artery perforator (TUGPAP) flap for extensive defects.

Microsurgery 2018 Dec 17. Epub 2018 Dec 17.

Department of Plastic and Reconstructive Surgery, China Medical University, Taichung, Taiwan.

Background: The medial thigh is a well-hidden area. The two most common flaps from this area are the transverse upper gracilis (TUG) and profunda artery perforator (PAP) flaps. Herein, we explored the applications of combined TUGPAP flap to reconstruct large and complex defects in different regions. Read More

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http://dx.doi.org/10.1002/micr.30413DOI Listing
December 2018
2 Reads

Insights to establish early learning curve in clinical supermicrosurgery.

Microsurgery 2019 01 17;39(1):100-101. Epub 2018 Dec 17.

International Centre for Lympedema, Hiroshima University Hospital, Hiroshima, Japan.

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http://dx.doi.org/10.1002/micr.30401DOI Listing
January 2019
1 Read

Modified single pedicle reverse adipofascial flap for fingertip reconstruction.

Microsurgery 2018 Dec 17. Epub 2018 Dec 17.

Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.

Background: Homodigital adipofascial flap is a well-established method for treating a distal fingertip defect; nonetheless, its use has some limitations. Reconstruction of fingertip injuries, with radial or ulnar tissue loss, may lead to some difficulties in providing an adequate bone coverage. The standard bipedicled technique did not allow the flap to cover the bone exposure without excessive tension. Read More

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http://dx.doi.org/10.1002/micr.30404DOI Listing
December 2018
1 Read

A pedicled split extended vertical deep inferior epigastric (s-vDIEP) flap and an adipo-dermal thigh local flap for the reconstruction of the medial thigh compartment after sarcoma resection: A case report.

Microsurgery 2018 Dec 17. Epub 2018 Dec 17.

Department of Plastic and Hand Surgery, University Hospital Zurich, Zurich, Switzerland.

Large upper medial thigh defects in prior irradiated tissue require challenging reconstructions. Several techniques have been reported to reconstruct this region and according to the literature, pedicled perforator flaps are the first reconstructive option. The anterolateral thigh flap is considered the gold standard, while surprisingly the pedicle deep inferior epigastric (DIEP) flap in vertical fashion has not been frequently employed, if compared with its muscular counterpart, the pedicle vertical rectus abdomins flap (vRAM). Read More

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http://dx.doi.org/10.1002/micr.30403DOI Listing
December 2018
2 Reads

Relative antigenicity of components in vascularized composite allotransplants: An experimental study of microRNAs expression in rat hind limb transplantation model.

Microsurgery 2018 Dec 17. Epub 2018 Dec 17.

Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

Background: Skin is considered to be the most antigenic component of all vascularized composite allotransplantation tissues. However, no studies have used methods other than histological assessment to analyze the relative antigenicity of various components. In this study, we analyzed gene expression to investigate the relative antigenicity of each component in the transplanted limb. Read More

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http://dx.doi.org/10.1002/micr.30408DOI Listing
December 2018
6 Reads

Distal nerve transfer from the median nerve lumbrical fibers to the distal ulnar nerve motor branches in the palm: An anatomical cadaveric study.

Microsurgery 2018 Dec 17. Epub 2018 Dec 17.

University of Turin School of Medicine, Clinical & Biological Sciences, Turin, Italy.

Background: The aim of the current study is to investigate the first and second lumbrical nerves as potential fibers donors to the deep motor branch of the ulnar nerve to avoid intrinsic atrophy in high ulnar nerve injuries.

Methods: Sixteen fresh frozen cadaveric hands were dissected, the radial lumbrical nerves accessed, and a coaptation, either in reverse end-to-side or in double end-to-side through a bridge nerve graft, was created to the deep motor branch of ulnar nerve. Semithin sections were taken from samples of donor and recipient nerves for qualitative (nerve architecture) and quantitative studies (fiber count and donor/recipient ratio). Read More

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http://dx.doi.org/10.1002/micr.30402DOI Listing
December 2018
1 Read

Reconstruction of laryngopharyngectomy defects: Comparison between the supraclavicular artery island flap, the radial forearm flap, and the anterolateral thigh flap.

Microsurgery 2018 Dec 17. Epub 2018 Dec 17.

Department of Otolaryngology and Head and Neck Surgery, Ludwig Maximilians University, Munich, Germany.

Objectives: The purpose of this study was to evaluate the application of the supraclavicular artery island flap (SCAIF) for the reconstruction of laryngopharyngectomy defects in comparison with reconstructions with the anterolateral thigh flap (ALT) and the radial forearm flap (RFF).

Patients And Methods: A retrospective study was performed. We compared indications for surgery, reconstructive techniques, operative time, time of hospitalization, and complication rates between patients treated with SCAIF, RFF and ALT following laryngopharyngectomy. Read More

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http://dx.doi.org/10.1002/micr.30406DOI Listing
December 2018
1 Read

Use of intraflap and extraflap microvascular anastomoses in combination for facilitating bipedicled DIEP/SIEA free flap for reconstruction of circumference soft tissue defect of extremity.

Microsurgery 2019 Feb 17;39(2):190-191. Epub 2018 Dec 17.

Department of Orthopedics, Xiangya Hospital, Central South University, Changsha, China.

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http://dx.doi.org/10.1002/micr.30407DOI Listing
February 2019
1 Read

Late occurrence of squamous cell carcinoma arising from skin-lining flap.

Microsurgery 2019 01 3;39(1):96-97. Epub 2018 Dec 3.

Department of Plastic Surgery, China Medical University Hospital, Taichung, Taiwan.

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http://dx.doi.org/10.1002/micr.30400DOI Listing
January 2019
2 Reads

Multi-area lymphaticovenous anastomosis with multi-lymphosome injection in indocyanine green lymphography: A prospective study.

Microsurgery 2019 Feb 3;39(2):167-173. Epub 2018 Dec 3.

Department of Lymphatic and Reconstructive Surgery, Saiseikai Kawaguchi General Hospital, Saitama, Japan.

Background: Detecting more number of functional lymphatic vessels is the essential point in lymphaticovenous anastomosis (LVA). The purpose of this prospective study was to elucidate the efficacy of multi-area injection in indocyanine green (ICG) lymphography in LVA.

Methods: We injected ICG into the first web spaces of the feet or the second web space of the hands, subcutaneously. Read More

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http://doi.wiley.com/10.1002/micr.30398
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http://dx.doi.org/10.1002/micr.30398DOI Listing
February 2019
6 Reads

Externalized double monitoring skin paddles for buried anterolateral thigh flap in pharyngoesophageal reconstruction.

Microsurgery 2019 Feb 3;39(2):188-189. Epub 2018 Dec 3.

Division of Plastic and Reconstructive Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

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http://dx.doi.org/10.1002/micr.30399DOI Listing
February 2019
1 Read

A new propeller trapezius muscle flap for reconstruction of posterior trunk defects: An anatomic study and report of three cases.

Microsurgery 2018 Dec 3. Epub 2018 Dec 3.

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

Background: Reconstruction of complex back defects, especially after corrective spine surgery, is a challenging problem. In these patients hardware issues predominate and flap failure has serious consequences. Certain subunits of the back pose even greater problems, specifically the central region between T9 and T12. Read More

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http://dx.doi.org/10.1002/micr.30395DOI Listing
December 2018
3 Reads

Complex abdominopelvic reconstruction by combined tensor fascia latae and superficial circumflex iliac artery perforator flaps.

Microsurgery 2018 Dec 3. Epub 2018 Dec 3.

Department of Plastic, Reconstructive, Aesthetic Surgery and Burns, CHRU Rangueil, Toulouse, France.

Background: Extensive full thickness abdominopelvic defects pose a difficult challenge to surgeons. Autologous tissues are versatile and can provide a satisfying reconstructive option for this type of defects. The tensor fascia latae (TFL) and superficial circumflex iliac perforator (SCIP) flaps provide a large area of vascularized tissue and their use in reconstructive surgery is well-known. Read More

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http://doi.wiley.com/10.1002/micr.30391
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http://dx.doi.org/10.1002/micr.30391DOI Listing
December 2018
6 Reads

Reply to comments on "Reconstruction of an upper posterior thigh extensive defect with a free split-anterolateral thigh (s-ALT) flap by perforator-to-perforator anastomosis: A case report".

Microsurgery 2019 Feb 3;39(2):193. Epub 2018 Dec 3.

Department of Hand- and Plastic Surgery, Kantonsspital Luzern, Lucerne, Switzerland.

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http://doi.wiley.com/10.1002/micr.30390
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http://dx.doi.org/10.1002/micr.30390DOI Listing
February 2019
3 Reads

Feasibility of pedicled vascularized inguinal lymph node transfer in a mouse model: A preliminary study.

Microsurgery 2018 Dec 3. Epub 2018 Dec 3.

Department of Plastic and Reconstructive Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.

Purpose: Vascularized lymph node transfer is becoming more common in the treatment of lymphedema, but suitable small animal models for research are lacking. Here, we evaluated the feasibility of pedicled vascularized inguinal lymph node transfer in mice.

Methods: Twenty-five mice were used in the study. Read More

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http://dx.doi.org/10.1002/micr.30394DOI Listing
December 2018
3 Reads

One-stage reconstruction by dual-innervated double muscle flap transplantation with the neural interconnection between the ipsilateral masseter and contralateral facial nerve for reanimating established facial paralysis: A report of 2 cases.

Microsurgery 2018 Dec 4. Epub 2018 Dec 4.

Department of Plastic and Reconstructive Surgery, School of Medicine, Tokyo Women's Medical University, Tokyo, Japan.

The authors developed a one-stage double-muscle reconstruction technique for facial paralysis using a latissimus dorsi (LD) flap and a serratus anterior (SA) flap, which were dually reinnervated by the contralateral facial nerve (FN) and ipsilateral masseter nerve (MN). The procedure was performed for 61-year-old man 3-years after resection of a malignant tumor and a 24-year-old woman 10-years after temporal fracture with facial paralysis. A double-muscle flap comprising left LD and SA flaps was harvested, a 15-cm thoracodorsal nerve (TN) section was attached to the LD flap, and 5-cm and 1-cm sections of the long thoracic nerve (LTN) were attached to the proximal and distal sides of SA flap. Read More

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http://dx.doi.org/10.1002/micr.30397DOI Listing
December 2018
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Is the LICOX® PtO system reliable for monitoring of free flaps? Comparison between two cohorts of patients.

Microsurgery 2018 Dec 4. Epub 2018 Dec 4.

Department of Medical, Surgical and Health Sciences, Plastic and Reconstructive Surgery Unit, University of Trieste, Trieste, Italy.

Background: Licox® PtO is a minimally invasive monitoring system for continuous measurement of tissue oxygen tension in all types of free tissue transfers. Our study compares two consecutive series of patients undergoing microsurgical reconstruction monitored with standard clinical bedside surveillance and with the Licox® PtO system regarding flap loss and flap salvage, the sensitivity, specificity, and cost-effectiveness.

Methods: We performed a longitudinal observational prospective study of all patients undergoing microsurgical reconstructions between 2016 and 2017. Read More

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http://doi.wiley.com/10.1002/micr.30396
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http://dx.doi.org/10.1002/micr.30396DOI Listing
December 2018
13 Reads
2.421 Impact Factor

Application of epineural sheath conduit for restoration of 6-cm long nerve defects in a sheep median nerve model.

Microsurgery 2018 Dec 4. Epub 2018 Dec 4.

Department of Plastic Surgery, Cleveland Clinic, Cleveland, Ohio.

Background: Due to limited number of studies, we tested feasibility of autologous epineural sheath conduit (ESC) in repair of 6-cm median nerve gaps in a sheep-the large animal model.

Materials And Methods: Eight ewes, 6-8 months old, 30-35 kg, were divided into three experimental groups: group 1-no defect repair (n = 4 nerves/group), group 2-autograft controls (n = 6 nerves/group), group 3-autologous ESC filled with saline (n = 6 nerves/group). ESC was constructed from a 6-cm long segment of sheep median nerve and tested for expression of laminin B, Glial fibrillary acidic protein (GFAP), S-100 and CD31 using immunofluorescent staining. Read More

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http://dx.doi.org/10.1002/micr.30393DOI Listing
December 2018
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The success of salvage procedures for failing digital replants: A retrospective cohort study.

Microsurgery 2018 Nov 29. Epub 2018 Nov 29.

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

Background: The success of salvage procedures for failing digital replants (FR) is poorly documented. We sought to evaluate the success of salvage procedures for FR and factors contributing to successes and failures of replants.

Methods: Adult patients who presented to our center between January 1, 2000 and December 31, 2015, suffered ≥1 digital amputation(s), and underwent digital replantation were included. Read More

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http://doi.wiley.com/10.1002/micr.30379
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http://dx.doi.org/10.1002/micr.30379DOI Listing
November 2018
9 Reads

Simultaneous flap thinning with ultrasound-assisted liposuction during free flap surgery: Preliminary results.

Microsurgery 2019 Feb 29;39(2):144-149. Epub 2018 Nov 29.

Department of Plastic & Reconstructive and Aesthetic Surgery, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey.

Background: Ultrasound-assisted liposuction (UAL) has been previously used for postoperative flap thinning. Although it had been reported that UAL causes less damage to the vessels, the simultaneous use of UAL with free flap reconstruction has not been reported. The aim of this report was to determine the results and the complication rates of simultaneous use of UAL with free flap reconstruction. Read More

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http://dx.doi.org/10.1002/micr.30377DOI Listing
February 2019
2 Reads