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Microsurgery

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https://www.readbyqxmd.com/read/29974502/reply-to-comment-on-ileocecal-vascularized-lymph-node-transfer-for-the-treatment-of-extremity-lymphedema-a-case-report
#1
LETTER
Pedro Ciudad, Oscar J Manrique, Mouchammed Agko, Chieh-Ting Huang, Wei-Ling Chang, Ricardo Delgado B, César Reynaga, Bulent Sacak, Hung-Chi Chen
No abstract text is available yet for this article.
July 4, 2018: Microsurgery
https://www.readbyqxmd.com/read/29974499/correction-of-complete-thoracic-duct-obstruction-with-lymphovenous-bypass-a-case-report
#2
Travis J Miller, Jarom N Gilstrap, Katsuhide Maeda, Stanley Rockson, Dung H Nguyen
Thoracic duct injury can be a devastating injury with disruption of lymphatic flow leading to potentially chylothorax and/or severe lymphedema. Standard treatment modalities include thoracic duct ligation or embolization for chylothorax, but treatment options to date are few for resultant lymphedema. In this case report, we describe lymphaticovenous bypass of the thoracic duct to the jugular venous system in a 21-year-old male with secondary lymphedema after iatrogenic thoracic duct injury. The patient experienced improvement of lymphedema symptoms including decreased weight and limb girth as well as normalization of serum markers indicating improved lymphatic delivery to the venous system...
July 4, 2018: Microsurgery
https://www.readbyqxmd.com/read/29969161/reconstruction-of-cranioplasty-using-the-thoracodorsal-artery-perforator-tdap-flap-a-case-series
#3
Mario F Scaglioni, Gabriele Giunta
BACKGROUND: Complex defects resulting in ablation of the scalp, the calvaria, the dura, and the underlying brain are still challenging. These defects require cranioplasty to restore the bone cosmetic and functional roles and free-flap soft tissue reconstruction to prevent cranioplasty exposure and further infection. Different materials have been used in cranioplasty, while different free flaps have been proposed in those cases. In this article, we present a case series of cranioplasty reconstruction with thoracodorsal artery perforator flap (TDAP)...
July 3, 2018: Microsurgery
https://www.readbyqxmd.com/read/29968940/the-planning-of-propeller-perforator-flap-on-previously-transferred-musculocutaneous-flap-via-multidetector-computed-tomography-for-the-reconstruction-of-tissue-defect-overlying-achilles-tendon
#4
LETTER
Osman Kelahmetoglu, Direnc Ozlem Aksoy, Selma Sonmez Ergun, Ethem Guneren
No abstract text is available yet for this article.
July 3, 2018: Microsurgery
https://www.readbyqxmd.com/read/29964332/waist-to-hip-ratio-is-a-better-predictor-than-body-mass-index-for-morbidity-in-abdominally-based-breast-reconstruction
#5
Peter S Wu, Sumanas W Jordan, Trevor Hodson, Albert H Chao
BACKGROUND: Body mass index is a universally recognized measure of obesity. However, it does not take body fat distribution (BFD) into account, which has been established as a significant risk factor in both medicine and surgery. The objective of this study was to compare previously developed anthropometric measures of BFD with body mass index in predicting morbidity with abdominally based microsurgical breast reconstruction. METHODS: A review of patients who underwent abdominally based breast reconstruction was performed...
July 2, 2018: Microsurgery
https://www.readbyqxmd.com/read/29959795/reply-to-comments-on-perioperative-pain-management-after-fibular-free-flap-harvesting-for-head-and-neck-reconstruction-using-mini-catheters-to-inject-local-anesthetic-a-pilot-study
#6
LETTER
A Ferri, A Varazzani, A Valente, G Pedrazzi, B Bianchi, S Ferrari, E Sesenna
No abstract text is available yet for this article.
June 29, 2018: Microsurgery
https://www.readbyqxmd.com/read/29956850/predictors-of-plate-extrusion-in-oromandibular-free-flap-reconstruction
#7
Jessica Prasad, Axel Sahovaler, Julie Theurer, David H Yeh, Kevin Fung, S Danielle MacNeil, John Yoo, Anthony C Nichols
OBJECTIVES: Plate extrusions after free tissue transfer for mandibular reconstruction can be problematic and generally require revision surgery. Our objective was to assess the predictors of plate extrusion and compare outcomes between fibular free flaps (FFF), lateral border scapular flaps (LBSF), and scapular tip free flaps (STFF). METHODS: Retrospective review of consecutive patients who underwent osseous free tissue reconstruction of the mandible (2008-2014) at Victoria Hospital, London, Ontario...
June 29, 2018: Microsurgery
https://www.readbyqxmd.com/read/29953654/myelomeningocele-closure-by-unilateral-lumbar-artery-perforator-flap-experience-with-thirty-eight-patients
#8
Murat Ucak
BACKGROUND: Repair of large soft tissue defects in meningomyelocele is difficult and its morbidity is high. By applying unilateral lumbar artery perforator transposition flap for closing these defects, we aimed to investigate effects on the repair procedure, duration of surgery and recovery period, with the rates of bleeding and morbidity. PATIENTS AND METHODS: Our report was conducted in 38 patients between the years 2013 and 2017. All soft tissue defects were repaired with unilateral lumbar artery perforator flap (LAPF) in meningomyelocele...
June 28, 2018: Microsurgery
https://www.readbyqxmd.com/read/29953652/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
#9
LETTER
https://www.readbyqxmd.com/read/29947062/simultaneous-reconstruction-of-the-thumb-defect-and-coverage-of-the-failed-first-dorsal-metacarpal-artery-flap-donor-site-by-using-the-anterolateral-thigh-flap-and-its-vascular-pedicle-tissue
#10
LETTER
https://www.readbyqxmd.com/read/29921015/indocyanine-green-lymphography-for-diagnosis-of-lymphedema-following-thigh-lift-surgery
#11
LETTER
Yukiko Sato, Yuma Fuse, Takumi Yamamoto
No abstract text is available yet for this article.
June 19, 2018: Microsurgery
https://www.readbyqxmd.com/read/29920998/perforator-flap-based-on-the-third-perforator-of-the-profunda-femoris-artery-pfa-assisted-closure-of-the-free-vertical-posteromedial-thigh-vpmt-flap-donor-site
#12
Mario F Scaglioni, Andrè A Barth, Yen-Chou Chen
INTRODUCTION: The primary closure of the vertical posteromedial thigh (vPMT) free flap donor site is very important to minimize donor site morbidity and maximize cosmetic appearance. However, sometimes due to the dimension of the defect, a vPMT flap is wider than the 8-10 cm requirement. The authors report their experience with the third perforator of the profunda femoris artery (PFA) during the vPMT free flap donor-site closure. PATIENTS AND METHODS: Between January 2016 and December 2017, 5 patients underwent reconstruction of lower extremity (2 pts...
June 19, 2018: Microsurgery
https://www.readbyqxmd.com/read/29737002/lower-limb-reconstruction-with-chimeric-flaps-the-quad-flap
#13
Solomon M Azouz, Nikki A Castel, Aparna Vijayasekaran, Alanna M Rebecca, Salvatore C Lettieri
Early soft-tissue coverage is critical for treating traumatic open lower-extremity wounds. As free-flap reconstruction evolves, injuries once thought to be nonreconstructable are being salvaged. Free-tissue transfer is imperative when there is extensive dead space or exposure of vital structures such as bone, tendon, nerves, or blood vessels. We describe 2 cases of lower-extremity crush injuries salvaged with the quad flap. This novel flap consists of parascapular, scapular, serratus, and latissimus dorsi free flaps in combination on one pedicle...
May 7, 2018: Microsurgery
https://www.readbyqxmd.com/read/29736923/reconstruction-of-complex-tissue-defect-of-forearm-with-a-chimeric-flap-composed-of-a-sural-neurocutaneous-flap-and-a-vascularized-fibular-graft-a-case-report
#14
Chunyang Wang, Jia Xu, Gen Wen, Yimin Chai
One-stage reconstruction of composite bone and soft-tissue defects in the forearm remains a tough challenge. Here, we present a case of reconstruction of complex tissue defect at forearm with a chimeric flap consisting of a sural neurocutaneous flap and a fibular graft. A 61-year-old man suffered from a machine crush injury in his left forearm, resulting in a complex tissue defect including extensive dorsomedial soft-tissue, digit extensor muscles of 2-4 fingers, the muscle flexor carpi ulnaris, the ulna bone with 5...
May 7, 2018: Microsurgery
https://www.readbyqxmd.com/read/29719080/lymphovenous-anastomosis-and-debulking-procedure-for-treatment-of-combined-severe-lower-extremity-and-genital-lymphedema-a-case-report
#15
Mario F Scaglioni, Semra Uyulmaz
Lymphedema most commonly occurs after cancer treatment and can affect limbs and genitalia. Genital lymphedema (GL) is a rare condition and can be disabling psychologically and physically. It often occurs along with lower extremity lymphedema (LEL). Conservative and physiologic reconstructive surgery such as lymphaticovenous anastomosis (LVA) offer good treatment options for LEL. GL however remains a reconstructive dilemma. The most effective surgical therapies in advanced GL are still debulking procedures in properly selected patients...
May 2, 2018: Microsurgery
https://www.readbyqxmd.com/read/29719063/diabetes-is-not-associated-with-increased-rates-of-free-flap-failure-analysis-of-outcomes-in-6030-patients-from-the-acs-nsqip-database
#16
Rami S Kantar, William J Rifkin, Joshua A David, Michael J Cammarata, J Rodrigo Diaz-Siso, Jamie P Levine, Alyssa R Golas, Daniel J Ceradini
BACKGROUND: Diabetes affects a significant proportion of the population in the United States. Microsurgical procedures are common in this patient population, and despite many conflicting reports in the literature, there are no large studies evaluating the direct association between diabetes and outcomes, specifically failure, following free flap reconstruction. In this study, we sought to determine the impact of diabetes on postoperative outcomes following free flap reconstruction using a national multi-institutional database...
May 2, 2018: Microsurgery
https://www.readbyqxmd.com/read/29719062/the-facial-artery-perforator-flap-for-intraoral-reconstruction-of-a-mouth-floor-defect
#17
Ricardo Horta, Sergio Teixeira, Ricardo Nascimento, Alvaro Silva, Jose Amarante
Facial artery perforator flaps have been recently reported by different authors for perioral, nasal alar and cheek defects, but not for intraoral reconstruction. We have extended the use of the facial artery perforator flap in a 56-year-old man with a squamous cell carcinoma of left mouth floor, who was submitted to tumor resection with marginal mandibulectomy and left supraomohyoid neck dissection. The flap was designed according to the size of the defect (5 × 3 cm), centered on the perforator to create a symmetric flap and was tunnelled intraorally by means of a 90° rotation...
May 2, 2018: Microsurgery
https://www.readbyqxmd.com/read/29464780/reply-to-questions-on-serial-two-year-follow-up-after-lymphaticovenular-anastomosis-for-the-treatment-of-lymphedema
#18
LETTER
Kyeong-Tae Lee, Goo-Hyun Mun
No abstract text is available yet for this article.
May 2018: Microsurgery
https://www.readbyqxmd.com/read/29418007/blood-reflux-to-the-lymphatic-vessels-after-lymphaticovenous-anastomosis
#19
LETTER
Hisako Hara, Makoto Mihara
No abstract text is available yet for this article.
May 2018: Microsurgery
https://www.readbyqxmd.com/read/29285789/intraoperative-objective-evaluation-of-venous-congestion-in-deep-epigastric-artery-perforator-flap-breast-reconstruction-a-pilot-study
#20
Shinsuke Akita, Yoshihisa Yamaji, Hideki Tokumoto, Yoshitaro Sasahara, Takafumi Tezuka, Yoshitaka Kubota, Motone Kuriyama, Nobuyuki Mitsukawa
BACKGROUND: In a deep epigastric artery perforator (DIEP) flap breast reconstruction, the necessity of additional anastomosis of the superficial inferior epigastric vein (SIEV) should be determined intraoperatively. The purpose of this pilot study is to propose a method to detect venous congestion intraoperatively using the blood glucose measurement index (BGMI). METHODS: In 70 DIEP flaps of 67 patients for breast reconstruction, the ratio of blood glucose content in the flap to systemic blood glucose (BGMI) was measured immediately after wound closure...
May 2018: Microsurgery
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