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Microsurgical reconstruction

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https://www.readbyqxmd.com/read/29029197/microsurgical-clip-reconstruction-of-a-1-cm-complex-anterior-communicating-artery-aneurysm-via-an-orbitozygomatic-approach-2-dimensional-operative-video
#1
Gary Rajah, Richard Justin Garling, Murali Guthikonda, Leonardo Rangel-Castilla
No abstract text is available yet for this article.
September 29, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/29016574/microvascular-free-flaps-in-oral-and-maxillofacial-reconstruction-following-cancer-ablation
#2
Santosh Kumar Yadav, Suraksha Shrestha
Microsurgical free flaps have become the first choice for reconstruction of oral and maxillofacial (OMF) defects after tumor resection. Till recently the pectoralis major myocutaneous flap (PMMC) was considered to be the benchmark for OMF reconstruction. This philosophy is changing fast with rapid advancement in reconstructive microsurgery. Years of innovation in reconstructive microsurgery has given us a reasonably good number of excellent flaps. Tremendous work has been put into producing some exceptionally brilliant research articles, sometimes contradicting each other...
September 8, 2017: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/28993127/retrospective-cohort-study-of-combined-approach-for-trunk-reconstruction-using-arteriovenous-loops-and-free-flaps
#3
Andreas Arkudas, Raymund E Horch, Susanne Regus, Alexander Meyer, Werner Lang, Marweh Schmitz, Anja M Boos, Ingo Ludolph, Justus P Beier
Defect reconstruction of the trunk can be performed using microsurgical free flap transplantation. In cases of missing or inappropriate recipient vessels, microsurgical defect reconstruction of the trunk can be achieved by combining free flaps with arteriovenous loops. Here we present our 5-year experience of trunk reconstruction using AV loops and free flaps in a retrospective evaluation. We analyzed 32 cases of trunk reconstruction using a combined approach of free flap transplantation and arteriovenous loops between 2011 and 2016 regarding postoperative complications and perioperative course...
September 13, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28992647/surgical-duration-impacts-venous-thromboembolism-risk-in-microsurgical-breast-reconstruction
#4
Cecil S Qiu, Sumanas W Jordan, Robert G Dorfman, Michael M Vu, Mohammed S Alghoul, John Y S Kim
No abstract text is available yet for this article.
October 9, 2017: Journal of Reconstructive Microsurgery
https://www.readbyqxmd.com/read/28985634/vascular-grafts-and-flow-through-flaps-for-microsurgical-lower-extremity-reconstruction
#5
Francesca Toia, Giovanni Zabbia, Tiziana Roggio, Roberto Pirrello, Salvatore D'Arpa, Adriana Cordova
No abstract text is available yet for this article.
October 2017: Journal of Reconstructive Microsurgery
https://www.readbyqxmd.com/read/28973693/endoscopic-endonasal-and-transcranial-surgery-for-microsurgical-resection-of-ventral-foramen-magnum-meningiomas-a-preliminary-experience
#6
Nicolas Khattar, Maria Koutourousiou, Joseph D Chabot, Eric W Wang, Aaron A Cohen-Gadol, Carl H Snyderman, Juan C Fernandez-Miranda, Paul A Gardner
BACKGROUND: Purely ventral foramen magnum meningiomas are challenging tumors to treat given their location, and proximity and relationship to vital neurovascular structures. OBJECTIVE: To present endoscopic endonasal surgery (EES) as a complementary approach to the far-lateral suboccipital approach (FLA) for ventral midline tumors. METHODS: From May 2008 to October 2013, 5 patients underwent EES and 5 FLA for primary ventral foramen magnum meningiomas...
July 22, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/28969851/lower-amputation-rate-after-fasciotomy-by-straight-midline-incision-technique-for-a-22-900-v-electrical-injury-to-the-upper-extremities
#7
Young-Soo Jang, Byung Hoon Lee, Hyun-Soo Park
PURPOSE: The purpose of this study is to compare the major amputation rate following two different fasciotomy techniques, conventional versus straight midline, in patients with high-voltage arc burn injury by electric currents of 22,900V to the upper extremities. METHODS: A retrospective analysis of 230 patients (270 burned upper limbs) who underwent fasciotomy after high-voltage electrical injuries between 1996 and 2007 was performed. The patients were divided into two groups according to the fasciotomy method used...
September 28, 2017: Injury
https://www.readbyqxmd.com/read/28953749/reply-microsurgical-reconstruction-of-traumatic-lower-extremity-defects-in-the-pediatric-population
#8
Arash Momeni, Stephen J Kovach, L Scott Levin
No abstract text is available yet for this article.
October 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28949034/comparing-the-thoracodorsal-and-internal-mammary-vessels-as-recipients-for-microsurgical-autologous-breast-reconstruction-a-systematic-review-and-meta-analysis
#9
REVIEW
Osama A Samargandi, Jessica Winter, Joseph P Corkum, Sarah Al Youha, Simon Frank, Jason Williams
BACKGROUND: Our aim was to determine whether the thoracodorsal (Td) vessels have comparable clinical outcomes to the internal mammary (IM) vessels as recipients for autologous free tissue transfer for breast reconstruction. METHODS: Systematic searches of MEDLINE, EMBASE, CENTRAL, and World of Science from inception to June 2016 were performed by two independent reviewers. Studies that included adult females undergoing autologous free tissue transfer for breast reconstruction were selected...
September 26, 2017: Microsurgery
https://www.readbyqxmd.com/read/28944624/immediate-autologous-breast-reconstruction-after-neoadjuvant-chemoradiotherapy-for-breast-cancer-initial-results-of-the-first-29-patients
#10
Damien Grinsell, Meron Pitcher, Shirley Wong, Mario Guerrieri, Hans H M Nielsen
BACKGROUND: Breast reconstruction after mastectomy in the treatment of locally advanced breast cancer is often done in stages and before radiotherapy. We have previously published an algorithm for immediate free autologous reconstruction after neoadjuvant chemotherapy and preoperative radiotherapy. This protocol was designed to provide a shorter and simpler reconstructive path whilst improving cosmesis and maintaining oncological efficiency. METHODS: A total of 29 patients were included and underwent surgery for 30 cancers by the first author between 2010 and September 2015...
September 24, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28937485/monitoring-dynamic-morphological-changes-with-electrocardiography-gated-dynamic-4-dimensional-computed-tomography-angiography-to-predict-intraoperative-rupture-of-intracranial-aneurysms
#11
Yan Gu, Lun Xu, Chunhong Hu, Meng Luo, Hongwei Zhang, Xiguang Liu
OBJECTIVE: This study aims to evaluate dynamic morphological changes of intracranial aneurysms to predict intraoperative aneurysm rupture (IAR) during clipping. METHODS: Included in this study were 153 patients, who had ruptured and microsurgical-clipped aneurysms. All patients underwent dual-source computed tomography examination of electrocardiography-gated dynamic 4-dimensional computed tomography angiography before clipping. Original scanning data were reconstructed to produce 20 data sets of cardiac cycles with 5% time intervals...
September 20, 2017: Journal of Computer Assisted Tomography
https://www.readbyqxmd.com/read/28922325/metacarpal-like-hand-classification-and-treatment-guidelines-for-microsurgical-reconstruction-with-toe-transplantation
#12
Fu-Chan Wei, Nidal F Al Deek, Yu-Te Lin, Chung-Chen Hsu, Cheng-Hung Lin
The metacarpal-like hand is a severe hand injury, never addressed before. It describes a hand that lost a significant degree of prehension through a wide array of amputations, involving all digits proximal to the functional length except in one finger or in two digits, including the thumb.Thumb condition can be used to differentiate between two types.In type I, the thumb is intact or amputated at/or distal to the interphalangeal joint (functional length); and therefore, the reconstruction is focused on fingers mainly...
September 14, 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28918934/reconstructive-microsurgical-approach-for-the-treatment-of-pyoderma-gangrenosum
#13
Karl Schwaiger, Elisabeth Russe, Hassan Kholosy, Michaela Hladik, Klemens Heinrich, Laurenz Weitgasser, Thomas Schoeller, Gottfried Wechselberger
INTRODUCTION: Pyoderma gangrenosum (PG) is a rare type of autoimmune disease that results in progressive ulcers with or without previous trauma. However, PG is not well understood to date, and its treatment therefore remains a challenge. Because of the disease's systemic characteristic and the unpredictability of the clinical course, no gold standard treatment is available, especially concerning the surgical procedures to treat pyodermic lesions. Often, PG is not recognized during routine clinical practice, and standard ulcer treatment (conservative wound care, debridement, skin grafting, and local flap coverage) is initiated; this induces an autoinflammatory response, resulting in disastrous ulcers, thereby making free flap coverage necessary...
August 16, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28888307/microsurgical-burn-reconstruction
#14
REVIEW
Akhil K Seth, Jonathan S Friedstat, Dennis P Orgill, Julian J Pribaz, Eric G Halvorson
The treatment of burn-related wounds requires consideration of several factors, including defect size, available donor sites, exposure of critical structures, and the ultimate functional and aesthetic result of reconstruction. Although skin grafts and locoregional flaps are workhorses in burn reconstruction, they have inherent limitations that can directly impact reconstructive outcomes. Microsurgical free tissue transfer represents a viable option for the reconstruction of burn-related wounds in certain patients...
October 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28884452/microsurgical-reconstruction-following-oncologic-resection-in-pediatric-patients-a-15-year-experience
#15
Margaret J Starnes-Roubaud, Matthew M Hanasono, Michael E Kupferman, Jun Liu, Edward I Chang
BACKGROUND: Free tissue transfer in the pediatric population is a challenging endeavor, even for experienced microsurgeons. Some surgeons argue these cases can be limited by vessel size and spasticity and should be undertaken only when absolutely necessary. We present a 15-year experience examining outcomes of free tissue transfer in pediatric oncologic patients. METHODS: All free flaps performed at a single institution in pediatric patients (age range 3-17) between January 2000 and December 2014 were reviewed...
September 7, 2017: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/28869456/perfusion-control-of-a-partial-revascularized-hand-via-application-of-indocyanine-green-icg-and-near-infrared-fluorescence-imaging
#16
C Strauss, E Brix, A Anker, L Prantl, V Brébant, T Aung
BACKGROUND: Intra- and postoperative assessment of perfusion with near-infrared fluorescence imaging is commonly used among plastic surgeons to evaluate the quality of a microsurgical anastomosis in free flaps. OBJECTIVE: As microsurgical anastomosis can be monitored with near-infrared fluorescence imaging there is potential concerning revascularized fingers and hands with soft tissue depths not exceeding 7 mm above anastomosis. In a case of a severe crush injury of the hand more information about the perfusion was necessary as clinical assessment suspected loss of perfusion...
August 28, 2017: Clinical Hemorheology and Microcirculation
https://www.readbyqxmd.com/read/28864940/discussion-of-microsurgical-reconstruction-following-oncologic-resection-in-pediatric-patients-a-15-year-experience-by-m-starnes-roubaud-et-al
#17
EDITORIAL
Rebecca M Garza, David W Chang
No abstract text is available yet for this article.
September 1, 2017: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/28864313/toe-to-finger-combined-with-free-flap-transfer-for-primary-one-stage-post-traumatic-reconstruction-of-the-complex-fingerless-hand
#18
Hua Chen, Chaoyin Jiang, Yaozeng Xu, Yangbai Sun
Toe-to-finger transplantation is intimately related to the development of microsurgical free tissue transplantation, which is one of the most important advances in the history of reconstructive surgery. It is also generally acknowledged that a mangled hand with massive tissue loss and amputation of multiple digits presents a challenge for plastic and reconstructive surgeons. In this retrospective study we reviewed 11 cases of primary one-stage post-traumatic reconstruction of complex fingerless hands using a combination of toe-to-finger and free tissue transplantation performed in Shanghai Jiao Tong University affiliated Sixth People's Hospital and Shanghai Jiao Tong University School of Medicine affiliated Ninth People's Hospital from January 2001 to November 2014...
August 7, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28861378/microsurgical-refinements-with-the-use-of-internal-mammary-im-perforators-as-recipient-vessels-in-transverse-upper-gracilis-tug-autologous-breast-reconstruction
#19
Samer Saour, Guido Libondi, Venkat Ramakrishnan
BACKGROUND: The transverse upper gracilis (TUG) flap is the senior authors' second choice for autologous breast reconstruction when the DIEP flap is not available. It provides durable, pliable tissue with well hidden scars. The main criticism of this flap is the limited volume, donor site complications, short pedicle and vessel mismatch depending on which recipient vessels are used. We described methods of reducing vessel mismatch, complications of venous coupler and refinements to help give a more superior aesthetic outcome...
August 2017: Gland Surgery
https://www.readbyqxmd.com/read/28858276/-surgical-treatment-of-patients-with-arteriovenous-head-and-neck-angiodisplasia
#20
I V Stepanov, M S Olshanskiy, D Yu Kharitonov, E S Stepanova
The aim of the study was to assess the results of surgical treatment in 74 patients with extensive arteriovenous angiodisplasia in the head and neck area. All patients underwent complex examination including ultrasound, CT and MRI with contrast and selective carotid angiography. The lesions excision was performed after endovascular embolization and soft tissue defects were restored by various methods selected according to prevalent vascular lesion type (arterial, arteriovenous, venous, capillary) and blood flow values (high flow, low flow, mixed)...
2017: Stomatologii︠a︡
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