Onco-reconstructive supermicrosurgery

Publication date: Available online 9 January 2019Source: European Journal of Surgical OncologyAuthor(s): Takumi YamamotoAbstractSupermicrosurgery is sophisticated microsurgical technique, which allows dissection and anastomosis of blood/lymphatic vessels and nerves with external diameter of 0.5 mm or smaller. With increasing attention to quality of life of cancer survivors, less invasive and functionally-better oncological reconstruction using supermicrosurgical techniques is warranted. Unlike conventional free flap reconstruction, supermicrosurgical free flaps can be elevated from anywhere using innominate vessels with diameter of 0.1 mm or larger, allowing patient-oriented least invasive reconstruction. Since lymphatic vessels can be anastomosed, lymphatic reconstruction is possible with supermicrosurgery, which plays an important role in management of cancer-related lymphedema. Supermicrosurgeons can harvest vascularized tissues such as skin, fat, fascia, tendon, ligament, bone, muscle, and nerve separately, and reconstruct complicated defects with three-dimensionally-inset multi-component tissue transfer.
Source: European Journal of Surgical Oncology (EJSO) - Category: Surgery Source Type: research

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Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
This study is a parallel-group randomized controlled trial in which 60 female breast cancer survivors, who have completed central treatments of the disease in the last 5 years, will be randomly assigned to either an experimental group that will perform a total of 24 progressive resistance training sessions for 12 weeks (ie, 2 weeks of individual training and 10 weeks of micro-group training) and will be requested to undertake 10,000 steps/d, or a control group that will be requested to undertake 10,000 steps/d, only. Outcomes will be evaluated at baseline and at week 12. Primary outcome measure is peak isometric muscular s...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Study Protocol Clinical Trial Source Type: research
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Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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