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Two separate subcutaneous pedicled flaps for repair of total umbilical defects: a simple reconstruction technique
We report an immediate reconstruction of the umbilicus using two different subcutaneous pedicled flaps from the lower abdomen, away from the umbilicus and the continuous cranial side. In this procedure, the caudal half to two-thirds of the umbilical fossa is reconstructed with a subcutaneous pedicled flap harvested from the lower abdomen, away from the defect. The rest of the cranial side is reconstructed with a subcutaneous pedicled V –Y advancement flap, continuous with the defect. From December 2016 to November 2018, three cases of umbilicus defects were reconstructed using this procedure. The deep umbilical fossa was...
Source: European Journal of Plastic Surgery - July 25, 2023 Category: Cosmetic Surgery Source Type: research

How can we inspire junior trainees to consider a career in plastic surgery as a basis to pursue humanitarian work?
ConclusionsTrainee doctors are willing to take part in HMSA but are less inclined to do this through plastic surgery. Plastic surgical societies could help promote HMSA at conferences and provide an insight into the pathway and potentially through the creation of HMSA mentorship programmes for junior doctors. Non-profit plastic surgery organisations could promote trainee involvement in surgical admissions providing an insight into the role of a plastic surgeon in HMSA.Level of evidenceNot Gradable (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - July 24, 2023 Category: Cosmetic Surgery Source Type: research

Prognostic serum biomarker for survival outcome in burn patients
ConclusionsSerum netrin-1 level could be used as a prognostic serum biomarker for survival outcomes in burn patients.Level of evidenceLevel IV, Risk/Prognostic study (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - July 24, 2023 Category: Cosmetic Surgery Source Type: research

Functional outcome of synchronous tendon transfer of pronator teres to ECRB with primary nerve repair in high radial nerve injury
ConclusionsIt could be concluded that early pronator teres to Extensor carpi radialis brevis tendon transfer with primary repair of the radial nerve in high injuries improves remaining function and quickly restores hand function.Level of evidenceLevel III, Therapeutic. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - July 24, 2023 Category: Cosmetic Surgery Source Type: research

Aesthetic and functional outcomes of microvascular reconstruction of large post-excisional defects of the mandible by using the chimeric double-barrel free fibula flap
ConclusionsThe chimeric double-barrel free fibula reconstruction not only provides a good contour in line with the lower border of the residuum lower jaw but also provides the well-vascularized bony stock for Osseo-integrated implants facilitating good functional and aesthetic outcomes. This may be added to the armamentarium of the plastic surgeon for large mandibuloplasties.Level of evidence: Level IV, Therapeutic. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - July 21, 2023 Category: Cosmetic Surgery Source Type: research

Use of mechanical preconditioning for free flaps in a swine model
ConclusionsWe found that MIPC significantly reduces interstitial edema, inflammation and necrosis and may increase the rate of successful revascularizations. However, studies assessing those tissular damage parameters after reperfusion of the flap need to be performed to assess more correctly inflammation and post-operative infections and to confirm the potential benefits of ICP.Level of evidence: Not gradable (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - July 10, 2023 Category: Cosmetic Surgery Source Type: research

Global impact of lymphedema on quality of life and society
AbstractLymphedema is a chronic disorder of the lymphatic system characterized by the accumulation of interstitial fluid in tissues. It affects millions of individuals worldwide, resulting in significant disability and morbidity. Despite its prevalence, it is often an underappreciated clinical entity. In this narrative review, we critically examined and synthesized currently available peer-reviewed literature on the global epidemiology, pathophysiology, and societal burden of lymphedema. Most patients have a secondary cause of lymphedema, such as lymphatic filariasis, mostly prevalent in Asia, South America, and Africa. A ...
Source: European Journal of Plastic Surgery - July 10, 2023 Category: Cosmetic Surgery Source Type: research

Breast Reconstruction in Male Breast Cancer Patients: An analysis of trends using the NSQIP database
ConclusionsPost-mastectomy reconstruction is rarely performed in males with breast cancer. Most males undergo implant-based reconstruction, although racial differences exist. Further studies are warranted to assess long-term reconstruction and psychosocial outcomes in males who undergo breast reconstruction.Level of evidence: Level III, Diagnostic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - July 7, 2023 Category: Cosmetic Surgery Source Type: research

The value of virtual simulation for preoperative planning in surgical correction of orbital hypertelorism
ConclusionsVirtual 3D planning allows for improved surgical planning and a sharper concentration on crucial technical maneuvers during surgery. The main advantage of this technology is that repositioning is significantly more accurate and efficient than the conventional technique.Level of evidence: Level IV, Therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - July 1, 2023 Category: Cosmetic Surgery Source Type: research

Soft tissue reconstruction of combat-related injuries affecting the lower limb: is a time target realistic? A systematic review and meta-analysis
ConclusionsThe choice of flap used in lower limb combat-related injuries is dependent upon the type, extent and location of injury. Onus should be placed on ensuring the wound is adequately debrided prior to definitive coverage to provide a healthy wound bed for reconstruction.Level of Evidence: Not gradable (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - June 27, 2023 Category: Cosmetic Surgery Source Type: research

Factors contributing to prolonged drain duration in prepectoral staged implant-based breast reconstruction
ConclusionsIn patients undergoing prepectoral staged implant-based reconstruction, BMI above the obese threshold increases the risk of prolonged drain duration. In contrast to prior studies performed in autologous reconstruction and subpectoral reconstruction, other demographic and perioperative factors were not significant predictors of prolonged drain. Given the increasing prevalence and preference for prepectoral breast reconstruction, this study can be used to guide postoperative management concerning drain removal and follow-up parameters.Level of evidence: Level III, Risk/Prognostic (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - June 27, 2023 Category: Cosmetic Surgery Source Type: research