A Retrospective Comparative Functional and Aesthetic Outcome Study of Muscle versus Cutaneous Free Flaps for Distal Upper Extremity Reconstruction
J Reconstr Microsurg DOI: 10.1055/s-0041-1729882 Background Function and cosmesis are crucial in upper extremity reconstruction. Yet, there persists a lack of outcome evaluations, particularly regarding differences between free flap types. Methods In a single-center retrospective analysis, outcomes were compared between patients with cutaneous or muscle free flaps for distal upper extremity reconstruction between 2008 and 2018. The Disabilities of Arm, Shoulder and Hand -Score, Michigan-Hand (MHQ), and Short Form 36 Health Survey (SF-36) Questionnaires were assessed, motor function was quantified, and self-...
Source: Journal of Reconstructive Microsurgery - May 19, 2021 Category: Surgery Authors: Thomas, Benjamin Warszawski, Jan Falkner, Florian Nagel, Sarah S. Vollbach, Felix Gazyakan, Emre Schmidt, Volker J. Kneser, Ulrich Bigdeli, Amir K. Tags: Original Article Source Type: research

Rotational Thromboelastometry Derivative Fibrinogen –Platelet Ratio Predicts Thrombosis in Microsurgery
Conclusion Our study affirms other studies that established ROTEM as an effective predictive tool for thrombotic events during free-tissue transfer. However, a lower threshold for FPR improves catchment of thrombotic events and flap failure with acceptable sensitivity. Our results support the routine use of ROTEM for detecting hypercoagulability in patients who would potentially benefit from intervention to prevent thrombotic complications. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract &n...
Source: Journal of Reconstructive Microsurgery - May 19, 2021 Category: Surgery Authors: Patel, Harsh Srinivasa, Dhivya R. Volod, Oksana Wang, Eric D. Kim, Esther A. Tags: Original Article Source Type: research

Identifying Factors Affecting Outcomes in Scalp Replantation: A Systematic Review of the Literature
Conclusion Scalp replantations, while technically challenging, are the ideal treatment for scalp avulsions. Fortunately, these have high rates of success. And as a focal point of a patient's appearance, this is invaluable in restoration of a sense of normalcy. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - May 19, 2021 Category: Surgery Authors: Kotamarti, Vasanth S. Heiman, Adee J. Camargo, Lauren Ricci, Joseph A. Tags: Original Article Source Type: research

Impact of Body Mass Index and Comorbidities on Outcomes in Upper Extremity Nerve Transfers
Conclusion This retrospective cohort study demonstrated that increased BMI and smoking may be associated with worse outcomes in upper extremity nerve transfers—review of the literature yields ambiguity in both regards. To facilitate appropriate patient selection and guide expectations regarding prognosis, further experimental and clinical work is warranted. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - May 13, 2021 Category: Surgery Authors: Head, Linden K. M édor, Maria C. Karir, Aneesh Wolff, Gerald Boyd, Kirsty U. Tags: Review Article Source Type: research

Use of Preoperative High-Resolution Ultrasound System to Facilitate Elevation of the Superficial Circumflex Iliac Artery Perforator Flap
J Reconstr Microsurg DOI: 10.1055/s-0041-1726395 Background During elevation of the superficial circumflex iliac artery (SCIA) perforator (SCIP) flaps, the flap pedicle must often be converted from the superficial branch to the deep branch of the SCIA, complicating and prolonging the procedure. The goal of the present study was to demonstrate the effectiveness of high-resolution ultrasonography to decrease the conversion rate on which no previous report has focused, by making a comparison with a conventional method. Patients and Methods Forty-five consecutive cases where free SCIP flap transfer was performe...
Source: Journal of Reconstructive Microsurgery - April 14, 2021 Category: Surgery Authors: Yoshimatsu, Hidehiko Karakawa, Ryo Fuse, Yuma Okada, Akira Hayashi, Akitatsu Yano, Tomoyuki Tags: Original Article Source Type: research

A Comparison of Patient-Reported Outcomes in Bipedicled Total Abdominal versus Unipedicled Hemiabdominal Free Flaps for Unilateral Breast Reconstruction
Conclusion Unilateral breast reconstruction with bipedicled total abdominal free flaps results in similar complication risk, patient satisfaction, and decisional regret without the need for as many contralateral reduction procedures. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - April 14, 2021 Category: Surgery Authors: Sergesketter, Amanda R. Shammas, Ronnie L. Taskindoust, Mahsa Glener, Adam D. Pyfer, Bryan J. Rezak, Kristen Phillips, Brett T. Hollenbeck, Scott T. Tags: Original Article Source Type: research

Use of Single Chimeric Free Flaps or Double Free Flaps for Complex Head and Neck Reconstruction
Conclusion As the initial reconstructive effort is critical for achieving favorable long-term outcomes in complex head and neck cases, effective and safe techniques should be employed to ensure optimal delivery of care. We believe that single chimeric and double free flap techniques should be appropriately utilized as part of the armamentarium of head and neck reconstructive microsurgeons. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Recon...
Source: Journal of Reconstructive Microsurgery - April 14, 2021 Category: Surgery Authors: Raghuram, Anjali C. Manfro, Gabriel Teixeira, Gilberto V. Cernea, Claudio R. Dias, Fernando L. Marco, Mauricio De Polo, R óger Abu-Ghname, Amjed Maricevich, Marco Tags: Original Article Source Type: research

Stratification of Surgical Risk in DIEP Breast Reconstruction Based on Classification of Obesity
Conclusion DIEP breast reconstruction in the obese patient is more complex for both the patient and the surgeon. Although not a contraindication to undergoing surgery, obese patients should be diligently counseled regarding potential complications and undergo preoperative optimization of health parameters. Morbidly obese (class III) patients should be approached with additional caution, and perhaps even delay major reconstruction until specific BMI goals are met. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  | ...
Source: Journal of Reconstructive Microsurgery - April 14, 2021 Category: Surgery Authors: Patterson, Charles W. Palines, Patrick A. Bartow, Matthew J. Womac, Daniel J. Zampell, Jamie C. Dupin, Charles L. St Hilaire, Hugo Stalder, Mark W. Tags: Original Article Source Type: research

Free Flap Reconstruction of Traumatic Pediatric Foot and Ankle Defects: An Analysis of Clinical and Functional Outcomes
Conclusion Microsurgical reconstruction of pediatric foot and ankle defects results in high rates of limb salvage. A defect- and patient-centered approach to reconstruction, emphasizing durable coverage and contour, is critical to facilitating ambulation and ensuring favorable long-term functional outcomes. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - April 14, 2021 Category: Surgery Authors: Parikh, Rajiv P. Ha, Austin Tung, Thomas Tags: Original Article Source Type: research

A Novel Technique for Radiographic Diagnosis of Sarcopenia that Accurately Predicts Postoperative Complications in Lower Extremity Free Flap Patients
Conclusion Sarcopenia is associated with greater pre- and postoperative morbidity in LE reconstruction. The novel ellipse method is a simplified and accurate method of assessing sarcopenia that can be easily performed in the clinical setting. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - April 14, 2021 Category: Surgery Authors: Maddox, Suma S. Palines, Patrick A. Hoffman, Ryan D. Danos, Denise M. Womac, Daniel J. Tuggle, Charles T. Stalder, Mark W. Tags: Original Article Source Type: research

The Need to Improve Patient-Centered Outcome Reporting Following Lower Extremity Flap Reconstruction: A Systematic Review and Meta-analysis
J Reconstr Microsurg DOI: 10.1055/s-0041-1726398 Introduction Research in lower extremity (LE) wound management involving flap reconstruction has primarily focused on surgeon-driven metrics. There has been a paucity in research that evaluates patient-centered outcomes (PCO). This systematic review and meta-analysis examines articles published between 2012 and 2020 to assess whether reporting of functional and quality of life (QOL) outcomes have increased in frequency and cohesiveness, compared with the previous two decades. Methods PubMed and Ovid were queried with appropriate Medical Subject Heading (MeSH)...
Source: Journal of Reconstructive Microsurgery - April 14, 2021 Category: Surgery Authors: Kim, Kevin G. Tirrell, Abigail R. Dekker, Paige K. Haffner, Zoe Attinger, Christopher E. Fan, Kenneth L. Evans, Karen K. Tags: Original Article Source Type: research

The PAP Flap Breast Reconstruction: A Practical Option for Slim Patients
J Reconstr Microsurg DOI: 10.1055/s-0041-1727200 Background The posterior thigh-based profunda artery perforator (PAP) flap has been an emerging option as a secondary choice in breast reconstructions. However, whether a PAP flap could consistently serve as the secondary option in slim patients has not been investigated. Methods Records of immediate unilateral breast reconstructions performed from May 2017 to June 2019 were reviewed. PAP flap breast reconstructions were compared with standard deep inferior epigastric perforator (DIEP) flap breast reconstructions, and were grouped into single or stacked PAP f...
Source: Journal of Reconstructive Microsurgery - April 14, 2021 Category: Surgery Authors: Jo, Taehee Jeon, Dong Nyeok Han, Hyun Ho Tags: Original Article Source Type: research

Redefining the Reconstructive Ladder in Vulvoperineal Reconstruction: The Role of Pedicled Perforator Flaps
Conclusion In our experience, perforator flaps can provide satisfactory reconstruction for perineum reconstruction with low postoperative complications while preserving other donor sites in the event of disease recurrence for repeat resection and reconstruction. Previous surgery or radiotherapy did not increase the complications or preclude its usage. A redefined reconstructive ladder was created to help selecting the best state-of-the-art technique for reconstruction to achieve better results. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Tab...
Source: Journal of Reconstructive Microsurgery - April 14, 2021 Category: Surgery Authors: Elia, Jhonatan Do, Nicholas T. K. Chang, Tommy N.-J. Lai, Chyong-Huey Chou, Hung-Hsueh Chang, Frank C.-S. Huang, Jung-Ju Tags: Original Article Source Type: research

Traumatic Brachial Plexus Palsy in Children: Long-Term Outcome and Strategy of Reconstruction
Conclusion Brachial plexus injuries in children are associated with a high incidence root avulsions and no pain. Neurotization is frequently required and the outcome is not significantly affected by the delay in surgery. In total plexus injuries, some useful hand function can be restored, and management should follow that of obstetric palsy and be focused on innervating the medial cord. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - April 14, 2021 Category: Surgery Authors: El-Gammal, Tarek A. El-Sayed, Amr Kotb, Mohamed M. Saleh, Waleed Riad Ragheb, Yasser Farouk El-Refai, Omar Romeih, Mohamed Abdel-Hameed El-Gammal, Yousif T. Tags: Original Article Source Type: research

Do Patient Expectations of Discharge Affect Length of Stay after Deep Inferior Epigastric Perforator Flap for Breast Reconstruction?
Conclusion Our study found significantly shorter hospital stay after DIEP flap for patients who expected an earlier discharge date despite similar patient characteristics and uniform ERAS protocol. Patient expectations should be considered during patient counseling and as a confounding variable when analyzing ERAS protocols. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - April 14, 2021 Category: Surgery Authors: Bamba, Ravinder Wiebe, Jordan E. Ingersol, Christopher A. Dawson, Steven Sinha, Mithun Cohen, Adam C. Hartman, Brett C. Lester, Mary E. Hassanein, Aladdin H. Tags: Original Article Source Type: research

Microsurgery at Home during COVID-19 Pandemic: A Do-It-Yourself Toolkit
J Reconstr Microsurg DOI: 10.1055/s-0041-1727189 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - April 14, 2021 Category: Surgery Authors: Gasteratos, Konstantinos Paladino, Joseph R. Corral, Gabriel Del Tags: Letter to the Editor Source Type: research

Breast Reconstruction Completion in the Obese: Does Reconstruction Technique Make a Difference in Its Achievement?
Conclusion Occurrence of a major complication in the implant group decreased the rate of reconstruction completion. Obese women who undergo autologous breast reconstruction are more likely to achieve breast reconstruction completion when compared with obese women who undergo implant-based breast reconstruction. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - March 31, 2021 Category: Surgery Authors: Velazquez, Christine Siska, Robert C. Pestana, Ivo A. Tags: Original Article Source Type: research

Free Tissue Transfer after Open Transmetatarsal Amputation in Diabetic Patients
Conclusion TMA with free flap reconstruction is an effective method for diabetic limb salvage, yielding good functional outcomes and healing results. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - March 31, 2021 Category: Surgery Authors: Lumley, Eleanor S. Kwon, Jin Geun Kushida-Conteras, Beatriz Hatsue Brown, Erin Viste, Julian Aulia, Indri Pak, Changsik John Suh, Hyunsuk Peter Hong, Joon Pio Tags: Original Article Source Type: research

The Influence of Topically Administered Heparin on Peripheral Microcirculation of the Skin: A Double-Blind, Randomized, Controlled Preliminary Study on 50 Healthy Subjects
Conclusion As a first important step in possible future implementing of heparin as a topical administration in flap surgery, our data—although not statistically significant—indicate that heparin can improve microcirculation (SO2, flow) in healthy subjects. Nevertheless, further research in subjects with impaired microcirculation is necessary. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - March 31, 2021 Category: Surgery Authors: Denzinger, Markus Held, Manuel Amr, Amro Krau ß, Sabrina Bender, Dominik Daigeler, Adrien Wenger, Andrea Tags: Original Article Source Type: research

Relief of Sitting Pain by Resecting Posterior Femoral Cutaneous Nerve, and Elucidation of Its Anatomical Branching Pattern
Conclusion Sitting pain due to injury to the PFCN can be relieved by the resection of the PFCN with implantation of the proximal end into muscle. Presence of an anatomical variation, a high division of the PFCN, can permit preservation of sensation in the lateral buttock and posterior thigh in the patient whose symptoms involve just the perineum and ischial tuberosity. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - March 23, 2021 Category: Surgery Authors: Kachniarz, Bartlomiej Dellon, Arnold Lee Tags: Original Article Source Type: research

Effective Evaluation of SCIV and SIEV as Donor Vessels by Preoperative Ultrasound in Planning of Thin SCIP Flaps
J Reconstr Microsurg DOI: 10.1055/s-0041-1726393 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - March 23, 2021 Category: Surgery Authors: Kageyama, Takashi Tags: Letter to the Editor Source Type: research

Establishing a Lymphatic Venous Anastomotic Training Model in Pig Trotters
Conclusion The most relevant point for LVA surgical training in the trotter was the dorsal center distal to the MP joint, where parallel vessels of similar sizes were found in all cases. This practical LVA surgical model would improve surgeon skills in not only anastomosis but also preoperative fluorescent lymphography. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - March 11, 2021 Category: Surgery Authors: Kato, Motoi Kurita, Masakazu Mito, Daisuke Nakamura, Runa Li, Kexin Yamashita, Shuji Okazaki, Mutsumi Tags: Original Article Source Type: research

Lymphaticovenular Anastomosis in Breast Cancer Treatment-Related Lymphedema: A Short-Term Clinicopathological Analysis from Indonesia
Conclusion LVA reduced the subjective symptoms and UEL index in BCRL cases. Future studies using updated imaging technologies of the lymphatic system and longer follow-up time are needed to confirm our results. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - March 1, 2021 Category: Surgery Authors: Brahma, Bayu Putri, Rizky Ifandriani Reuwpassa, Jauhari Oka Tuti, Yustia Alifian, Muhammad Farid Sofyan, Rian Fabian Iskandar, Iskandar Yamamoto, Takumi Tags: Original Article Source Type: research

The Impact of Prior Abdominal Surgery on Complications of Abdominally Based Autologous Breast Reconstruction: A Systematic Review and Meta-Analysis
Conclusion In patients with a history of prior abdominal surgery, abdominally based free tissue transfer is a safe and reliable option. Abdominal scars may slightly increase the risk of delayed donor-site wound healing, which can aid the surgeon in preoperative counseling. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - March 1, 2021 Category: Surgery Authors: Bond, Evalina S. Soteropulos, Carol E. Yang, Qiuyu Poore, Samuel O. Tags: Original Article Source Type: research

WSRM 2019 in Bologna: A Great Success beyond Expectations!
J Reconstr Microsurg 2021; 37: 181-181 DOI: 10.1055/s-0041-1723780 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - March 1, 2021 Category: Surgery Authors: Chang, David Koshima, Isao De Santis, Giorgio Moschella, Francesco Tags: Editorial Source Type: research

Analysis of 20-Year Trends in Medicare Reimbursement for Reconstructive Microsurgery
Conclusion This is the first study evaluating 20-year trends in inflation-adjusted Medicare reimbursement and utilization in reconstructive microsurgery. Reimbursement for all included procedures decreased over 20% during the study period, while number of services increased. Increased consideration of these trends will be important for U.S. policymakers, hospitals, and surgeons to assure continued access and reconstructive options for patients. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract&nbs...
Source: Journal of Reconstructive Microsurgery - February 25, 2021 Category: Surgery Authors: Teven, Chad M. Gupta, Nikita Yu, Jason W. Abujbarah, Sami Chow, Nathan A. Casey, William J. Rebecca, Alanna M. Tags: Original Article Source Type: research

Devitalized Autograft Associated with the Vascularized Fibula Graft: Irradiation versus Freezing Methods
Conclusion Both groups presented similar union rates and are considered safe to devitalize bone graft despite different outcomes observed. The survivor rates observed could be limited by the existence of the techniques. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - February 25, 2021 Category: Surgery Authors: Rezende, Luis Guilherme Rosifini Alves Margatho, Guilherme Leipner Penno, Ricardo Alberto Lupinacci Mazzer, Nilton Engel, Edgard Eduard Tags: Original Article Source Type: research

Evaluation of the American Society of Anesthesiologists Physical Status Classification System in Risk Assessment for Lower Extremity Reconstruction with Free Tissue Transfer
Conclusion Free flap reconstruction for LE defects in high-risk patients is a safe and reliable procedure for selected patients when an experienced multidisciplinary team is involved. Bone infection was the only variable associated with LE amputation. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - February 25, 2021 Category: Surgery Authors: Maldonado, Andr és A. Steinebach, Rabanus Morillo, M. Carmen Sauerbier, Michael Tags: Original Article Source Type: research

The Iliac Crest Osteomuscular Flap for Bony Reconstruction: Beast or Beauty? A Reassessment of the Value and Donor Site Morbidity in the CAD/CAM Era
Conclusion Dogma never is a good teacher; it remains elementary that routine “knowledge” is (re)questioned. Donor site morbidity of the ICBF is comparable to other bone flaps. The shape and bone stock of the ICBF is ideal and often may be first choice. In combination with CAD/CAM planning, the ICBF is an excellent option for specific maxillofacial reconstructions. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - February 25, 2021 Category: Surgery Authors: Hilven, Paulien H. Vranckx, Jan J. Tags: Original Article Source Type: research

Digital Transfer for Hand Reconstruction in Cleft Hand and Foot Differences
Conclusion Digital transfer in cleft hand and foot patients is a functional endeavor. The transferred digits provide sensation, mobility, and stability for opposition. Technically challenging due to small structures and atypical anatomy, these rare cases represent unique opportunities to improve function and appearance in the pediatric hand. This is a therapeutic study and reflects level of evidence IV. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Jo...
Source: Journal of Reconstructive Microsurgery - February 17, 2021 Category: Surgery Authors: Taghinia, Amir H. Taylor, Erin M. Winograd, Jonathan Labow, Brian I. Upton, Joseph Tags: Original Article Source Type: research

Master Series Microsurgery for Residents: Results from a Comprehensive Survey of a Multitudinous Online Course during COVID-19 Pandemic
Conclusion The MSMR was a high impact course and has established a paradigm shift that will lead to an evolution in plastic surgery learning. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - February 17, 2021 Category: Surgery Authors: Santamar ía, Eric Nah ás-Combina, Luciano Altamirano-Arcos, Carlos Vargas-Flores, Edgar Tags: Original Article Source Type: research

Distally Based Perforator-Plus Sural Neurocutaneous Flap with High or Low Pivot Point: Anatomical Basis and a Retrospectively Study of 378 Flap Clinical Series
Conclusion True anastomosis connections among peroneal perforators and the whole arterial chain around sural nerve enable the sural flap to survive with a greater length. The sural flap with high pivot point is a good option for reconstructing soft-tissue defects in the middle and distal leg, ankle, and foot, particularly when the lowest peroneal perforator presents damage, greater distance to the defects, discontinuity with the donor site, or anatomical variation. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |&nb...
Source: Journal of Reconstructive Microsurgery - February 16, 2021 Category: Surgery Authors: Zhou, Ling-Li Wei, Jian-Wei Peng, Ping Liu, Li-Hong Yin, Chao-Dong Luo, Zhao-Biao Tao, Shi-Bin Dong, Zhong-Gen Tags: Original Article Source Type: research

A Systematic Review and Meta-Analysis of Microvascular Stacked and Conjoined-Flap Breast Reconstruction
J Reconstr Microsurg DOI: 10.1055/s-0041-1723820 Background Stacked and conjoined (SC) flaps are a useful means of increasing flap volume in autologous breast reconstruction. The majority of studies, however, have been limited to smaller, single-center series. Methods A systematic literature review was performed to identify outcomes-based studies on microvascular SC-flap breast reconstruction. Pooled rates of flap and operative characteristics were analyzed. Meta-analytic effect size estimates were calculated for reconstructive complication rates and outcomes of studies comparing SC flaps to non-SC flaps. M...
Source: Journal of Reconstructive Microsurgery - February 16, 2021 Category: Surgery Authors: Salibian, Ara A. Nolan, Ian T. Bekisz, Jonathan M. Frey, Jordan D. Karp, Nolan S. Choi, Mihye Levine, Jamie P. Thanik, Vishal D. Tags: Original Article Source Type: research

The Chimeric Gracilis and Profunda Artery Perforator Flap: Characterizing This Novel Flap Configuration with Angiography and a Cadaveric Model
Conclusion Dissection of a chimeric medial thigh flap consisting of both gracilis and PAP flap tissues is feasible in a cadaveric model. The vascular anatomy of this potential flap appears suitable for future utilization in a clinical setting. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - February 16, 2021 Category: Surgery Authors: Hammond, Jacob B. Teven, Chad M. Flug, Jonathan A. Jokerst, Clint E. Howarth, Ashley L. Shrout, Max A. Laitinen, Marko A. Foley, Brittany M. Kruger, Erwin A. Casey, William J. Rebecca, Alanna M. Tags: Original Article Source Type: research

Vein Grafting in Microsurgical Lower Extremity Reconstruction: Outcome Analysis of Primary versus Secondary Salvage Procedures
Conclusion In complex lower extremity reconstructions, VG can be performed with acceptable complication rates and outcomes in primary and especially in salvage cases. With careful planning and a consistent surgical protocol, VG can provide reliable success rates in limb salvage. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - February 16, 2021 Category: Surgery Authors: Gazyakan, Emre Xiong, Lingyun Sun, Jiaming Kneser, Ulrich Hirche, Christoph Tags: Original Article Source Type: research

Telehealth: Could It Be an Avenue to Microvascular Breast Reconstruction for Patients with Geographical Barriers?
Conclusion Telehealth provides an avenue for premastectomy consultation, second opinion visits, and postoperative follow-up for patients who have geographical barriers precluding them from reaching plastic surgeons who perform all types of breast reconstruction. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - February 16, 2021 Category: Surgery Authors: Colakoglu, Salih Johnson, Ariel Mureau, Marc A.M. Douglass, Sara Kaoutzanis, Christodoulos Chong, Tae W. Mathes, David W. Cohen, Justin B. Tags: Original Article Source Type: research

The Effect of Lavender Oil on Perioperative Pain, Anxiety, Depression, and Sleep after Microvascular Breast Reconstruction: A Prospective, Single-Blinded, Randomized, Controlled Trial
J Reconstr Microsurg DOI: 10.1055/s-0041-1724465 Background Psychosocial distress, depression, or anxiety can occur in up to 50% of women after a breast cancer diagnosis and mastectomy. The purpose of this study was to assess the potential benefit of lavender oil as a perioperative adjunct to improve anxiety, depression, pain, and sleep in women undergoing microvascular breast reconstruction. Methods This was a prospective, single-blinded, randomized, controlled trial of 49 patients undergoing microvascular breast reconstruction. Patients were randomized to receive lavender oil or placebo (coconut oil) thro...
Source: Journal of Reconstructive Microsurgery - February 6, 2021 Category: Surgery Authors: Shammas, Ronnie L. Marks, Caitlin E. Broadwater, Gloria Le, Elliot Glener, Adam D. Sergesketter, Amanda R. Cason, Roger W. Rezak, Kristen M. Phillips, Brett T. Hollenbeck, Scott T. Tags: Original Article Source Type: research

Risks of Free Tissue Transfer in the Hypocoaguable Patient
J Reconstr Microsurg DOI: 10.1055/s-0041-1723818 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - February 6, 2021 Category: Surgery Authors: Reuter, Katherine D. Nicksic, Peter J. Poore, Samuel O. Tags: Letter to the Editor Source Type: research

Lymphatic Tissue Engineering: A Further Step for Successful Lymphedema Treatment
Conclusion Lymphatic tissue engineering has the potential to be the next step for microsurgical treatment of secondary lymphedema. Current and future researches are necessary to optimize this clinical paradigm shift for improved surgical treatment of lymphedema. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - January 31, 2021 Category: Surgery Authors: Sp örlein, Andreas Will, Patrick A. Kilian, Katja Gazyakan, Emre Sacks, Justin M. Kneser, Ulrich Hirche, Christoph Tags: Review Article Source Type: research

Osteomyocutaneous Free Fibula Flap Prevents Osteoradionecrosis and Osteomyelitis in Head and Neck Cancer Reconstruction
Conclusion Vascularized muscle transfer increases perfusion of surrounding tissues and the bone flap, thereby decreasing the incidence of osteomyelitis or osteonecrosis. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - January 31, 2021 Category: Surgery Authors: Wang, Kuan-Ying Liu, Wen-Chung Chen, Chun-Feng Chen, Lee-Wei Chen, Hung-Chi Yang, Kuo-Chung Tags: Original Article Source Type: research

Wire Myography for Continuous Estimation of the Optimal Concentration of Topical Lidocaine as a Vasodilator in Microsurgery
In this study, the vasodilatory effect of lidocaine was examined by using the wire myograph system. Abdominal aortas were harvested from female rats, sliced into rings of 1-mm thickness, and mounted in the wire myograph system. Next, 10, 5, 2, and 1% lidocaine solutions were applied to the artery, and the change in vasodilation force, persistence of the force, and time required to reach equilibrium were measured. Results The vasodilatory effect was confirmed in all groups following lidocaine treatment. Although strong vasodilation was observed in the 10% lidocaine group, it was accompanied by irreversible degenerat...
Source: Journal of Reconstructive Microsurgery - January 31, 2021 Category: Surgery Authors: Ogawa, Haruo Kusumoto, Junya Nomura, Tadashi Hashikawa, Kazunobu Terashi, Hiroto Sakakibara, Shunsuke Tags: Original Article Source Type: research

Breast Cancer-Related Lymphedema: Magnetic Resonance Imaging Evidence of Sparing Centered Along the Cephalic Vein
Conclusion Our study found that the area of edema sparing, when present, is centered around the cephalic vein. This may be explained by the presence of the Mascagni-Sappey (M-S) pathway as it is located alongside the cephalic vein. Our findings represent a key springboard for additional research to better elucidate any trends between the presence of the M-S pathway, areas of sparing, and severity of lymphedema. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (So...
Source: Journal of Reconstructive Microsurgery - January 31, 2021 Category: Surgery Authors: Kim, Geunwon Johnson, Anna Rose Hamaguchi, Ryoko Adondakis, Michael Tsai, Leo L. Singhal, Dhruv Tags: Original Article Source Type: research

Histologic and Functional Outcomes of Conduit Wrapping for Peripheral Nerve Repair: Early Results in a Rat Model
Conclusion In the absence of segmental defects, conduit wrapping primary nerve repairs seem to be associated with worse functional and mixed histologic outcomes at 6 weeks, possibly due to debris from conduit resorption. While clinical implications are unclear, more basic science and clinical studies should be performed prior to widespread adoption of this practice. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - January 31, 2021 Category: Surgery Authors: Brogan, David M. Dy, Christopher J. Lee, Tony Y. Rioux-Forker, Dana Wever, Jason Leversedge, Fraser J. Tags: Original Article Source Type: research

Bilaminate Synthetic Dermal Matrix versus Free Fascial Flaps: A Cost-Effectiveness Analysis for Full-Thickness Hand Reconstruction
Conclusion Free fascial flap reconstruction of complex hand wounds was marginally more expensive than synthetic dermal matrix and yielded incrementally better outcomes. Both dermal matrix and microsurgical techniques were cost effective in the base case and in sensitivity analysis. In choosing between dermal matrix and microsurgical reconstruction of complex hand wounds, neither technique has a clear economic advantage. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full...
Source: Journal of Reconstructive Microsurgery - January 24, 2021 Category: Surgery Authors: Miller, Travis J. Lin, Walter C. Watt, Andrew J. Sheckter, Clifford C. Tags: Original Article Source Type: research

Robotic-Assisted Peripheral Nerve Surgery: A Systematic Review
Conclusion Robotic-assisted surgery is still in the early stage in peripheral nerve surgery. We believe the use of the robotic system in this field will develop to become popular in the future, especially in the fields that need cooperation with other specialties to provide the solutions for challenging circumstances. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - January 5, 2021 Category: Surgery Authors: Chen, Lisa Wen-Yu Goh, Mei Goh, Raymond Chao, Yin-Kai Huang, Jung-Ju Kuo, Wen-Ling Sung, Cheyenne Wei-Hsuan Chuieng-Yi Lu, Johnny Chuang, David Chwei-Chin Chang, Tommy Nai-Jen Tags: Original Article Source Type: research

Free Flap Monitoring, Salvage, and Failure Timing: A Systematic Review
J Reconstr Microsurg DOI: 10.1055/s-0040-1722182 Background Microsurgical free tissue transfer has become a reliable technique with success rates around 99% and around 5% requiring exploration for vascular compromise. Protocols for flap monitoring between plastic surgery units vary. We aimed to elucidate the time period when monitoring is crucial for flap salvage. Methods A systematic search of literature was performed in PubMed, Cochrane Library, Medline, and Scopus databases from 1966 to July 2018 according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, identify...
Source: Journal of Reconstructive Microsurgery - January 4, 2021 Category: Surgery Authors: Shen, Amanda Y. Lonie, Sarah Lim, Kaiyang Farthing, Hannah Hunter-Smith, David J. Rozen, Warren M. Tags: Original Article Source Type: research

Augmentation of Chicken Thigh Model with Fluorescence Imaging Allows for Real-Time, High Fidelity Assessment in Supermicrosurgery Training
Conclusion Augmentation of the University of Wisconsin “blue-blood” chicken thigh model with ICG fluorescence improves accuracy, decreases uncertainty, and improves inter-rater agreement when assessing supermicrosurgical anastomoses in a training setting. This improved, real-time feedback enhances this model's value as a supermicrosurgical training tool. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - December 30, 2020 Category: Surgery Authors: Albano, Nicholas J. Zeng, Weifeng Lin, Christie Uselmann, Adam J. Eliceiri, Kevin W. Poore, Samuel O. Tags: Original Article Source Type: research

Ex Vivo Ovine Model for Surgical and Microsurgical Training on Parotidectomy and Facial Nerve Reanimation: Proposal of Structured Training Program
Conclusion This proposal of training program on the ex vivo ovine model for the acquisition of skills needed in head and neck surgery proved to be feasible, effective, repeatable, and cheap. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - November 23, 2020 Category: Surgery Authors: Ghirelli, Michael Federici, Gaia Melchiorri, Claudio Malagoli, Andrea Presutti, Livio Fernandez, Ignacio Javier Tags: Original Article Source Type: research

Comment on Assessing the Influence of Attending Surgeon Continuity on Free Flap Outcomes Following Unplanned Returns to the Operating Room
J Reconstr Microsurg DOI: 10.1055/s-0040-1721121 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - November 23, 2020 Category: Surgery Authors: Marlborough, Fergal Berner, Juan Enrique Ahmed, Omar A. Ragbir, Maniram Tags: Letter to the Editor Source Type: research

A Structured, Microsurgical Training Curriculum Improves the Outcome in Lower Extremity Reconstruction Free Flap Residency Training: The Ludwigshafen Concept
J Reconstr Microsurg DOI: 10.1055/s-0040-1720960 Background Risk stratification, economic pressure, and a flat learning curve make the realization and development of proper microsurgical skills and competences a challenging task in the daily clinical practice. In previous studies, we were able to show that microsurgical procedures, e.g., free flaps and replantations, are safe training procedures and teachable in daily clinical practice in view of certain issues of risk stratification. The present study aims to evaluate further improvements in terms of safety and complication rates for free flaps as a training proce...
Source: Journal of Reconstructive Microsurgery - November 19, 2020 Category: Surgery Authors: Boecker, Arne Kornmann, Jonas Xiong, Lingyun Harhaus, Leila Aman, Martin Koepple, Christoph Fischer, Sebastian Will, Patrick A. Kneser, Ulrich Hirche, Christoph Tags: Original Article Source Type: research