Evaluating Resource Utilization with Free or Pedicled Perforator Flaps in Distal Leg Reconstruction
Conclusion Pedicled perforator flap coverage for small to medium-sized defects (< 70 cm2) is a viable and cost-effective option for distal lower leg soft tissue reconstruction after acute traumatic injury with similar clinical outcomes and shorter operative duration and ICU stay. [...] 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 3, 2022 Category: Surgery Authors: Hsiao, Jo-Chun Zelenski, Nicole A. Tseng, Yi-Ju Hsu, Chung-Chen Chen, Shih-Heng Lin, Chih-Hung Lin, Cheng-Hung Tags: Original Article Source Type: research

Supercharge End-to-Side Sensory Transfer to A Long Nerve Graft to Enhance Motor Regeneration in A Brachial Plexus Model —An Experimental Rat Study
Conclusion Distal sensory SETS transfer to a long nerve graft showed benefits of functional muscle recovery and better target nerve morphology. Proximal sensory inputs do not benefit the outcomes at all. [...] 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 30, 2022 Category: Surgery Authors: Daniel, Bassem W. Giesen, Teun Lu, Johnny Chuieng-Yi Chang, Tommy Nai-Jen Zavala, Abraham Chuang, David Chwei-Chin Tags: Original Article Source Type: research

Planes for Perforator/Skin Flap Elevation —Definition, Classification, and Techniques
Conclusion These planes all have their unique properties and challenges. Understanding the benefits and limits along with the technical aspect will allow the surgeon to better apply the perforator flaps. [...] 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 22, 2022 Category: Surgery Authors: Kwon, Jin Geun Brown, Erin Suh, Hyunsuk Peter Pak, Changsik John Hong, Joon Pio Tags: Original Article Source Type: research

Maximizing the Versatility of Thin Flap from the Groin Area as a Workhorse Flap: The Selective Use of Superficial Circumflex Iliac Artery Perforator (SCIP) Free Flap and Superficial Inferior Epigastric Artery (SIEA) Free Flap with Precise Preoperative Planning
Conclusion The selective use of the SCIP and SIEA free flap in groin area is a safe and useful technique. The surgical outcomes were reliable and similar between the SCIP and SIEA free flaps. Preoperative vascular planning using CT angiography and color Doppler ultrasound is essential for selecting the proper flap. [...] 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 22, 2022 Category: Surgery Authors: Kim, Hyung Bae Min, Jae Chung Pak, Changsik John Hong, Joon Pio Jp Suh, Hyunsuk Peter Tags: Original Article Source Type: research

The Effect of Vascular Endothelial Growth Factor C and Adipose-Derived Stem Cells on Lymphatic Regeneration in a Rat Vascularized Lymph Node Transfer Model
Conclusion We found that the fastest regeneration occurred with the combination of the VLN flap and VEGF-C. The addition of ADSC had an insignificant effect in our study. Furthermore, we proved the feasibility of PAI as an assessment tool of the lymphatic drainage recovery in a VLNT model. [...] 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 22, 2022 Category: Surgery Authors: Jonas, Filip Kesa, Peter Paral, Petr Pankrac, Jan Kalbacova, Marie Hubalek Miletin, Jakub Sukop, Andrej Molitor, Martin Stanek, Krystof Sefc, Ludek Mestak, Ondrej Tags: Original Article Source Type: research

Assessment of Human Epineural Conduit of Different Size Diameters on Efficacy of Nerve Regeneration and Functional Outcomes
Conclusion We established the feasibility of hEC creation. The innovative method introduces an alternative technique to autograft repair of nerve defects. [...] 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 15, 2022 Category: Surgery Authors: Strojny, Marcin Michal Kozlowska, Katarzyna Brodowska, Sonia R óżczka, Klaudia Siemionow, Maria Tags: Original Article Source Type: research

Outcomes and Risk Factors in Microsurgical Forefoot Reconstruction
Conclusion Our study identified independent risk factors that might help to make individual decisions whether to target microsurgical forefoot reconstruction or primary amputation. Two venous anastomoses should be performed whenever feasible, and muscle free flaps should be preferred in patients at higher risk of major surgical complications. [...] 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 14, 2022 Category: Surgery Authors: Mayr-Riedler, Michael S Wacker, Alexander Gedrich, Florian Ninkovic, Milomir Machens, Hans-G ünther Dozan, Mirko Broer, P. Niclas Tags: Original Article Source Type: research

Precision of Dynamic Infrared Thermography in Anterolateral Thigh Flap Planning: Identification of the Perforator Fascia Passage
Conclusion Thermographic hotspot and perforator location diverge widely in ALT flaps. Dynamic infrared thermography can therefore not be used as standalone technique for preoperative ALT perforator identification. However, the application before color duplex ultrasound examination is a reasonable upgrade and can visualize angiosomes and facilitate the examination. [...] 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 14, 2022 Category: Surgery Authors: Illg, Claudius Krauss, Sabrina Lauer, Henrik Daigeler, Adrien Sch äfer, Ruth Christine Tags: Original Article Source Type: research

Comparison of Charlson Comorbidity Index and Modified 5-Factor Frailty Index as Clinical Risk Stratification Tools in Predicting Adverse Outcomes in Patients Undergoing Lower Extremity Free-Flap Reconstruction
Conclusion This is the first study to compare the utility of mFI-5 and CCI in predicting adverse outcomes in elderly patients undergoing LE FTT reconstruction. Our results demonstrate CCI to be a superior predictor of secondary amputation in this patient population and mFI-5 to have limited utility. Further investigation in a prospective multicenter cohort 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 - November 14, 2022 Category: Surgery Authors: Huffman, Samuel S. Bovill, John D. Deldar, Romina Gupta, Nisha Truong, Brian N. Haffner, Zo ë K. Sayyed, Adaah A. Fan, Kenneth L. Evans, Karen K. Tags: Original Article Source Type: research

Neuropathic donor-site pain following radial forearm free flap harvest: A multicenter study on incidence, prognostic factors, and quality of life
Conclusion Almost one-fifth of all patients deal with neuropathic pain following RFFF harvest. Neuropathic pain is significantly correlated with poorer hand function and a poorer quality of life. Therefore, future research should focus on analyzing surgical factors such as the management of wound problems and primary denervation to improve hand function and quality of life of these patients. [...] 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 14, 2022 Category: Surgery Authors: Bruin, L. L. Hundepool, C. A. Duraku, L. S. Luijsterburg, A. J. M. Jong, T. De Willems, W. F. Mureau, M. A. M. Zuidam, J. M. Tags: Original Article Source Type: research

Three-dimensional Volume Changes of the Reconstructed Breast Following DIEP Flap Breast Reconstruction
Conclusion The volume ratio of the reconstructed to the contralateral breast does not decrease postoperatively following DIEP flap 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 - October 31, 2022 Category: Surgery Authors: Lee, Mi Kyung Park, Hae Yeon Park, Jin-Woo Mun, Goo-Hyun Woo, Kyong-Je Tags: Original Article Source Type: research

Exceeding the Limits of Static Cold Storage in Limb Transplantation using Subnormothermic Machine Perfusion
Conclusion To date, VCA machine perfusion is still limited to animal models and no protocols are yet developed for graft recovery. Our study suggests that ex vivo SNMP could help increase the preservation duration and limit cold ischemia-induced injury in VCA transplantation. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - October 24, 2022 Category: Surgery Authors: Goutard, Marion de Vries, Reinier J Tawa, Pierre Pendexter, Casie A Rosales, Ivy A Tessier, Shannon N Burlage, Laura C Porte, Robert J Lantieri, Laurent Randolph, Mark A Lellouch, Alexandre G Cetrulo, Curtis Uygun, Korkut Tags: Original Article Source Type: research

The Association between Breast Cancer Related Lymphedema and Area Deprivation Index
Conclusions Residing in more socioeconomically disadvantaged neighborhoods is associated with lower odds of a lymphedema diagnosis, despite higher rates of risk factors for lymphedema, suggesting significant underdiagnosis in this population. [...] 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 - October 23, 2022 Category: Surgery Authors: Chiang, Sarah N. Finnan, Michael J. Varagur, Kaamya Skolnick, Gary B. Sacks, Justin M. Christensen, Joani M Tags: Original Article Source Type: research

Outcomes of Functioning Free Gracilis Muscle Transplantation to Restore Elbow Flexion in Late Brachial Plexus Birth Injury
Conclusion FFMT is a reliable option for upper extremity reanimation. Patients aged less than 12 years old at the time of FFMT had significantly more complications, reoperations, and rates of postoperative elbow flexion contracture more than or equal to 30 degrees, but equivalent elbow flexion MRC grades. Level of Evidence III [...] 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 - October 19, 2022 Category: Surgery Authors: Zelenski, Nicole A. Karzon, Anthony L. Chang, Tommy Nai-Jen Chuang, David Chwei-Chin Lu, Johnny Chuieng-Yi Tags: Original Article Source Type: research

Utility of Indocyanine Green Angiography for Preventing Pre-expanded Extended Lower Trapezius Myocutaneous Flap Necrosis: How to Make the Correct Decision for Hypoperfused Areas
Conclusion: The proposed standard strategy effectively reduced the necrosis rate of the pre-expanded e-LTMC flap, thus it is sensible to act on the ICGA findings. Prophylactic resection of the hypoperfused area should be recommended. Where resection may lead to poor reconstructive outcomes, flap trimming or a second flap should be the preferred option. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - October 18, 2022 Category: Surgery Authors: Wang, Miao Zang, Mengqing Zhu, Shan Chen, Bo Li, Shanshan Han, Tinglu Chen, Zixiang Liu, Yuanbo Tags: Original Article Source Type: research