Journal of Reconstructive Microsurgery This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Video-Based Microsurgical Education versus Stationary Basic Microsurgical Course: A Noninferiority Randomized Controlled Study
Conclusion Video-based microsurgical training on its initial step provides noninferior improvement in microsurgical skills to training with a dedicated instructor. [...] 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 - June 23, 2022 Category: Surgery Authors: D ąbrowski, Filip Stogowski, Piotr Bia łek, Jan Flici ński, Filip Piotrowski, Maciej Pankowski, Rafa ł Ceynowa, Marcin Marek, Roc ławski Wa łejko, Szymon Mazurek, Tomasz Tags: Original Article Source Type: research

Increased Opioid Consumption following DIEP Flap Breast Reconstruction: Effect of Depression and Anxiety
Conclusion With similar hospital length of stay postoperatively, it is notable that patients with a psychiatric diagnosis had significantly higher amounts of postoperative opioid consumption. This study highlights the need to further improve multidisciplinary integrated care for patients with psychiatric comorbidities to improve pain management postoperatively. [...] 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 - June 17, 2022 Category: Surgery Authors: Rodnoi, Pope Dickey, Ryan M. Teotia, Sumeet S. Haddock, Nicholas T. Tags: Original Article Source Type: research

Ex Vivo Thrombolysis to Salvage Free Flaps Using Machine Perfusion: A Pilot Study in a Porcine Model
Conclusion This pilot study in a porcine model presents a reliable and reproductive stasis-induced thrombosis model in free flaps. By adding t-PA to a custom-made extracorporeal perfusion system, the indocyanine green fluorescence intensity curves increased of all flaps that were perfused with different dosages of t-PA as additives, indicating restoration of capillary pressure and microcirculatory inflow. [...] 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 - June 17, 2022 Category: Surgery Authors: Brouwers, Kaj Kruit, Anne Sophie Koers, Erik J. Zegers, Her J. H. Hummelink, Stefan Ulrich, Dietmar J. O. Tags: Original Article Source Type: research

Genomic Analysis of Thrombophilia Variants in the General Population for the Creation of an Effective Preoperative Screening Tool
Conclusion The use of genetic screening tests for hereditary thrombophilia in the preoperative setting can serve as an effective preventative measure against postoperative thrombosis. Further exploration of thrombotic risk factors and their related genetic polymorphisms are important steps in reducing postoperative free flap loss. [...] 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 - June 17, 2022 Category: Surgery Authors: Azar, Fadi M. Menezes, John M. Tags: Original Article Source Type: research

Optimal Timing of Delayed Microvascular Breast Reconstruction after Radiation Therapy
Conclusion There was no significant difference in major complications among patients who underwent delayed, microvascular breast reconstruction within versus beyond 1 year of PMRT completion. These findings suggest that delayed microvascular breast reconstruction can be safely performed beginning 6 months after PMRT completion. [...] 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 - June 17, 2022 Category: Surgery Authors: Arnautovic, Aska Karinja, Sarah Olafsson, Soley Carty, Matthew J. Erdmann-Sager, Jessica Caterson, Stephanie A. Broyles, Justin M. Tags: Original Article Source Type: research

Perforator Characteristics and Impact on Postoperative Outcomes in DIEP Flap Breast Reconstruction: A Systematic Review and Meta-Analysis
Conclusion Our findings suggest that a single dominant perforator and medial row perforators may be associated with higher risk of fat necrosis after DIEP flap breast reconstruction. Adopting a standardized perforator selection algorithm may facilitate operative decision making, shorten the learning curve for novice surgeons, and optimize postoperative outcomes by minimizing the burden of major complications. This in turn would help improve patient satisfaction and quality of life. [...] 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 - June 17, 2022 Category: Surgery Authors: Aravind, Pathik Colakoglu, Salih Bhoopalam, Myan Ibrahim, Ahmed Mathes, David Kaoutzanis, Christodoulos Mureau, Marc Reddy, Sashank Tags: Original Article Source Type: research

Standard Fixed Enoxaparin Dosing for Venous Thromboembolism Prophylaxis Leads to Low Peak Anti-Factor Xa Levels in Both Head and Neck and Breast Free Flap Patients
Conclusion Standard fixed enoxaparin dosing for postoperative VTE prophylaxis does not achieve target afXa levels for the majority of our free flap patients. H&N patients appear to be a particularly high-risk group that may require a more personalized and aggressive approach. Total body weight is the sole negative predictor of afXa level, supporting a role for weight-based enoxaparin dosing. [...] 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 - June 17, 2022 Category: Surgery Authors: Ambani, Shoshana W. Bengur, Fuat Baris Varelas, Lee J. Nguyen, Vu T. Cruz, Carolyn De La Acarturk, Tahsin Oguz Manders, Ernest K. Kubik, Mark W. Sridharan, Shaum Gimbel, Michael L. Solari, Mario G. Tags: Original Article Source Type: research

“Quantifying Complications: An Analysis of Operative Time and Intraoperative Factors in Microsurgical Breast Reconstruction”
Conclusion Intraoperative complications in autologous breast reconstruction significantly increase operative time. The greatest increase in operative time is seen with intraoperative thrombosis or requiring alternative venous outflow. As these complications are rarely encountered in breast microsurgery, opportunities for simulation and case-based practice exist to improve efficiency. [...] 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 30, 2022 Category: Surgery Authors: Egan, Katie G. Elver, Ashlie A. Godbe, Kerilyn N. Nazir, Niaman Holding, Julie Butterworth, James Lai, Eric Tags: Original Article Source Type: research

Simulating the IMA Recipient Site for DIEP Flap Surgery: A New Model for Dynamic Microsurgery Simulation with Real-Time Respiration and a Pilot Study
Conclusion This study reports a novel microsurgical simulation model that provides a realistic deep inferior epigastric perforator free flap BR IMA anastomosis experience. It replicates movement of vessels in situ with real-time respiratory excursion and similar physical structures of the internal mammary system. This model shows promising results for increased use in microsurgical education. [...] 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 27, 2022 Category: Surgery Authors: Ziolkowski, Natalia I. Sun, Kimberly Z. McMillan, Catherine Ryzynski, Agnes Snell, Laura Lipa, Joan E. Tags: Original Article Source Type: research

Outcomes of the Keystone Island Perforator Flap: A Systematic Review
Conclusion Keystone reconstruction demonstrates excellent success rates and versatility. However, further studies with more standard reporting are needed to determine guidelines for patient specific surgical planning. [...] 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 27, 2022 Category: Surgery Authors: Weinberg, Maxene Heiman, Adee J. DeSanti, Rebecca Lanni, Michael A. Kouwenberg, Emily Van Patel, Ashit Tags: Original Article Source Type: research

Characterizing Outcomes of Medial and Lateral Perforators in Deep Inferior Epigastric Perforator Flaps
Conclusion There was no difference in fat necrosis based on the number or row of perforators. The lateral row provides adequate perfusion but may be associated with an elevated risk of hernia or bulge. Patients may benefit from mesh, especially when both rows are dissected. [...] 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 27, 2022 Category: Surgery Authors: Elver, Ashlie A. Matthews, Stephanie A. Egan, Katie G. Bowles, Eva L. Nazir, Niaman Flurry, Mitchell Holding, Julie Lai, Eric C. Butterworth, James A. Tags: Original Article Source Type: research

Functional Outcome Comparison of Free Gracilis Muscle Anchoring Methods in Patients with Facial Paralysis: Upper Lip Red Line Incision versus Facelift Incision Approach
Conclusion This novel method for muscle anchoring in facial reanimation surgery allows surgeons to approach perioral muscle more directly. This leads to improved surgical results by securely anchoring the transferred muscles using a fixation point that is more medially located than in other approaches. Our method is effective and offers an improved surgical outcome for the free functional gracilis muscle transfer. [...] 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, 2022 Category: Surgery Authors: Park, Hojin Hong, Dae Won Oh, Tae Suk Tags: Original Article Source Type: research

Comparative Analysis of Preoperative High Frequency Color Doppler Ultrasound versus MR Lymphangiography versus ICG Lymphography of Lymphatic Vessels in Lymphovenous Anastomosis
Conclusion This study demonstrated while all three modalities are able to provide good information, the sensitivity may alter as the severity of lymphedema progresses. The HFCDU will provide the best detection for lymphatic vessels throughout all stages of lymphedema. However, as each modality provides different and unique information, combining and evaluating the data according to the stage of lymphedema will be able to maximize the chance for a successful surgical outcome. [...] 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, 2022 Category: Surgery Authors: Kim, Hyung Bae Jung, Sung Soo Cho, Min-Jeong Peirera, Nicolas Pak, Changsik John Suh, Peter Hyun Suk Lee, Sang Hoon Hong, Joon Pio Tags: Original Article Source Type: research

An Innovative and Economical Device for Ischemic Preconditioning of the Forehead Flap Prior to Pedicle Division: A Comparative Study
Conclusion Compared with the clamped rubber band, the cable tie produces a more reliable and reproducible ischemic preconditioning effect. It is also better tolerated by the patients. Therefore, we recommend using the nylon cable tie as the preferred device for ischemic preconditioning of the forehead 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 - March 15, 2022 Category: Surgery Authors: Xiao, Wentian Ng, Sally Li, Hua Min, Peiru Feng, Shaoqing Su, Weijie Zhang, Yixin Tags: Original Article Source Type: research

Internal Mammary Lymph Node Biopsy during Microsurgical Breast Reconstruction: A Prospective Study
Conclusion Direct visualization of the internal mammary lymph nodes during dissection of the recipient vessels for microsurgical breast reconstruction allows for convenient sampling, with minimal donor site morbidity and enhances the therapeutic management of patients in whom nodal involvement is present. As such, the authors recommend IMLN sampling. [...] 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 15, 2022 Category: Surgery Authors: Schultz, Benjamin D. Sultan, Darren Ha, Grace Gibstein, Alexander Nguyen, Khang Barnett, Sarah L. Suydam, Rebecca C. Kasabian, Armen K. Smith, Mark L. Tanna, Neil Tags: Original Article Source Type: research