Microscope-Assisted Arterial Anastomosis in Adult Living Donor Liver Transplantation: A Systematic Review and Meta-analysis of Outcomes
Conclusion Systematic literature review suggests that MHAR during LDLT reduces vascular complications and improves outcomes posttransplant. Microvascular surgeons and transplant surgeons should collaborate when technical challenges such as small vessel size, short donor pedicle, or dissection of the recipient vessel wall are present. [...] 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 - August 24, 2021 Category: Surgery Authors: Ebner, Peggy J. Bick, Katherine J. Emamaullee, Juliet Stanton, Eloise W. Gould, Daniel J. Patel, Ketan M. Genyk, Yuri Sher, Linda Carey, Joseph N. Tags: Original Article Source Type: research

Prevention of Venous Thromboembolism in Microvascular Surgery Patients Using Weight-Based Unfractionated Heparin Infusions
Conclusion Weight-based heparin infusions at a rate of 10 units/kg/hour provide a detectable level of anticoagulation for some patients following microsurgical procedures, but most patients require dose adjustment to ensure adequate VTE prophylaxis. [...] 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 - August 24, 2021 Category: Surgery Authors: Bertolaccini, Corinne M. Prazak, Ann Marie B. Goodwin, Isak A. Kwok, Alvin Mendenhall, Shaun D. Rockwell, W Bradford Agarwal, Jayant Pannucci, Christopher J. Tags: Original Article Source Type: research

Assessing the Influence of Failed Implant Reconstruction on Patient Satisfaction and Decision Regret after Salvage Free-Flap Breast Reconstruction
Conclusion A history of failed implant-based reconstruction is associated with reduced satisfaction and increased decision regret with the final reconstructive outcome. This data underscores the importance of appropriate patient selection at the initial consultation, and informed preoperative counseling regarding long-term outcomes in patients presenting for free-flap reconstruction after a failed implant-based 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 Re...
Source: Journal of Reconstructive Microsurgery - August 23, 2021 Category: Surgery Authors: Shammas, Ronnie L. Sergesketter, Amanda R. Taskindoust, Mahsa Biswas, Sonali Hollenbeck, Scott T. Phillips, Brett T. Tags: Original Article Source Type: research

Donor Site Morbidity after Lumbar Artery Perforator Flap Breast Reconstruction
Conclusion The lumbar artery perforator flap is a good alternative for breast reconstruction in selected patients. The donor site issues consist mainly of seromas, prolonged discomfort, and a scar that might be noticeable to others, but patient-reported satisfaction is very high. [...] 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 - August 23, 2021 Category: Surgery Authors: Opsomer, Dries Vyncke, Tom Ryx, Michelle Van Landuyt, Koenraad Blondeel, Phillip Stillaert, Filip Tags: Original Article Source Type: research

Static Suspension of the Paralyzed Face Utilizing the Midfacial Corridor: Anatomic Evaluation and Surgical Technique
Conclusion Placement of tendon or fascia grafts for static support or tunneling of an orthodromic temporalis transfer through the midfacial corridor can be performed rapidly while providing midfacial support and avoiding the creation of visible cutaneous deformities. [...] 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 - August 23, 2021 Category: Surgery Authors: Klebuc, Michael J. Xue, Amy S. Niziol, Paul A. Doval, Andres F. Tags: Original Article Source Type: research

No Microscope? No Problem: A Systematic Review of Microscope-Free Microsurgery Training Models
Conclusion Benchtop microsurgery trainers using digital magnification successfully provide trainees with increased ease of microsurgery training. Low-cost yet high magnification setups using digital microscopes and smartphones are optimal for trainees to improve microsurgical skills. Our assembly protocol, “1, 2, 3, Microsurgery,” provides instructions for training model set up to fit the unique needs of any microsurgery trainee. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journa...
Source: Journal of Reconstructive Microsurgery - August 23, 2021 Category: Surgery Authors: Chen, Jonlin Xun, Helen Abousy, Mya Long, Chao Sacks, Justin M. Tags: Original Article Source Type: research

A Wireless Near-Infrared Spectroscopy Device for Flap Monitoring: Proof of Concept in a Porcine Musculocutaneous Flap Model
Conclusion The wireless NIRS flap monitor is capable of detecting StO2 changes resultant from arterial vascular occlusive events. In this porcine flap model, the functionality of this novel sensor closely mirrored that of the T.Ox wired platform. This device is waterproof, highly adhesive, skin conforming, and has sufficient battery life to function for 5 days. Clinical testing is necessary to determine if this wireless functionality translates into fewer false-positive alarms and a better user experience. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJour...
Source: Journal of Reconstructive Microsurgery - August 17, 2021 Category: Surgery Authors: Wu, Changsheng Rwei, Alina Y. Lee, Jong Yoon Ouyang, Wei Jacobson, Lauren Shen, Haixu Luan, Haiwen Xu, Yameng Park, Jun Bin Kwak, Sung Soo Ni, Xiaoyue Bai, Wubin Franklin, Daniel Li, Shuo Liu, Yiming Ni, Xinchen Westman, Amanda M. MacEwan, Matthew R. Roge Tags: Original Article Source Type: research

Evaluation of the Suprafascial Thin ALT Flap in Foot and Ankle Reconstruction
Conclusion The thin ALT-flap is a save one-stage evolution for lower distal extremity reconstruction with a favorable flap survival rate. Compared with conventional ALT-flaps it might be beneficial in reducing the need for expensive custom fitted shoes and secondary thinning 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 - August 17, 2021 Category: Surgery Authors: Thiele, J.R. Wei ß, J. Braig, D. Zeller, J. Stark, G.B. Eisenhardt, S.U. Tags: Original Article Source Type: research

Postoperative Complications Associated with the Choice of Reconstruction in Head and Neck Cancer: An Outcome Analysis of 4,712 Patients from the ACS-NSQIP Database
Conclusion Myocutaneous pedicled flaps are associated with higher overall short-term postoperative complications compared with free flaps in head and neck reconstruction, which demonstrate a more favorable morbidity profile without significantly impacting hospital readmission, reoperation, or length-of-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 - August 17, 2021 Category: Surgery Authors: Katsnelson, Jacob Y. Tyrell, Richard Karadsheh, Murad J. Manstein, Ely Egleston, Brian Deng, Mengying Baltodano, Pablo A. Shafqat, M. Shuja Patel, Sameer A. Tags: Original Article Source Type: research

Refining the Rib-sparing Approach in Microsurgical Breast Reconstruction: Keys to Success
Conclusion In the largest reported series to date, the rib-sparing approach is demonstrated to be both safe and efficacious in microsurgical 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 - August 17, 2021 Category: Surgery Authors: Hamilton, Kristy Zavlin, Dmitry Doval, Andres F. Spiegel, Aldona J. Tags: Original Article Source Type: research

Are “Free Flaps” “Free” Flaps?
Conclusion A true benefit cost-analysis even if microsurgery specific expenses could be estimated would be inaccurate, so that mean net income for each free flap could not be determined. Albeit a minimal gross payment was obtained for some free flap procedures, in no instance was there zero reimbursement. Based on that fact, there were no truly “free” free flaps in this private practice experience, which should encourage the younger surgeon to realize that economic viability is possible so that their enthusiasm for reconstructive microsurgery can be sustained. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue,...
Source: Journal of Reconstructive Microsurgery - August 17, 2021 Category: Surgery Authors: Hallock, Geoffrey G. Tags: Original Article Source Type: research

Depressor Anguli Oris Myectomy versus Transfer to Depressor Labii Inferioris for Facial Symmetry in Synkinetic Facial Paralysis
Conclusion These findings illustrate the utility of DAO myectomy in improving imbalance in the synkinetic patient and necessitate further technical refinements for DAO transfers or a different approach for improving lower lip depression in this subgroup of 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 - August 17, 2021 Category: Surgery Authors: Halani, Sameer H. Sanchez, Cristina V. Hembd, Austin S. Mohanty, Ahneesh J. Reisch, Joan Rozen, Shai M. Tags: Original Article Source Type: research

Ethnic Disparities in Thrombotic and Bleeding Diatheses Revisited: A Systematic Review of Microsurgical Breast Reconstruction across the East and West
Conclusion There appears to be an ethnicity-based propensity for thrombosis in Westerners and, conversely, for bleeding in East Asians, as evident by the current systematic review of microvascular breast reconstruction data. It is therefore advisable to consider ethnicity in the comprehensive evaluation of patients undergoing microsurgical 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 - August 17, 2021 Category: Surgery Authors: Bene, Nicholas C. Minasian, Raquel A. Khan, Saiqa I. Desjardins, Haley E. Guo, Lifei Tags: Original Article Source Type: research

Use of the Vertical Profunda Artery Perforator Flap to Capture the Dominant Perforator: A Cadaver Dissection and Imaging Study
Conclusion The dominant perforator can often be missed in the traditional tPAP design. The vPAP incorporates multiple perforators with a long pedicle, excellent vessel diameter, and favorable donor-site. [...] 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 - August 17, 2021 Category: Surgery Authors: Artz, Jourdain D. Atamian, Elisa K. Mulloy, Clairissa Stalder, Mark W. Zampell, Jamie Hilaire, Hugo St. Tags: Original Article Source Type: research

25th Anniversary of the Death of Nerve Surgery Pioneer Luis de Medinaceli
J Reconstr Microsurg DOI: 10.1055/s-0041-1732362 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 - August 10, 2021 Category: Surgery Authors: Kuruvilla, Annet S. Henderson, Peter W. Tags: Letter to the Editor Source Type: research