Impact of Magnetic Resonance Lymphography on Lymphaticolvenular Anastomosis for Lower-Limb Lymphedema
Conclusion Preoperative MRL-assisted lymph vessel visualization and selection appeared to significantly enhance the water reductive effect of LVA for International Society of Lymphology classification stage 2 leg lymphedema. MRL also helped to reliably identify lymphatic vessels for anastomosis. Without increasing the number of anastomoses, LVA could be performed more effectively by better detecting stagnant lymphatic vessels using MRL. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Jou...
Source: Journal of Reconstructive Microsurgery - July 29, 2021 Category: Surgery Authors: Yasunaga, Yoshichika Kinjo, Yuto Nakajima, Yuta Mimura, Shinei Kobayashi, Miharu Yuzuriha, Shunsuke Kondoh, Shoji Tags: Original Article Source Type: research

Predictors for Prolonged Drain Use Following Autologous Breast Reconstruction
Conclusion Elevated BMI, hypertension, and axillary dissection increase risk for prolonged breast drain requirement in autologous reconstruction. African-American and Hispanic populations experience prolonged breast drain requirement after controlling for other factors, warranting further study. [...] 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 - July 20, 2021 Category: Surgery Authors: Dinis, Jacob Allam, Omar Junn, Alexandra Park, Kitae Eric Mozaffari, Mohammad Ali Shah, Rema Avraham, Tomer Alperovich, Michael Tags: Original Article Source Type: research

Partial Flap Loss in Gender Affirming Phalloplasty
Conclusion PFL occurred in 7.9% of cases and was solely found in the TWT cohort. The majority of cases involved the shaft, sparing the urethral segment. Cases in the acute postoperative period appeared to be related to macrovascular venous congestion, while cases in the subacute period appeared to be due to microvascular arterial ischemia. [...] 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 - July 20, 2021 Category: Surgery Authors: Cylinder, Isabel Heston, Aaron Carboy, Jourdan Jedrzejewski, Breanna Peters, Blair Berli, Jens Urs Tags: Original Article Source Type: research

Long-Term Opioid Use Following Surgery for Symptomatic Neuroma
Conclusion Neuroma surgery reduces opioid use in many patients but patients who are taking opioids preoperatively are at risk for longer opioid use. Almost one-third of patients reported opioid use longer than 4 weeks, 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 - July 16, 2021 Category: Surgery Authors: Lans, Jonathan Westenberg, Ritsaart F. Gottlieb, Rachel E. Valerio, Ian L. Chen, Neal C. Eberlin, Kyle R. Tags: Original Article Source Type: research

Intraoperative Vasopressor Usage in Free Tissue Transfer: Should We Be Worried?
Conclusion Our study confirms previous findings that intraoperative vasopressor use in free flap surgery is not associated with increased failure rate. Administering vasopressors continuously may be safer than via repeated boluses. [...] 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 - July 6, 2021 Category: Surgery Authors: Munro, Samuel P. Chang, Chad Tinker, Rory J. Anderson, Iain B. Bedford, Geoff C. Ragbir, Maniram Ahmed, Omar A. Tags: Original Article Source Type: research

Air Flow Cooling Improves Anterolateral Thigh Perforator Mapping Using the FLIR ONE Thermal Camera
Conclusion Thermographic imaging is a reliable method for perforator imaging. Its supplemental use to ultrasound may reduce examination time and yield additional information. Precooling by air flow or alcoholic disinfection can be easily implemented and provide the best thermograms. The matching rate of thermographic hot spots and perforators increases when taking only clinically relevant perforators into account. Thermal perforator mapping therefore reduces distraction by negligible perforators. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Tabl...
Source: Journal of Reconstructive Microsurgery - July 6, 2021 Category: Surgery Authors: Illg, Claudius Krauss, Sabrina Rothenberger, Jens Kolbenschlag, Jonas Daigeler, Adrien Sch äfer, Ruth Christine Tags: Original Article Source Type: research

Reliability of Temporal Vascular Anastomosis and Techniques for Better Outcomes
Conclusion The low complication rate in the temporal region was attributed to the wide surgical field and low tension of anastomotic vessels. Multiple venous anastomoses, including those of the MTV, are recommended to prevent 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 - June 29, 2021 Category: Surgery Authors: Tanaka, Kentaro Suesada, Nobuko Homma, Tsutomu Mori, Hiroki Okazaki, Mutsumi Tags: Original Article Source Type: research

Pelvic Reconstruction following Abdominoperineal Resection and Pelvic Exenteration: Management Practices among Plastic and Colorectal Surgeons
Conclusion A lack of standardization continues to exist with respect to the reconstruction of pelvic defects following APR and pelvic exenteration. Geographic and interdisciplinary biases with respect to ostomy placement, flap choice, and role for pelvic obliteration continues to influence reconstructive practices. These cases should continue to be approached on a case by case basis, driven by pathology, presence of radiation, comorbidities, and the size of the pelvic and perineal defect. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of con...
Source: Journal of Reconstructive Microsurgery - June 29, 2021 Category: Surgery Authors: Stein, Michael J. Karir, Aneesh Hanson, Melissa N. Cavale, Naveen Almoudaris, Alex M. Voineskos, Sophocles Tags: Original Article Source Type: research

Hierarchical Ceramic Coating Reduces Adherence of Cells, Blood, Bacteria, and Tissue on Titanium Microsurgical Instruments
Conclusion Titanium surface modification on surgical instruments exhibits cell, bacteria, and blood-repellent properties with a full guarantee of cyto- and hemocompatibility. Thus, innovatively coated instruments could contribute to increased precision during microsurgical interventions and optimized medical operation routines in the future. [...] 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 21, 2021 Category: Surgery Authors: Jaurich, Henriette Becerikli, Mustafa Zerrer, J örg Wallner, Christoph Wagner, Johannes M. Dadras, Mehran Jettkant, Birger Schildhauer, Thomas A. Lehnhardt, Marcus Jung, Ole Behr, Bj örn Tags: Original Article Source Type: research

A Retrospective Comparative Functional and Aesthetic Outcome Study of Muscle versus Cutaneous Free Flaps for Distal Upper Extremity Reconstruction
Conclusion Cutaneous flaps yielded better motor function, self-perceived cosmesis, patient satisfaction, and quality of life in our cohort of distal upper extremity 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 - 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  |  Full text (Source:...
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
Conclusion The use of a preoperative high-resolution ultrasound system significantly decreased the rate from of intraoperative conversion from the superficial branch to the deep branch of the SCIA. It also resulted in significantly fewer venous anastomoses and a shorter operative time, while maintaining a low incidence of postoperative 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 - 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