Patient-Reported Abdominal Morbidity Following Abdomen-Based Breast Reconstruction
Conclusion The incidence of abdominal wall morbidity following abdominal free-tissue transfer for breast reconstruction was acceptably low in our population of obese patients. Hernia was a clinically significant complication, warranting surgical repair. Bulge was primarily a cosmetic concern and did not detract from patient-reported abdominal wall function. Age may represent an independent risk factor for hernia formation 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...
Source: Journal of Reconstructive Microsurgery - December 14, 2023 Category: Surgery Authors: Maus, Jacob Pestana, Ivo A. Tags: Original Article Source Type: research

Implications of Single-Vessel Runoff on Long-Term Outcomes of Free Tissue Transfer for Lower Extremity Reconstruction
Conclusion This study demonstrates that FTT reconstruction to the LE remains a reliable reconstruction option for limb salvage in patients with single-vessel supply to the LE. Reliance on advanced perioperative management and patient optimization is effective at reducing negative 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 - December 14, 2023 Category: Surgery Authors: Huffman, Samuel S. Bovill, John D. Li, Karen Spoer, Daisy L. Berger, Lauren E. Bekeny, Jenna C. Akbari, Cameron M. Fan, Kenneth L. Evans, Karen K. Tags: Original Article Source Type: research

Cryoanalgesia: Review with Respect to Peripheral Nerve
Conclusion Cryoanalgesia is a term used for the treatment of peripheral nerve problems that would benefit from a proverbial reset of peripheral nerve function. It does not ablate the nerve. Intraoperative cryoanalgesia to intercostal nerves is a safe and effective means of postoperative analgesia following thoracotomy. For pudendal nerve injury, where an intrapelvic surgical approach may be difficult, cryoanalgesia may provide sufficient clinical relief, thereby preserving pudendal nerve function. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Tab...
Source: Journal of Reconstructive Microsurgery - December 13, 2023 Category: Surgery Authors: Slavin, Benjamin R. Markowitz, Moses I. Klifto, Kevin M. Prologo, Frank J. Taghioff, Susan M. Dellon, A. Lee Tags: Original Article Source Type: research

Perfusion Dynamics during Secondary Flap Debulking with Liposuction
Conclusion Secondary debulking of a lower extremity flap can be safely and efficiently performed through liposuction combined with peripheral excision of the defatted flap in a single stage. Perfusion studies may show a misleading hypoperfusion of the defatted flap, which does not accurately predict subsequent necrosis or 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 - December 13, 2023 Category: Surgery Authors: Geeroms, Maxim Lu, Yun-Jui Hsu, Chung-Chen Huang, Ren-Wen Lin, Chih-Hung Lin, Cheng-Hung Tags: Original Article Source Type: research

A Novel Approach to Optimize Length Preservation in Cross-Leg Vascular Bridge Flap by AV Shunting
J Reconstr Microsurg DOI: 10.1055/a-2185-3653 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 - December 11, 2023 Category: Surgery Authors: Chang, Chad Di Meglio, Filippo Sorkin, Alex Jan, Wei-Ling Chen, Hung-Chi Tags: Letter to the Editor Source Type: research

Surface to Perforator Index: Assessing the Importance of the Number of Perforators in Successful Harvesting of the Anterolateral Thigh Flap
Conclusion Flap-related complications are significantly related to the number of perforators supplying the flap. The smaller the surface area supplied by a single perforator correlates with significantly fewer flap-related complications. SPI is a new index that may be used as a predictive tool to aid in identifying flaps that may be more prone to complications in free tissue 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 - December 7, 2023 Category: Surgery Authors: Saad, Noah McGill, Michelle Karamitros, Georgios Cromack, Douglas Wang, Howard Fisher, Samuel Karamanos, Efstathios Tags: Original Article Source Type: research

Comparison of Arterial and Venous Interposition Grafting for Arterial Defects in a Rat Model
Conclusion Greater immediate patency was noted with arterial interposition grafting in a rodent model when compared to venous grafting, although procedural time was greater. All surgeons found arterial grafting technically easier. Arterial microvascular grafting may be useful in the setting of digital replantation or revascularization with an arterial defect. [...] 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 27, 2023 Category: Surgery Authors: Sivakumar, B.S. Thatcher, K. Hughes, I. Watson, Anna Schick, B. Graham, D.J. Tags: Original Article Source Type: research

Video-Based Assessment of Microsurgical Trainees: An Evaluation of Gender Bias
Conclusion Our study did not identify a gender bias in this evaluation method. Further investigation into how we assess and grade trainees as well as the presence and impact of implicit biases on varying surgical assessment methods 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 3, 2023 Category: Surgery Authors: Schaefer, Eliana J. Thayer, Mary K. Colon, Anthony F. Sanghavi, Kavya K. Sears, Erika D. Giladi, Aviram M. Katz, Ryan D. Tags: Original Article Source Type: research

Lymphedema Surgical Education and Faculty Demographics in United States Plastic Surgery Residency Programs
Conclusion Great variation in lymphedema surgical education exists among U.S. plastic surgery residency programs. While few programs incorporate lymphedema surgery into their advertised curriculum, programs without clinical exposure frequently did not provide elective time to obtain it. Faculty that were female or a race underrepresented in plastic surgery were most often early in their career, suggesting lymphedema surgeons may grow increasingly diverse in years to come. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abs...
Source: Journal of Reconstructive Microsurgery - November 3, 2023 Category: Surgery Authors: Finkelstein, Emily R. Clark, Meaghan Ha, Michael Singh, Devinder Xu, Kyle Y. Mella-Catinchi, Juan Rasko, Yvonne Tags: Original Article Source Type: research

The Influence of the Superficial Venous System on DIEP Flap Drainage in Breast Reconstruction
Conclusion Dual venous drainage of a DIEP flap appears to reduce the rates of venous thrombosis, reoperation, total flap loss, and fat necrosis. [...] 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 3, 2023 Category: Surgery Authors: Choi, Esther Mihwa Oh Ribeiro, Renan Diego Am érico Montag, Eduardo Ueda, Thiago Okada, Alberto Yoshikazu Munhoz, Alexandre Mendon ça Busnardo, Fabio de Freitas Gemperli, Rolf Tags: Original Article Source Type: research

The Impact of Timing of Delayed Autologous Breast Reconstruction following Postmastectomy Radiation Therapy on Postoperative Morbidity
Conclusion These findings suggest plastic surgeons may consider performing autologous breast reconstruction early for select patients, before 3 months following PMRT without increasing postoperative morbidity. [...] 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 1, 2023 Category: Surgery Authors: Mirza, Humza N. Berlin, Nicholas L. Sugg, Kristoffer B. Chen, Jung-Shen Chung, Kevin C. Momoh, Adeyiza O. Tags: Original Article Source Type: research

Preoperative Risk Factors for Lymphedema in Inflammatory Breast Cancer
Conclusion Patients with IBC are high risk for developing lymphedema due to the need for ALND, radiation, and neoadjuvant chemotherapy. This study also identified non-white race and obesity as risk factors. Larger prospective studies should evaluate potential racial disparities in lymphedema development. Due to the high prevalence of lymphedema, LYMPHA should be considered for all patients with IBC. [...] 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 1, 2023 Category: Surgery Authors: Copeland-Halperin, Libby R. Hyland, Colby J. Gadiraju, Goutam K. Xiang, David H. Bellon, Jennifer R. Lynce, Filipa Dey, Tanujit Troll, Elizabeth P. Ryan, Sean J. Nakhlis, Faina Broyles, Justin M. Tags: Original Article Source Type: research

Trends of Medicare Reimbursement Rates for Lower Extremity Procedures
Conclusion Reimbursement for lower extremity amputation and salvage procedures has steadily declined from 2010 to 2021 after adjusting for inflation, with amputation procedures being devaluated at a greater rate than lower extremity salvage procedures. With the recent marked inflation, knowledge of these trends is crucial for surgeons, hospitals, and health care policymakers to ensure appropriate physician reimbursement. Level of Evidence IV (cross-sectional study). [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Ab...
Source: Journal of Reconstructive Microsurgery - October 16, 2023 Category: Surgery Authors: Siotos, Charalampos Aminzada, Amir Whitney, Natalia Najafali, Daniel Toms III, John A. Mpontozis, Anastasios Kokosis, George Shenaq, Deana S. Derman, Gordon H. Dorafshar, Amir H. Kurlander, David E. Tags: Original Article Source Type: research

Beyond Borders: A Global Microsurgery Training and Case Exposure Survey
Conclusion Our study highlights significant disparities in microsurgical training and exposure among plastic surgery trainees globally. Further research is needed to identify strategies for addressing these issues, given the growing demand for complex reconstructive microsurgery and its impact on health care inequalities. [...] 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 9, 2023 Category: Surgery Authors: Chang, Chad Jones, Christopher Berner, Juan Enrique Ragbir, Maniram Ahmed, Omar A. Tags: Original Article Source Type: research

Rat Microvascular Model is Tolerant to Technical Errors
Conclusion Overall, the rat model is highly resilient to various technical errors despite these mistakes being often considered clinically unacceptable. Therefore, researchers need to consider the resilience of the rat model when designing and analyzing future studies. In addition, microsurgery instructors should focus on individual stitch quality rather than the final patency. [...] 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 - September 26, 2023 Category: Surgery Authors: Paladino, Joseph R. Zheng, YuanDian Gasteratos, Konstantinos Corvi, John J. Park, Katherine H. Akelina, Yelena Tags: Original Article Source Type: research