Safety of Drainless Donor Closure in DIEP Flap-Based Breast Reconstruction: A Prospective Analysis Using Ultrasound
Conclusion The results of this prospective study suggest that drainless donor closure of the DIEP flap with meticulous placement of PTS followed by postoperative ultrasound surveillance appears to be safe and effective. [...] 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 10, 2023 Category: Surgery Authors: Kim, Jina Lee, Kyeong-Tae Mun, Goo-Hyun Tags: Original Article Source Type: research

Association between Bioimpedance Spectroscopy and Magnetic Resonance Lymphangiography in the Diagnosis and Assessment of Lymphedema
Conclusion L-Dex scores have high sensitivity, specificity, and positive predictive value for the identification of MRL-detected lymphedema. L-Dex has difficulty distinguishing between adjacent severity levels of lymphedema and a high false negative rate, explained in part by reduced discrimination between levels of fat accumulation. [...] 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 5, 2023 Category: Surgery Authors: Varagur, Kaamya Shetty, Anup S. Saoud, Karim Ochoa, Esther Skladman, Rachel Skolnick, Gary B. Sacks, Justin M. Christensen, Joani M. Tags: Original Article Source Type: research

Skull and Scalp En-Bloc Harvest Protects Calvarial Perfusion: A Cadaveric Study
Conclusion Calvarial transplantation may be a technically viable option for skull defect reconstruction that requires vascularized composite tissues (bone and soft tissue) for optimal 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 - July 5, 2023 Category: Surgery Authors: Lopez, Christopher D. Girard, Alisa O. Lake, Isabel V. Suresh, Visakha Abdou, Hossam Morrison, Jonathan J. Yang, Robin Gordon, Chad R. Redett, Richard J. Tags: Original Article Source Type: research

Aesthetic Implications of Bilateral Profunda Artery Perforator Flaps on Thigh and Buttock Proportions
Conclusion PAP flap breast reconstruction leads to improved aesthetic proportions of the proximal thigh and buttock. This approach is ideal for patients with ptotic tissue of the inferior buttocks and medial thigh, a poorly defined infragluteal fold, and inadequate anterior-posterior buttock projection. [...] 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 5, 2023 Category: Surgery Authors: Henn, Dominic Lakatta, Alexis Teotia, Sumeet S. Haddock, Nicholas T. Tags: Original Article Source Type: research

Treatment of Rat Lymphedema by Propeller Lymphatic Tissue Flap Combined with Nanofibrillar Collagen Scaffolds
Conclusion The pedicle lymphatic tissue flap combined with SC is an effective procedure for the treatment of lymphedema in rats. It can be easily translated into treatment of humans' lower and upper limb lymphedema and further clinical studies are 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 - July 5, 2023 Category: Surgery Authors: Dionyssiou, Dimitrios Nguyen, Dung Topalis, Anastasios Deptula, Peter Paukshto, Michael Zaitseva, Tatiana Demiri, Efterpi Cheva, Angeliki Rockson, Stanley Tags: Original Article Source Type: research

The Role of ChatGPT in Microsurgery: Assessing Content Quality and Potential Applications
J Reconstr Microsurg DOI: 10.1055/a-2098-6509 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 - July 5, 2023 Category: Surgery Authors: Tian, William M. Sergesketter, Amanda R. Hollenbeck, Scott T. Tags: Letter to the Editor Source Type: research

Primary Targeted Muscle Reinnervation in Above-Knee Amputations in Patients with Unsalvageable Limbs from Limb-Threatening Ischemia or Infection
Conclusion TMR can safely and effectively be performed at time of a through- and above-knee level amputation and improves pain 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 - June 22, 2023 Category: Surgery Authors: Chang, Brian L. Hill, Alison L. Mondshine, Joshua Harbour, Patrick W. Episalla, Nicole C. Attinger, Christopher E. Kleiber, Grant M. Tags: Original Article Source Type: research

Penile Transplantation in Gender Affirmation Surgery: A Theoretical Feasibility Study
Conclusion Questions remain about ethics, patient eligibility, and immunosuppressive sequelae. Before these issues are addressed, feasibility of this procedure must be established. [...] 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 15, 2023 Category: Surgery Authors: Lopez, Christopher D. Yusuf, Cynthia T. Girard, Alisa O. Lake, Isabel V. Cooney, Damon S. Redett, Richard J. Tags: Original Article Source Type: research

Reduction in Seroma Rate Following Deep Inferior Epigastric Perforator Flap with Umbilectomy Utilizing Progressive Tension Sutures
Conclusion The use of PTS in the abdominal closure during DIEP flap reconstruction addresses the previously seen rise in seroma rates when concomitant umbilectomy is performed. Decrease in both donor-site wounds and now seroma rates reaffirm the efficacy of removing the umbilicus to improve patient 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 - June 15, 2023 Category: Surgery Authors: Lakatta, Alexis C. Steppe, Cyrus Teotia, Sumeet S. Haddock, Nicholas T. Tags: Original Article Source Type: research

The Effect of Body Mass Index on Free Flap Breast Reconstruction
Conclusion This study suggests that the risks of postoperative complications following free flap breast reconstruction are highest for patients with a BMI greater than or equal to 35 kg/m2, having nearly 1.5 times higher likelihood of postoperative complications. Stratifying these risks by weight class can help guide preoperative counseling with patients and help physicians determine candidacy for free 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 ...
Source: Journal of Reconstructive Microsurgery - June 12, 2023 Category: Surgery Authors: Sudduth, Jack D. Marquez, Jessica L. Samlowski, Erika E. Bautista, Catie Eddington, Devin Agarwal, Jayant P. Kwok, Alvin C. Tags: Original Article Source Type: research

The Evolution of the Reconstructive Strategy for Elbow Flexion for Acute C5, C6 Brachial Plexus Injuries over Two Decades
Conclusion In addition to modified techniques in nerve transfers, (1) MRI-assisted evaluation and surgical exploration of the roots with (2) more judicious choice of donor nerves for primary nerve transfer were factors that ensured reliable and outcomes in the second decade. [...] 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 12, 2023 Category: Surgery Authors: Lee, Ying-Hsuan Lu, Johnny Chuieng-Yi Wong, Alvin Chang, Tommy Nai-Jen Chuang, David Chwei-Chin Tags: Original Article Source Type: research

Miniplate Versus Reconstruction Bar Fixation for Oncologic Mandibular Reconstruction with Free Fibula Flaps
Conclusion MPs were found to have a higher risk of exposed hardware in patients with a late initial recipient site complication. It is possible that improved fixation with highly adaptive RBs designed by computer-aided design/manufacturing technology explains these results. Future studies are needed to assess the effects of rigid mandibular fixation on patient-reported outcome measures in this unique 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 - June 8, 2023 Category: Surgery Authors: Cohen, Zack Graziano, Francis D. Shamsunder, Meghana G. Shahzad, Farooq Boyle, Jay O. Cohen, Marc A. Matros, Evan Nelson, Jonas A. Allen, Robert J. Tags: Original Article Source Type: research

Transverse Cervical Artery for Head and Neck Reconstruction with Free Jejunal Flaps: A Retrospective Study of Computed Tomography Angiography
Conclusion The transverse cervical artery can offer a larger caliber and more reliable candidate than the superior thyroid artery for a recipient artery. More liberal use of the transverse cervical artery may improve the safety of microsurgical head and neck 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 - June 7, 2023 Category: Surgery Authors: Fujisawa, Kou Miyamoto, Shimpei Saito, Yuki Suzuki, Sho Okazaki, Mutsumi Tags: Original Article Source Type: research

A Machine Learning Approach to Predicting Donor Site Complications Following DIEP Flap Harvest
Conclusion This study demonstrates that body mass index is superior to radiographic features of obesity in predicting donor site complications following DIEP flap harvest. Other predictors include older age and longer surgery duration. Our logistic regression machine learning model has the potential to quantify the risk of donor site 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 5, 2023 Category: Surgery Authors: Huang, Hao Lu Wang, Marcos Chen, Yunchan Chadab, Tara M. Vernice, Nicholas A. Otterburn, David M. Tags: Original Article Source Type: research

Technical Variables in Lower Extremity Free Flap Reconstruction
Conclusion Many interoperative options and techniques are available when performing microvascular lower extremity reconstruction that leads to equally high success rates. However, the use of arterial inflow outside of the posterior tibial and anterior tibial arteries leads to a higher overall complication rate and partial flap failure rate. Intraoperative revision of the arterial anastomosis portends poorly for ultimate flap survival. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journ...
Source: Journal of Reconstructive Microsurgery - May 21, 2023 Category: Surgery Authors: Christensen, Joani M. Ahn, Leah Meulendijks, Mara Z. Iskhakov, David Wong, Frankie Winograd, Jonathan Valerio, Ian L. Cetrulo, Curtis L. Helliwell, Lydia A. Eberlin, Kyle R. Tags: Original Article Source Type: research