Evaluation of a Full-Time Microsurgeon Educator on Resident Training, Research Collaboration, and Grant Funding
Conclusion Hiring an expert microsurgical educator to train residents in a laboratory has proved promising in accelerating microsurgical mastery. Novel training modules, alternatives to animal models, save resources in housing and animal costs. The addition of a research-oriented-microsurgeon has improved collaborative efforts to advance a range of surgical fields. [...] 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 11, 2023 Category: Surgery Authors: Donnelly, D'Andrea T. Nicksic, Peter J. Zeng, Weifeng Dingle, Aaron M. Poore, Samuel O. Tags: Original Article Source Type: research

Evaluating Disparities in Pathways to Breast Reconstruction
Conclusion Despite statistically equivalent rates of plastic surgery discussions and referrals, black women had lower breast reconstruction rates versus white women. Lower rates of breast reconstruction in Black women likely represent an amalgamation of barriers to care; further exploration within our community is warranted to better understand the racial disparity observed. [...] 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 6, 2023 Category: Surgery Authors: Wang, Sabrina M. Njoroge, Moreen W. Mundy, Lily R. Sergesketter, Amanda R. Stukes, Bryanna Shammas, Ronnie L. Langdell, Hannah C. Geng, Yisong Hollenbeck, Scott T. Tags: Review Article Source Type: research

Latex-Infused Porcine Abdominal Model: A Novel Microsurgery Simulator for Deep Inferior Epigastric Perforator Dissection
Conclusion The latex-infused porcine abdominal model is a novel, realistic simulation for perforator dissection practice for microsurgical trainees. Impact on resident comfort and confidence within a microsurgical training course is forthcoming. [...] 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 6, 2023 Category: Surgery Authors: Shaffrey, Ellen C. Zeng, Weifeng Nicksic, Peter J. Eftekari, Sahand C. Frank, Jennifer M. Dingle, Aaron M. Poore, Samuel O. Tags: Original Article Source Type: research

Comparative Study of DIEP and PAP Flaps in Breast Reconstruction: Reconstructive Outcomes and Fat Necrosis
Conclusion In our study, we found that PAP flap reconstruction tended to be performed in patients who were younger with lower BMIs compared with the DIEP flap. Successful reconstructive outcomes were observed in both the PAP and DIEP flaps; however, a higher rate of necrosis was observed in the PAP flap compared with the DIEP 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 - April 6, 2023 Category: Surgery Authors: Kim, Hyung Bae Han, Seong John Kim, Eon Key Eom, Jin Sup Han, Hyun Ho Tags: Original Article Source Type: research

A Retrospective Matched-Pair Analysis of Long-term Outcomes after Successful Lower Extremity Free Flap Salvage
Conclusion Salvage of compromised free flaps in the lower extremity yields similar long-term outcomes compared to noncompromised free flaps with regard to function and quality of life. However, free flap revisions may lead to impaired scar formation. This study provides further evidence that the opportunity for urgent re-exploration is indispensable. [...] 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 6, 2023 Category: Surgery Authors: Bigdeli, Amir K. Str übing, Felix Troia, Roman Thomas, Benjamin Gazyakan, Emre Kneser, Ulrich Hirche, Christoph Tags: Original Article Source Type: research

Anatomical View of Thoracodorsal Artery Variants Using Computed Tomography Angiography
Conclusion While there is some diversity in the vascular anatomical structures of the LD flap, the dominant vessel can be found in a similar location in almost all cases and no flap had absence of a dominant vessel. Therefore, in surgical procedures using the thoracodorsal artery as the pedicle, preoperative radiological confirmation is not absolutely necessary; however, due to variants, performing the surgery with an understanding of this aspect should lead to good outcomes. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  | Â...
Source: Journal of Reconstructive Microsurgery - March 31, 2023 Category: Surgery Authors: Cho, Hyun Geun Kang, Byeongju Ryu, Jeong Yeop Choi, Kang Young Yang, Jung Dug Chung, Ho Yun Cho, Byung Chae Lee, Jeeyeon Park, Ho Yong Lee, Joon Seok Tags: Original Article Source Type: research

Consequences and Predictors of Prolonged Tissue Expander Duration in Breast Reconstruction
Conclusion Indwelling TEs for >1 year are associated with higher rates of infection, readmission, and reoperation even when controlling for adjuvant chemoradiation. Patients with diabetes, a higher BMI, advanced cancer stage, and those requiring adjuvant chemoradiation should be advised they may require a TE for a longer time interval prior to final 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 - March 29, 2023 Category: Surgery Authors: Langdell, Hannah C. Sergesketter, Amanda R. Biswas, Sonali Morris, Miranda Zhang, Gloria X. Atia, Andrew Phillips, Brett T. Tags: Original Article Source Type: research

Language Disparity Predicts Poor Patient-Reported Outcome and Follow-Up in Microsurgical Breast Reconstruction
Conclusion Our findings suggest that language disparities exist within microsurgical breast reconstruction and underscore the importance of effective, language-conscious communication between surgeon and patient. [...] 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 23, 2023 Category: Surgery Authors: Wang, Fei Rothchild, Evan Lu, Yi-Hsueh Ricci, Joseph A. Tags: Original Article Source Type: research

Incidence of Venous Thromboembolism Based on Caprini Score in Deep Inferior Epigastric Perforator Flap Breast Reconstruction
Conclusion In patients undergoing DIEP breast reconstruction, VTE incidence was highest (13%) in Caprini scores greater than eight despite chemoprophylaxis. Future studies are needed to assess the role of extended chemoprophylaxis in patients with high Caprini scores. [...] 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 22, 2023 Category: Surgery Authors: Wu, Shannon S. Raymer, Charles Schafer, Rachel Culbert, August Bernard, Steven Djohan, Risal Schwarz, Graham Bishop, Sarah N. Gurunian, Raffi Tags: Original Article Source Type: research

Focal Application of Neurotrophic Factors Augments Outcomes of Nerve –Muscle–Endplate Grafting Technique for Limb Muscle Reinnervation
Conclusion ENF enhances nerve regeneration and MEP reinnervation that further augment outcomes of NN. The NN technique could be an alternative option to treat denervated or paralyzed limb muscles caused by traumatic nerve injuries or lesions. [...] 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 22, 2023 Category: Surgery Authors: Mu, Liancai Chen, Jingming Sobotka, Stanislaw Li, Jing Nyirenda, Themba Tags: Original Article Source Type: research

Evaluation of a Microsurgery Training Curriculum
Conclusions Robust evaluation of curriculum can be applied to microsurgery training demonstrating its efficacy in reducing surgical errors with an improvement in overall technical skills that can extend to impact clinical practice. It allows the identification of areas of improvement, driving the refinement of training programs. [...] 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 - February 28, 2023 Category: Surgery Authors: Cuteanu, Anita Hellich, Agathe Cardinal, Alba Le Thomas, Maeve Valchanova, Anna Vara, Sital Horbury, Gwynn Boal, Matt Ghamrawi, Walaa Slim, Naim Francis, Nader Tags: Original Article Source Type: research

A Surgical Framework for the Management of Incomplete Axillary Nerve Injuries
Conclusion A surgical framework is presented for the appropriate diagnosis and surgical management of incomplete axillary nerve injury. Quadrangular space decompression with or without selective medial triceps to axillary end-to-side nerve transfers is associated with improvement in shoulder abduction strength, pain, and DASH scores in patients with incomplete axillary nerve palsy. [...] 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 - February 6, 2023 Category: Surgery Authors: Chi, David Ha, Austin Y. Alotaibi, Fawaz Pripotnev, Stahs Patterson, Brendan C. M. Fongsri, Warangkana Gouda, Mahmoud Kahn, Lorna C. Mackinnon, Susan E. Tags: Original Article Source Type: research

Predictors and Consequences of Intraoperative Anastomotic Failure in DIEP Flaps
Conclusion Intraoperative anastomotic failures during DIEP flap reconstruction are associated with longer, more expensive cases and increased rates of postoperative complications. Presence of increased numbers of circulators and junior residents was associated with increased risk of anastomotic failure. Future research is necessary to develop practice guidelines for optimizing patient and surgical factors for intraoperative anastomotic success. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Sou...
Source: Journal of Reconstructive Microsurgery - February 3, 2023 Category: Surgery Authors: Chen, Jonlin Varagur, Kaamya Xun, Helen Wallam, Sara Karius, Alexander Ospino, Rafael Ji, Jenny Sanka, Sai Anusha Daines, John Skladman, Rachel Aliu, Oluseyi Sacks, Justin M. Tags: Original Article Source Type: research

Fundamentals of Microsurgery: A Novel Simulation Curriculum Based on Validated Laparoscopic Education Approaches
Conclusion A novel microsurgical simulation program FMS was implemented. We found progression of trainees through the program translated to better technique (higher SMaRT scores) in the operating room and lower performance anxiety on STAI-6 surveys. This suggests that the FMS curriculum improves proficiency in basic microsurgical skills, reduces trainee mental workload, anxiety, and improves intraoperative clinical proficiency. [...] 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 R...
Source: Journal of Reconstructive Microsurgery - February 1, 2023 Category: Surgery Authors: Chauhan, Ruvi Ingersol, Christopher Wooden, William A. Gordillo, Gayle M. Stefanidis, Dimitrios Hassanein, Aladdin H. Lester, Mary E. Tags: Original Article Source Type: research

The Preferred Reconstructive Choice for a Lower Third Tibial Exposure Defect: An Online Survey of 356 Microsurgeons
Conclusion In this study, we provide a current global overview of the reconstructive strategies for a lower limb with skin defect and bone or prosthesis exposure. We hope that this will be able to help global microsurgeons and patients worldwide. [...] 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 - January 31, 2023 Category: Surgery Authors: Čebron, Urška AbdelRahman, Mohamed Kwon, Soo-Ha Lee, Che-Hsiung Hsu, Angela Ting-Wei Huang, Jung-Ju Chen, Lisa Wen-Yu Sung, Cheyenne Wei-Hsuan Chang, Tommy Nai-Jen Tags: Original Article Source Type: research