Postoperative Free Flap Breast Protocol Optimizing Resources and Patient Safety.

abstract：:Closure of massive soft-tissue defects in patients undergoing forequarter amputation for shoulder-girdle tumors may present a daunting challenge. This report describes two patients whose forequarter amputations were closed using ipsilateral, lymphedematous, circumferential forearm fasciocutaneous free flaps. ...

journal_title：Journal of reconstructive microsurgery

authors： Zachary LS,Gottlieb LJ,Simon M,Ferguson MK,Calkins E

更新日期：1993-03-01 00:00:00

abstract：:A method of fixation for replanted digits is described. It consists of axial fixation with a wire passed longitudinally through the replanted digit, supplemented with a transverse wire passed across all the digits. In this way, splinting is provided and rotation is controlled. The method is simple, rapidly applied, an...

journal_title：Journal of reconstructive microsurgery

authors： Vlastou C,Earle AS

更新日期：1984-10-01 00:00:00

abstract：:Tissue expansion in combination with flap transfer has been widely reported as preexpansion of flaps, but only once as expansion of a free flap after transfer. Three free flaps and one pedicled flap were expanded after transfer. Indication, timing of expander implantation and explantation, technical aspects, and compl...

journal_title：Journal of reconstructive microsurgery

authors： Baumeister S,Follmar KE,Erdmann D,Baccarani A,Levin LS

更新日期：2007-02-01 00:00:00

abstract：:Ischemia-reperfusion is encountered in a wide variety of surgical situations. The damage resulting from ischemia-reperfusion may be due, in part, to the infiltration and activation of neutrophils into the reperfused tissue. The purpose of the study was to examine ischemia-reperfusion induced neutrophil activation in s...

journal_title：Journal of reconstructive microsurgery

authors： Goldberg M,Serafin D,Klitzman B

更新日期：1990-07-01 00:00:00

abstract：:The dorsalis pedis fasciocutaneous flap has been used successfully in soft tissue reconstruction both as a pedicled and a free flap. The long-term donor site problems associated with this dorsalis pedis flap prompted us to look at the use of the dorsalis pedis fascial flap in soft tissue reconstruction. We describe th...

journal_title：Journal of reconstructive microsurgery

authors： Ritz M,Mahendru S,Somia N,Pacifico MD

更新日期：2009-06-01 00:00:00

abstract：:Among arterial anatomic conditions which will adversely affect the harvest of the fibula are 1) significant arteriosclerotic disease within the tibial-peroneal vessels; 2) peroneal arteria magna (PAM), a condition in which only the peroneal artery supplies the foot; and 3) absence of the peroneal artery, either congen...

journal_title：Journal of reconstructive microsurgery

authors： Young DM,Trabulsy PP,Anthony JP

更新日期：1994-09-01 00:00:00

abstract：:9-0 absorbable polydioxanone (PDS) has been compared to 9-0 nonabsorbable Prolene in order to evaluate any advantages of either suture in microvascular surgery. In each of 29 rats, one carotid artery was anastomosed end-to-end with PDS and the other with Prolene. Specimens were harvested 48 hr, 14 days, and three, and...

journal_title：Journal of reconstructive microsurgery

authors： Banic A,Francis I,Nilsson U

更新日期：1990-07-01 00:00:00

abstract：:The use of growth factors in inducing angiogenesis and enhancing flap viability has provided promising results. Targeted gene therapy has evolved in hopes of increasing the longevity and effectiveness of these growth factor treatments. The purpose of this study was to examine the effect of preoperative treatment by va...

journal_title：Journal of reconstructive microsurgery

authors： Zhang F,Yang F,Hu EC,Sones W,Lei M,Lineaweaver WC

更新日期：2005-08-01 00:00:00

abstract：BACKGROUND: There is an increasing trend toward bilateral breast reconstruction. Using the National Surgical Quality Improvement Program (NSQIP) database, we sought to understand the association between unilateral and bilateral free flap breast reconstruction and operative time and flap failure. METHODS: We selected a...

journal_title：Journal of reconstructive microsurgery

authors： Kwok AC,Edwards K,Donato DP,Tatro E,Xu Y,Presson AP,Agarwal JP

更新日期：2018-07-01 00:00:00

abstract：BACKGROUND: The volume of the profunda femoris artery perforator (PAP) flap limits its indications to small- and medium-sized breast reconstructions after modified radical mastectomy for cancer. We report a modified PAP flap design, including not only a vertical extension that increases its volume but also the skin sur...

journal_title：Journal of reconstructive microsurgery

authors： Hunsinger V,Lhuaire M,Haddad K,Wirz FS,Abedalthaqafi S,Obadia D,Derder M,Marchac A,Benjoar MD,Hivelin M,Lantieri L

更新日期：2019-01-01 00:00:00

abstract：:Successful reconstruction of diabetic ulcers using free flap surgery can prevent further amputation and promote limb salvage to maintain normal gait of the patient and increase the quality of life after surgery. To minimize the postoperative complication and days of stay in hospital, surgeons should thoroughly investi...

journal_title：Journal of reconstructive microsurgery

authors： Suh HP,Park CJ,Hong JP

更新日期：2021-01-01 00:00:00

abstract：:The preoperative identification of perforators can facilitate the appropriate design of perforator flaps from the lower extremity. Although computed tomographic arteriography can now be considered the gold standard in this regard, this technology is not universally available or inexpensive, with a nonnegligible risk f...

journal_title：Journal of reconstructive microsurgery

authors： Hallock GG

更新日期：2009-07-01 00:00:00

abstract：:A free-flap model in rats is presented, that consists of gracilis and semitendinosus muscles pedicled on the femoral vessels, in continuation with deep femoral and saphenous vessels. This flap was transferred to the contralateral side in 40 rats and yielded a 95 percent survival rate. The weight of the flaps averaged ...

journal_title：Journal of reconstructive microsurgery

authors： Ionac M,Geishauser M

更新日期：1998-05-01 00:00:00

abstract：:Aberrant reinnervation of target organs caused by misdirected axonal growth at the repair site is a major reason for the poor functional outcome usually seen after peripheral nerve transection and repair. This study investigates whether the criss-crossing of regenerating rat sciatic nerve axons between tibial and pero...

journal_title：Journal of reconstructive microsurgery

authors： Lutz BS

更新日期：2004-11-01 00:00:00

abstract：INTRODUCTION:The aim of this study was to evaluate the esthetic and sensory outcomes after reconstruction of finger pulp defects with free toe flaps from the lateral aspect of the great toe. METHODS:From June 2006 to October 2011, we performed 48 free toe pulp transfers for finger pulp reconstruction in 43 patients; 1...

journal_title：Journal of reconstructive microsurgery

authors： Zheng H,Liu J,Dai X,Machens HG,Schilling AF

更新日期：2015-05-01 00:00:00

abstract：:During the last seven years, 17 patients underwent microsurgical reconstruction of 14 hepatic and four superior mesenteric arterial systems following extended pancreatectomy or hepatectomy, and in living-related liver transplantations (LRLT). All microvascular anastomoses in this series were performed using a back wal...

journal_title：Journal of reconstructive microsurgery

authors： Yamamoto Y,Sugihara T,Sasaki S,Furukawa H,Furukawa H,Okushiba S,Nohira K

更新日期：1999-07-01 00:00:00

abstract：:During deep inferior epigastric artery perforator (DIEP) flap dissection, we noted that in many cases the superficial vein on the ipsilateral side of the flap was engorged and tense, and in others, it was empty. This led us to believe that the pressure is increased as the result of preferential outflow through the sup...

journal_title：Journal of reconstructive microsurgery

authors： Smit JM,Audolfsson T,Whitaker IS,Werker PM,Acosta R,Liss AG

更新日期：2010-02-01 00:00:00

abstract：:Reconstruction of the pharyngoesophagus and pharynx can be especially challenging in patients with prior irradiation, recurrent disease, and compromised or deficient anterior neck skin. The authors report their experience with seven patients who underwent pharyngoesophageal reconstruction with a new flap design that a...

journal_title：Journal of reconstructive microsurgery

authors： Agarwal JP,Stenson KM,Gottlieb LJ

更新日期：2006-02-01 00:00:00

abstract：:Free flaps are usually needed for the reconstruction of extensive facial burns, but the final result is often a poor texture and color match. The authors report a burn case managed with a radial forearm free flap. The aesthetic result was improved by surgical tattooing of the flap, including the appearance of a beard....

journal_title：Journal of reconstructive microsurgery

authors： Coessens B,Van Geertruyden J,De Mey A

更新日期：1993-09-01 00:00:00

abstract：:Systematic scanning electron microscopic observations of the healing mechanism in the endothelium of rat carotid arteries were carried out at the site of anastomosis. The site of needle holes and stitches are the main locations for thrombocyte adhesion and aggregation in normal vascular anastomosis. The repair process...

journal_title：Journal of reconstructive microsurgery

authors： Gu YD,Li JF,Jiang JF,Zhong CS,Tang PZ

更新日期：1989-10-01 00:00:00

abstract：BACKGROUND: Various reports suggest the augmentation of venous drainage through performing two venous anastomoses as a means of reducing the rate of thrombosis in free flap surgery. However, some suggest dual venous drainage may actually reduce venous blood flow velocity causing a potential risk for thrombosis. METHOD...

journal_title：Journal of reconstructive microsurgery

authors： Ahmadi I,Herle P,Rozen WM,Leong J

更新日期：2014-07-01 00:00:00

abstract：BACKGROUND: Increased rates of both breast cancer and obesity have resulted in more obese women seeking breast reconstruction. Studies demonstrate that these women are at increased risk for perioperative complications. A systematic review was conducted to assess the outcomes in obese women who underwent breast reconstr...

journal_title：Journal of reconstructive microsurgery

authors： Panayi AC,Agha RA,Sieber BA,Orgill DP

更新日期：2018-06-01 00:00:00

abstract：BACKGROUND: Subfascial anterolateral thigh (ALT) flap thickness can be problematic with regards to bulk, oral competence, shoe-fit, or as a potential source of recurrent wound breakdown. We have utilized distinct upper thigh fascial planes to fashion thin (suprafascial) or super-thin (periscarpal) ALT flaps to improve ...

journal_title：Journal of reconstructive microsurgery

authors： Diamond S,Seth AK,Chattha AS,Iorio ML

更新日期：2018-03-01 00:00:00

abstract：:Twenty-eight vascularized toe-joint transfers performed on 25 patients were reviewed. A number of different techniques were used: proximal interphalangeal joint or metacarpophalangeal joint reconstruction, one-stage double joint transfer, and interphalangeal thumb or trapezometacarpal joint replacement. Using these ty...

journal_title：Journal of reconstructive microsurgery

authors： Foucher G,Sammut D,Citron N

更新日期：1990-07-01 00:00:00

abstract：:Multidetector-row computed tomography angiography (MDCTA) can be used to visualize small vessels and has been used to search for perforators in deep inferior epigastric artery perforator flaps and anterolateral thigh flaps. Fibula osteocutaneous flaps are often used for mandibular reconstruction, but questions remain ...

journal_title：Journal of reconstructive microsurgery

authors： Satoh T,Kimata Y,Hasegawa K,Namba Y

更新日期：2011-01-01 00:00:00

abstract：:Instead of conventional multiple-paddle or folded free flaps, the authors introduce three types of free combined tissue transfers for cosmetic and functional restoration of massively large facial defects. Three cases reported here were repaired with combined flaps consisting of two or more tissues, such as combined fr...

journal_title：Journal of reconstructive microsurgery

authors： Koshima I,Hosoda M,Moriguchi T,Ishii R,Orita Y,Yamamoto H

更新日期：1997-02-01 00:00:00

abstract：:Functional limb salvage requires motor and sensory reconstruction of the extremity. An avulsion of the tibial nerve in the popliteal fossa after arthroscopy is presented. Functional limb recovery necessitated intraoperative nerve mapping by awake stimulation, neurotization of the gastrocnemius muscle bellies, and inte...

journal_title：Journal of reconstructive microsurgery

authors： Francel TJ,Dellon AL

更新日期：1992-05-01 00:00:00

abstract：:Local anesthetic drugs with prolonged nerve-block effect would have clinical application for postoperative or neuromatous pain relief. This study evaluated the possibility of peripheral nerve neurotoxicity by injection of 10 percent ammonium sulfate. Both intrafascicular and extrafascicular injection of 10 percent amm...

journal_title：Journal of reconstructive microsurgery

authors： Kobayashi J,Mackinnon SE,Langer JC,Hertl MC,Hunter DA,Tarasidis G

更新日期：1997-08-01 00:00:00

abstract：:The etiopathology, clinical features, and treatment of carpal tunnel syndrome (CTS) in long-term hemodialyzed patients, are discussed in the light of new clinical findings. Conclusions summarizing the specific characteristics of CTS in hemodialyzed patients include the following. 1) There is a relatively equal sex rat...

journal_title：Journal of reconstructive microsurgery

authors： Corradi M,Paganelli E,Pavesi G

更新日期：1989-04-01 00:00:00

abstract：:The authors present 20 microvascular flaps based on arteriovenous perfusion, harvested from the distal anterior forearm, and configured in three different designs. Indications were small palmar, dorsal, and commissural defects, when other conventional procedures were not available; problematic cases of open reduction ...

journal_title：Journal of reconstructive microsurgery

authors： Reynoso R,Espinosa A,Mendoza M,Clifton J

更新日期：1997-05-01 00:00:00