Free-tissue transfer experience at a county hospital.

abstract：BACKGROUND:Reverse homodigital dorsoradial (RHD) flap has been developed to repair soft-tissue defects of the thumb. However, few articles have reported this flap with long-term follow-up. This retrospective study was designed to evaluate the RHD flap and investigate factors affecting sensory recovery. METHODS:From Fe...

journal_title：Journal of reconstructive microsurgery

authors： Sun YC,Chen QZ,Chen J,Gong YP,Gu JH

更新日期：2015-07-01 00:00:00

abstract：:The authors recently reported an experimental study on diode laser-assisted microvascular anastomosis (LAMA) in the femoral arteries and veins of rats. Good success rates and very promising histologic results obtained in this preliminary phase suggested an extension of the investigation with a larger number of rats an...

journal_title：Journal of reconstructive microsurgery

authors： Gelli R,Pini R,Toncelli F,Chiarugi C,Reali UM

更新日期：1997-04-01 00:00:00

abstract：:A case of degloving injury of the whole hand reconstructed by a combination of an anterolateral thigh (ALT) flap and a groin flap applied as a pedicled distant flap was reported. Despite complications of congestion of the ALT flap and superficial infection, both flaps were severed at 4 weeks after transplantation, and...

journal_title：Journal of reconstructive microsurgery

authors： Senda H,Muro H,Terada S,Okamoto H

更新日期：2011-06-01 00:00:00

abstract：:The spinal cord cannot heal after severance because the central nervous system is "non-permissive" to the advancement of axons that regrow from presynaptic motoneurons. With the aim of overcoming paraplegia, the author has carried out extensive experimental research since 1980, first in rats and subsequently in monkey...

journal_title：Journal of reconstructive microsurgery

authors： Brunelli GA

更新日期：2001-11-01 00:00:00

abstract：:The eicosanoids, leukotriene B4 (LTB4) and thromboxane A2 (TXA2), contribute to neutrophil adhesion and arteriole vasoconstriction, important microcirculatory events in ischemia-reperfusion (I-R) injury. The purpose of this study was to evaluate the effect of ketorolac on I-R injury of skeletal muscle. A videomicrosco...

journal_title：Journal of reconstructive microsurgery

authors： Yao KA,Roth AC,Stephenson LL,Suchy H,Zamboni WA

更新日期：1998-04-01 00:00:00

abstract：BACKGROUND:Nonunions in the upper extremity are challenging for the reconstructive surgeon. The evolution of microsurgical techniques has allowed for the reliable use of free vascularized bone flaps. METHODS:In a retrospective study, patients with challenging upper limb nonunions who underwent free vascularized cortic...

journal_title：Journal of reconstructive microsurgery

authors： Fei W,Danmou X,Dong R,Wei F,Eberlin KR,Yan C,Wusheng K

更新日期：2015-02-01 00:00:00

abstract：BACKGROUND: Inherited coagulopathies and previous thrombotic events are often considered relative contraindications to microvascular reconstruction. We hypothesize that with planning, head and neck microvascular reconstruction can be successfully performed in hypercoagulable individuals. METHODS: A retrospective revie...

journal_title：Journal of reconstructive microsurgery

authors： Nguyen TT,Egan KG,Crowe DL,Nazir N,Przylecki WH,Andrews BT

更新日期：2020-05-01 00:00:00

abstract：:The authors performed anastomoses of small vessels with the Nd-YAG laser, comparing these with conventional suture anastomoses. Some arteries were sutured with 10-0 nylon with about eight suture sites, and others were held by stay sutures at three points with laser irradiation performed between them. Two surgeons perf...

journal_title：Journal of reconstructive microsurgery

authors： Nakamura T,Fukui A,Maeda M,Kugai M,Inada Y,Teramoto N,Ishida A,Tamai S

更新日期：2000-10-01 00:00:00

abstract：:Controversy surrounds the question whether free flaps remain dependent for blood supply on their vascular pedicle or if there is an autonomization by neovascularization from the surrounding wound bed. This becomes important when flap shaping or repositioning are performed. Our study involved 23 patients who received a...

journal_title：Journal of reconstructive microsurgery

authors： Heitland AS,Markowicz MP,Koellensperger E,Schoth F,Pallua N

更新日期：2009-02-01 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：BACKGROUND: In 2017, our institution initiated a cadaver laboratory-based course dedicated to teaching reconstructive microsurgery indications, preoperative planning, and flap dissection. The goals of this study are to describe the demographics and experience of participants/instructors and to evaluate the learning obj...

journal_title：Journal of reconstructive microsurgery

authors： Azoury SC,Othman S,Colen DL,Broach RB,Lin I,Zenn MR,Kovach SJ,Levin LS

更新日期：2021-02-01 00:00:00

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：BACKGROUND:Perforator flap breast reconstruction requires increased time for safe perforator dissection, especially the intramuscular course. We describe an adjunctive technique using hydrodissection to assist with the intramuscular perforator dissection. METHODS:Hydrodissection techniques were used for perforator dis...

journal_title：Journal of reconstructive microsurgery

authors： Singhal D,Momoh AO,Colakoglu S,Qureshi A,Tobias AM,Lee BT

更新日期：2013-01-01 00:00:00

abstract：:Background Topical vasodilators are frequently used during free tissue transfer to prevent and treat vasospasm and microvascular thrombosis. A variety of agents have been studied and are available, yet most microsurgeons select an agent based on anecdotal evidence or personal training. Our aim was to review the litera...

journal_title：Journal of reconstructive microsurgery

authors： Rinkinen J,Halvorson EG

更新日期：2017-01-01 00:00:00

abstract：:The authors' experience indicates that good functional results are achievable in cases with wide resection of the knee extensor mechanism. They report a low-grade myxoid fibrosarcoma patient in whom a one-stage functional reconstruction was carried out by transfer of a free latissimus dorsi flap without secondary surg...

journal_title：Journal of reconstructive microsurgery

authors： Machens HG,Siemers F,Kaun M,Krapohl B,Reichert B,Russlies M,Krüger S,Stöckelhuber B,Mailänder P

更新日期：2005-05-01 00:00:00

abstract：:From 1991 to 1996, four free vascularized fibular grafts (FVFG) and four callus distraction (CD) techniques were performed for post-traumatic tibial defects at the authors' institute. They attempted to discern any differences of results between FVFGs and CDs for post-traumatic tibial defects. The mean defect length of...

journal_title：Journal of reconstructive microsurgery

authors： Yokoyama K,Itoman M,Nakamura K,Tsukamoto T,Saita Y,Aoki S

更新日期：2001-01-01 00:00:00

abstract：:The purpose of this investigation was to evaluate the ability of a specific growth factor combination, nerve growth factor (NGF) and ciliary neurotrophic factor (CNTF), to enhance peripheral nerve regeneration. Eight groups of eight Sprague-Dawley rats underwent repair of a nerve gap defect: Group A (immediate repair)...

journal_title：Journal of reconstructive microsurgery

authors： McCallister WV,McCallister EL,Dubois B,Trumble TE

更新日期：2004-08-01 00:00:00

abstract：:Bypass grafting around a neuroma-in-continuity entails coapting a nerve graft above and below the injured segment using two sequential end-to-side repairs. The proximal repair is analogous to what has been classically described as an end-to-side repair; the axons from the intact nerve sprout into the end of a recipien...

journal_title：Journal of reconstructive microsurgery

authors： Isaacs JE,Cheatham S,Gagnon EB,Razavi A,McDowell CL

更新日期：2008-10-01 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：:Free-flap failure is usually caused by venous or arterial thrombosis. In many cases, lack of experience and surgical delay also contribute to flap loss. The authors prospectively analyzed the outcome of 57 free flaps over a 28-month period (January, 1999 to April, 2001). The setting was a university hospital tertiary ...

journal_title：Journal of reconstructive microsurgery

authors： Kelly JL,Eadie PA,Orr D,Al-Rawi M,O'Donnell M,Lawlor D

更新日期：2004-08-01 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：:The authors present two cases in which the venous drainage of transferred flaps was compromised and the flaps were salvaged by vein grafts. Traditionally, once transferred free flaps had become congestive, surgeons would re-anastomose the thrombosed veins, and administer anticoagulants or carry out peripheral vessel d...

journal_title：Journal of reconstructive microsurgery

authors： Namba Y,Takahashi Y,Ito S,Koshima I

更新日期：2003-11-01 00:00:00

abstract：:Blood flow distribution in conventional and vascularized canine nerve grafts was analyzed. Between 4 and 6 days after operation, blood flow at both the fascicular (endoneural) and the nerve-sheath (epineural) levels was significantly greater in the nonvascularized nerve grafts than in their vascularized counterparts (...

journal_title：Journal of reconstructive microsurgery

authors： Daly PJ,Wood MB

更新日期：1985-10-01 00:00:00

abstract：:Traumatic damage to the common peroneal nerve due to sharp injury, gunshot wound, sciatic nerve tumor, radiculopathy, or hip replacement surgery may result in foot drop. We present an alternative strategy for reanimation of foot drop following deep peroneal nerve palsy, successfully restoring voluntary movement. Fourt...

journal_title：Journal of reconstructive microsurgery

authors： Nath RK,Lyons AB,Paizi M

更新日期：2008-08-01 00:00:00

abstract：:To assist nascent microsurgeons in the initial practices of handling instruments and tying knots before using an animal model, the authors discuss surgical gauze, which will be of benefit to all trainees. In this model, the nascent microsurgeon can familiarize himself or herself with the operating microscope, correct ...

journal_title：Journal of reconstructive microsurgery

authors： Demirseren ME,Tosa Y,Hosaka Y

更新日期：2003-08-01 00:00:00

abstract：:A retrospective evaluation of the functional results after reconstructive treatment with levator scapulae transfer and scapulo-spinal fasciodesis by fascia lata slings for complete chronic trapezius palsy is presented. Five patients (ages 6 to 40 years) were operated on between 1988 and 1991 because of incapacitating ...

journal_title：Journal of reconstructive microsurgery

authors： Coessens BC,Wood MB

更新日期：1995-07-01 00:00:00

abstract：:The use of nerve conduits has evolved from a previous experimental idea to a clinical reality over the last ten years. An overview of the literature on the clinical use of nerve conduits in peripheral-nerve repair is presented. ...

journal_title：Journal of reconstructive microsurgery

authors： Meek MF,Coert JH

更新日期：2002-02-01 00:00:00

abstract：BACKGROUND: The distally based sural flap (DBSF) is one of the armamentarium in the lower limb reconstruction. However, the flap has not gained popularity due to concerns about its reliability and donor site morbidity. Based on the anatomy characterization, we combined and developed five modifications to improve the va...

journal_title：Journal of reconstructive microsurgery

authors： Xu H,Cao X,Kiu-Huen S,Zhu Z,Chen J,Chi Z,Zhang Y

更新日期：2020-09-17 00:00:00

abstract：BACKGROUND:Locally advanced breast cancer (LABC) and chest wall osteoradionecrosis (ORN) often require extensive and composite tissue resection, including muscles, ribs, pleura, and lung parenchyma. As such, these cases necessitate complex reconstructive procedures for skeletal chest wall reconstruction and soft tissue...

journal_title：Journal of reconstructive microsurgery

authors： Arya R,Chow WT,Rozen WM,Patel NG,Griffiths M,Shah S,Ramakrishnan VV

更新日期：2016-02-01 00:00:00

abstract：:Posttraumatic infected massive bone defects in lower extremities are difficult to repair because they frequently exhibit massive bone and/or soft tissue defects, serious bone infection, and excessive scar proliferation. This study aimed to determine whether these defects could be classified and repaired at a single st...

journal_title：Journal of reconstructive microsurgery

authors： Yang YF,Xu ZH,Zhang GM,Wang JW,Hu SW,Hou ZQ,Xu DC

更新日期：2013-11-01 00:00:00