abstract：INTRODUCTION:Venous congestion is the most common vascular complication of the deep inferior epigastric artery perforator (DIEP) flaps. Adding a second venous drainage by anastomosing a flap vein and a recipient vein (super-drainage) is considered the solution of choice. Evidence to support this procedure, had not yet ...

journal_title：Microsurgery

authors： Pignatti M,Pinto V,Giorgini FA,Lozano Miralles ME,Cannamela G,D'Arpa S,Cipriani R,De Santis G

更新日期：2020-11-10 00:00:00

abstract：INTRODUCTION:The probability of spontaneous recovery of shoulder external rotation in neonatal brachial plexus injury (NBPI) is very low after the age of 18 months. We report the outcomes of double nerve transfers to restore active external rotation of the glenohumeral joint in children with NBPI after this age. PATIE...

journal_title：Microsurgery

authors： Soldado F

更新日期：2020-11-01 00:00:00

abstract：:Significant evolution has been made concerning resuscitation and emergency management of severely burned patients, and nowadays most patients will survive and deal with burns sequelae. They constitute a reconstructive challenge, mainly because options and donor areas are frequently compromised, results are often limit...

journal_title：Microsurgery

authors： Horta R,Monteiro D,Órfão T,Nascimento R,Frias F,Silva A

更新日期：2020-10-01 00:00:00

abstract：:When costal graft is contraindicated or refused by the patient, autologous total/subtotal auricular reconstruction represent a real challenge as limited surgical options has been described. Aim of present report is to offer a novel possible autologous reconstruction of the ear frame using a chimeric free medial femora...

journal_title：Microsurgery

authors： di Summa PG,Sapino G,Zaugg P,Raffoul W,Guillier D

更新日期：2020-10-01 00:00:00

abstract：INTRODUCTION:In the last years, limb salvage has become the gold standard treatment over amputation. Today, 90% of extremity osteogenic sarcomas can be treated with limb salvage surgery. However, these reconstructions are not exempt from complications. Massive allografts have been associated to high risk of nonunion (1...

journal_title：Microsurgery

authors： Barastegui D,Gallardo-Calero I,Rodriguez-Carunchio L,Barrera-Ochoa S,Knorr J,Rivas-Nicolls D,Soldado F

更新日期：2020-09-19 00:00:00

abstract：:Consecutive or simultaneous contralateral breast reduction is a frequent request from patients undergoing unilateral breast reconstruction. Both procedures can be combined using otherwise discarded tissue as a split breast graft for reconstruction of the contralateral side. There have been few reports on the use of pe...

journal_title：Microsurgery

authors： Scaglioni MF,Rodi T,Wishart K,Fritsche E

更新日期：2020-09-19 00:00:00

abstract：:Isolated penile lymphedema is a rare but severely disabling condition due to reduced lymphatic drainage. In this area treatment opportunities are poor being that conservative management is usually not effective and surgery limited to debulking lymphangiectomy, which is indicated only in very severe cases. Lymphovenous...

journal_title：Microsurgery

authors： Scaglioni MF,Meroni M,Fritsche E

更新日期：2020-09-01 00:00:00

abstract：:Reconstruction of complex back defects is challenging for reconstructive surgeons, as it should preserve function, provide adequate coverage, and minimize morbidity. We present a case of multiple-step reconstruction after resection of a large squamous cell carcinoma recurrence in a 68-year-old man, with local perforat...

journal_title：Microsurgery

authors： Menichini G,Lucattelli E,Innocenti A,Brogi M,Cipriani F,Innocenti M

更新日期：2020-07-01 00:00:00

abstract：INTRODUCTION:The anterolateral thigh (ALT) flap is considered a workhorse reconstructive option; however, it is encumbered by its bulkiness that can result in poor final outcome and need for revision surgery. The aim of the present study was to compare the standard cutaneous ALT free flap and sandwich fascial ALT (SALT...

journal_title：Microsurgery

authors： Cherubino M,Stocco C,Ronga M,Tamborini F,Maggiulli F,Di Giovanna D,Campisi C,Di Summa P,Valdatta L

更新日期：2020-05-01 00:00:00

abstract：INTRODUCTION:Nerve regeneration involves multiple processes, which enhance blood supply that can be promoted by growth factors. Currently, tools are lacking to visualize the vascularization patterns in transplanted nerves in vivo. The purpose of this study was to describe three-dimensional visualization of the vascular...

journal_title：Microsurgery

authors： Saffari TM,Mathot F,Bishop AT,Shin AY

更新日期：2020-03-01 00:00:00

abstract：BACKGROUND:Photoacoustic tomography (PAT) is a noninvasive vascular imaging modality that uses near-infrared pulse laser beams and ultrasound (US) to visualize vessels. We previously demonstrated the utility of PAT for visualizing anterolateral thigh (ALT) perforators in a clinical study of 10 thighs in 5 healthy adult...

journal_title：Microsurgery

authors： Tsuge I,Saito S,Yamamoto G,Sekiguchi H,Yoshikawa A,Matsumoto Y,Suzuki S,Toi M

更新日期：2020-03-01 00:00:00

abstract：INTRODUCTION:A Bio 3D printed nerve conduit was reported to promote nerve regeneration in a 5 mm nerve gap model. The purpose of this study was to fabricate Bio 3D nerve conduits suitable for a 10 mm nerve gap and to evaluate their capacity for nerve regeneration in a rat sciatic nerve defect model. MATERIALS AND METH...

journal_title：Microsurgery

authors： Takeuchi H,Ikeguchi R,Aoyama T,Oda H,Yurie H,Mitsuzawa S,Tanaka M,Ohta S,Akieda S,Miyazaki Y,Nakayama K,Matsuda S

更新日期：2020-02-01 00:00:00

abstract：:The anatomic variation in the branching pattern of the popliteal vessel has been well-established. Little has been written in the literature regarding recipient vessel selection for microvascular reconstruction in the lower extremity as it pertains to aberrant vascular anatomy. We present the case of a 57-year-old mal...

journal_title：Microsurgery

authors： Elswick SM,Miglani A,Lettieri SC

更新日期：2020-02-01 00:00:00

abstract：:Reconstruction of defects measuring approximately two-thirds of the lower lip width is traditionally reconstructed utilizing loco-regional flap utilizing lip and cheek tissues. This often results in microstomia and unsatisfactory aesthetic outcome. This may hinder the psychosocial aspect of a recovering cancer survivo...

journal_title：Microsurgery

authors： Hsieh WC,Tee R,Chang KP,Huang JJ

更新日期：2020-02-01 00:00:00

abstract：BACKGROUND:Reconstruction of long and deep sternal defects has been challenging. The pectoralis major can be used in the conventional turnover method that requires the internal thoracic vessel. We developed a new turnover pectoralis major flap based on thoracoacromial vessels. The purpose of this report is to present r...

journal_title：Microsurgery

authors： Goishi K,Harada H,Keyama T,Tsuda T,Hashimoto I

更新日期：2020-02-01 00:00:00

abstract：BACKGROUND:Persistent genital arousal disorder (PGAD) is a woman's perception that she is in a state of sexual arousal, without the ability of arousal to be satisfied by orgasm. It is the hypothesis of this study that PGAD results from a minimal degree of nerve compression of the dorsal branch of the pudendal nerve. If...

journal_title：Microsurgery

authors： Klifto K,Dellon AL

更新日期：2020-02-01 00:00:00

abstract：BACKGROUND:Vascularised composite allo-transplantation (VCA) is emerging as a tailored approach for complex tissue reconstruction. This study focuses on the quadriceps VCA as a potential solution for tissue repair, following trauma, necrotising fasciitis/myositis, or tumor ablation. METHODS:Dissections were undertaken...

journal_title：Microsurgery

authors： Sparks DS,Taylor GI,Gascoigne A,Corlett RJ,Ashton MW

更新日期：2020-02-01 00:00:00

abstract：INTRODUCTION:Reconstruction of abdominal wall defects with enterocutaneous fistulas (ECF) remains challenging. The purpose of this report is to describe a single-stage approach using combined microscopic enterolysis, pedicle seromuscular bowel flaps, mesh, fasciocutaneous, and myocutaneous flaps. METHODS:Between 1990 ...

journal_title：Microsurgery

authors： Adabi K,Manrique OJ,Vijayasekaran A,Moran SL,Ciudad P,Huang TCT,Nicoli F,Bishop S,Chen HC

更新日期：2020-01-01 00:00:00

abstract：BACKGROUND:Reconstructing soft tissue defect on the trochanteric area is challenging. Due to the significant complications associated with regional flap, free tissue transfer is an appropriate option. However, this area has poor recipient vessels. Therefore, we present perforators as suitable recipient vessels to facil...

journal_title：Microsurgery

authors： Kim JH,Kwon HJ,Moon SH,Oh DY,Jun YJ,Rhie JW

更新日期：2020-01-01 00:00:00

abstract：BACKGROUND:Extensive full thickness abdominopelvic defects pose a difficult challenge to surgeons. Autologous tissues are versatile and can provide a satisfying reconstructive option for this type of defects. The tensor fascia latae (TFL) and superficial circumflex iliac perforator (SCIP) flaps provide a large area of ...

journal_title：Microsurgery

authors： Luca-Pozner V,Boissiere F,Rodriguez T,Karra A,Herlin C,Chaput B

更新日期：2020-01-01 00:00:00

abstract：INTRODUCTION:Calcaneal tumors being a rare occurrence, surgical options and outcomes are not well-known. Extensive defects following wide resection, especially in weight-bearing areas, still remain a challenge and different reconstructive techniques have been proposed. The aim of this report was to analyze the clinical...

journal_title：Microsurgery

authors： Innocenti M,Lucattelli E,Daolio PA,Bastoni S,Marini E,Scoccianti G,Menichini G

更新日期：2019-11-01 00:00:00

abstract：:Combination of tissue expansion and perforator flaps broadened the reconstructive options in burn cases with wide scar contractures. We report a case of total aesthetic subunit reconstruction of the anterior abdominal skin using a pre-expanded pedicled anterolateral thigh (ALT) perforator flap in a patient with postbu...

journal_title：Microsurgery

authors： Acarturk TO,Bengur FB

更新日期：2019-11-01 00:00:00

abstract：BACKGROUND:The medial thigh is a well-hidden area. The two most common flaps from this area are the transverse upper gracilis (TUG) and profunda artery perforator (PAP) flaps. Herein, we explored the applications of combined TUGPAP flap to reconstruct large and complex defects in different regions. METHODS:Between Nov...

journal_title：Microsurgery

authors： Ciudad P,Huang TC,Manrique OJ,Agko M,Sapountzis S,Nicoli F,Diya Sabbagh M,Pont LP,Moran SL,Chen HC

更新日期：2019-05-01 00:00:00

abstract：:The purpose of this report is to show that customized component second-toe transfers may improve functional and aesthetic outcomes following bone, soft tissue, and joint destruction of traumatically injured digits. A 22-year-old male sustained a planer injury resulting in loss of the distal volar soft tissues of the m...

journal_title：Microsurgery

authors： Wong VW,Yousaf IS,Higgins JP,Katz RD

更新日期：2019-05-01 00:00:00

abstract：BACKGROUND:When pharyngoesophagectomy is performed in conjunction with anterior mediastinal tracheostomy, reconstructing both the trachea and alimentary tract is extremely difficult. We developed a novel 1-stage reconstructive procedure using a single free jejunal flap containing multiple vascular pedicles to decrease ...

journal_title：Microsurgery

authors： Kubo T,Kurita T,Tashima H,Seike S,Fujii T,Yano M,Yamasaki M,Doki Y,Hosokawa K

更新日期：2018-11-01 00:00:00

abstract：:Lymphedema most commonly occurs after cancer treatment and can affect limbs and genitalia. Genital lymphedema (GL) is a rare condition and can be disabling psychologically and physically. It often occurs along with lower extremity lymphedema (LEL). Conservative and physiologic reconstructive surgery such as lymphatico...

journal_title：Microsurgery

authors： Scaglioni MF,Uyulmaz S

更新日期：2018-11-01 00:00:00

abstract：BACKGROUND:In a vessel-depleted neck, distant recipient sites may be the only option for secondary free flap reconstruction. While interposition vein grafts and arteriovenous loops can bridge the gap between the recipient and donor pedicle, they are not without risks. In these scenarios, we examinate the reliablity of ...

journal_title：Microsurgery

authors： Ciudad P,Agko M,Date S,Chang WL,Manrique OJ,Huang TCT,Lo Torto F,Trignano E,Chen HC

更新日期：2018-09-01 00:00:00

abstract：BACKGROUND:Plantar toe ulcers are a challenging surgical problem. There are several methods for reconstruction, but no attention has been given to the preservation of sensation. This report proposes a method to provide protective sensation for the reconstructed area. PATIENTS AND METHODS:The ulcers of seven patients r...

journal_title：Microsurgery

authors： Hosseinian MA,Gharibi Loron A,Nemati Honar B

更新日期：2018-09-01 00:00:00

abstract：OBJECTIVES:Plate extrusions after free tissue transfer for mandibular reconstruction can be problematic and generally require revision surgery. Our objective was to assess the predictors of plate extrusion and compare outcomes between fibular free flaps (FFF), lateral border scapular flaps (LBSF), and scapular tip free...

journal_title：Microsurgery

authors： Prasad J,Sahovaler A,Theurer J,Yeh DH,Fung K,MacNeil SD,Yoo J,Nichols AC

更新日期：2018-09-01 00:00:00

abstract：BACKGROUND:Reconstruction of complicated diabetic lower leg and foot defects involving multiple tissue components remains a challenge. The purpose of this report is to introduce thoracodorsal artery perforator (TDAP) chimeric flaps for reconstructing diabetic lower leg and foot soft tissue defects. PATIENTS AND METHOD...

journal_title：Microsurgery

authors： Sung IH,Jang DW,Kim SW,Kim YH,Kim SW

更新日期：2018-09-01 00:00:00

abstract：:The anterolateral thigh (ALT) flap is one of the most commonly used flap worldwide, as both free flap and pedicled local flap. Here, we report the use of a pedicled chimeric sensitive ALT and vastus lateralis muscle (VLM) flap in a patient with a 12 cm × 8 cm contaminated soft tissue defect of the right inguinal regio...

journal_title：Microsurgery

authors： Scaglioni MF,Franchi A,Giovanoli P

更新日期：2018-05-01 00:00:00

abstract：BACKGROUND:Following vascularized lymph node (VLN) transfer (VLNT), the VLN may be at a risk for sclerosis because of efferent lymphatic vessel obstruction. We developed a new technique to prevent VLN sclerosis via a prefabricated lympho-venous (LV) shunt. This study compared the treatment outcomes of single VLNT with ...

journal_title：Microsurgery

authors： Akita S,Yamaji Y,Tokumoto H,Sasahara Y,Kubota Y,Kuriyama M,Mitsukawa N

更新日期：2018-03-01 00:00:00

abstract：INTRODUCTION:Primary functional and aesthetic results after free-flap salvage of lower extremities are occasionally suboptimal. The objective of this study was to identify predictors for secondary refinement procedures such as liposuction, dermolipectomy, or direct excision. In addition, patient-reported long-term sati...

journal_title：Microsurgery

authors： Kotsougiani D,Platte J,Bigdeli AK,Hoener B,Kremer T,Kneser U,Harhaus L

更新日期：2018-03-01 00:00:00

abstract：:There is evidence that nerve flaps are superior to nerve grafts for bridging long nerve defects. Moreover, arterialized neurovenous flaps (ANVFs) have multiple potential advantages over traditional nerve flaps in this context. This paper describes a case of reconstruction of a long defect of the ulnar artery and nerve...

journal_title：Microsurgery

authors： Casal D,Pais D,Mota-Silva E,Pelliccia G,Iria I,Videira PA,Mendes MM,Goyri-O'Neill J,Mouzinho MM

更新日期：2018-02-01 00:00:00

abstract：INTRODUCTION:Currently, increasingly reconstructive surgeon consider the failure rates of perforator propeller flaps especially in the distal third of the lower leg are too important and prefer to return to the use of free flap at first line option with failure rates frequently lower than 5%. So, we performed a systema...

journal_title：Microsurgery

authors： Bekara F,Herlin C,Somda S,de Runz A,Grolleau JL,Chaput B

更新日期：2018-01-01 00:00:00

abstract：INTRODUCTION:Lymphedema is a chronic condition caused by the obstruction or impairment of lymphatic fluid transport resulting in irreversible skin fibrosis. Besides conservative therapy, surgical techniques for lymphedema including liposuction, lymphatico-lymphatic bypass, lymphovenous anastomosis (LVA), and vasculariz...

journal_title：Microsurgery

authors： Scaglioni MF,Fontein DBY,Arvanitakis M,Giovanoli P

更新日期：2017-11-01 00:00:00

abstract：BACKGROUND:Osteonecrosis of the femoral head (ONFH) often affects young active adults and leads to destruction of the hip joint and disabling arthritis. Several procedures have been developed to arrest the progress of osteonecrosis and postpone the procedure of total hip replacement especially in young patients. The ai...

journal_title：Microsurgery

authors： Zhao D,Xie H,Xu Y,Wang Y,Yu A,Liu Y,Wang A,He W,Wang X,Li Z,Sun W,Tian S,Wang B,Liu B

更新日期：2017-11-01 00:00:00

abstract：BACKGROUND:The growing elderly population necessitates a greater number of aging patients requiring complex reconstructive surgery involving free tissue transfer. The purpose of this study was to assess the safety, efficacy, and outcomes of microsurgical free tissue transfer in elderly patients using a national multi-i...

journal_title：Microsurgery

authors： Jubbal KT,Zavlin D,Suliman A

更新日期：2017-11-01 00:00:00

abstract：BACKGROUND:Among the various flaps available for the reconstruction of the heel, a medial plantar flap has been widely accepted as the most ideal. This flap, however, involves the medial plantar nerve and its cutaneous branches, which may lead to postoperative hyperesthesia and dual sensation. The purpose of this repor...

journal_title：Microsurgery

authors： Park JS,Lee JH,Lee JS,Baek JH

更新日期：2017-10-01 00:00:00

abstract：OBJECTIVE:Groin dissection is the procedure with the highest risk of lower limb lymphedema.As lymph stasis causes irreversible alterations to the limb over time,therapies should be administered in early stages,or better yet, lymphatic drainage impairment should be prevented.We developed a new preventive approach to lym...

journal_title：Microsurgery

authors： Gentileschi S,Servillo M,Garganese G,Fragomeni S,De Bonis F,Cina A,Scambia G,Salgarello M

更新日期：2017-09-01 00:00:00