Comparative analysis of the effect of antihypertensive drugs on the survival of perforator flaps in a rat model
ConclusionsAngiotensin receptor blockers adversely affected the survival of perforator flaps, while calcium channel blockers increased it. These results suggest that the regimen of antihypertensive drugs may need to be carefully selected for patients undergoing perforator flap reconstruction. (Source: Microsurgery)
Source: Microsurgery - November 1, 2017 Category: Surgery Authors: Jin ‐Woo Park, Goo‐Hyun Mun Tags: RESEARCH ARTICLE Source Type: research
Reconstruction of a large full ‐thickness abdominal wall defect with flow‐through‐based alt flaps: A case report
An extensive 35 × 20 cm sized full‐thickness abdominal wall defect was created after resection of aggressive abdominal fibromatosis in a 19‐year‐old male patient. Immediate reconstruction was not possible due to prolonged operation time and resulting severe bowel edema. A silicone sheet with NPWT was applied over the exposed viscera. After 1 week, silicone sheet was substituted with a composite mesh. Then, abdominal wall reconstruction with bilateral free anterolateral thigh (ALT) flaps (30 × 12 cm and 25 × 12 cm sized) was performed. Since there was only a single reliable recipient vessel available, we linked 2 A...
Source: Microsurgery - November 1, 2017 Category: Surgery Authors: Dong Yeon Kim, Junho Lee, Jeong Tae Kim, Hye Kyung Chang, Suk ‐Ho Moon Tags: CASE REPORT Source Type: research
Microvascular replantation of a composite facial avulsion in a 24 ‐month‐old child after dog bite
We report a case of a 24‐month‐old female who sustained a large composite facial avulsion injury from a pit bull dog bite. The avulsed tissue involved a substantial portion of the patient's mid‐face, including the entire soft tissue of the nose, upper lip, part of the left cheek, and left oral commissure. Artery‐only microvascular replantation was performed because no recipient vein could be identified from the facial defect. Medicinal leech therapy was used for eight days postoperatively to prevent venous congestion. The patient experienced significant blood loss due to leech therapy and required nearly 29 L of b...
Source: Microsurgery - November 1, 2017 Category: Surgery Authors: David Macias, Daniel I. Kwon, Paul C. Walker, Nathaniel R. Peterson Tags: CASE REPORT Source Type: research
Impact of diabetes on free flap surgery of the head and neck: A NSQIP analysis
ConclusionThis study examines the impact of diabetes on postoperative complications following free flap reconstruction of the head and neck. Propensity score matching was utilized. Analysis of the PSM cohort suggests that diabetic patients have elevated rates of postoperative pulmonary complications. Additionally, patients with insulin‐dependent diabetes have significantly elevated rates of medical and surgical complications. (Source: Microsurgery)
Source: Microsurgery - November 1, 2017 Category: Surgery Authors: Jacob S. Brady, Aparna Govindan, Meghan M. Crippen, Andrey Filimonov, Jean Anderson Eloy, Soly Baredes, Richard Chan Woo Park Tags: CLINICAL ARTICLE Source Type: research
Pedicled iliac crest bone flap transfer for the treatment of upper femoral shaft fracture nonunion: An anatomic study and clinical applications
ConclusionThe AB‐LCFA has a consistent orientation and abundant blood flow. The transfer of the iliac crest bone flap perfused by the AB‐LCFA while combined with external fixation could be an option for treating the nonunion of upper femoral shaft fractures. (Source: Microsurgery)
Source: Microsurgery - November 1, 2017 Category: Surgery Authors: Dewei Zhao, Meng Cao, Tienan Wang, Benjie Wang, Baoyi Liu, William C. Lineaweaver Tags: CLINICAL ARTICLE Source Type: research
Single stage functional reconstruction of both peroneal tendons and overlying skin with an anterolateral thigh flap and vascularized fascia lata: A case report
In this report, we present a case of single stage functional reconstruction of both peroneal tendons and overlying skin with an anterolateral thigh flap and vascularized fascia lata. A 55‐year‐old patient underwent wide excision of a synovial sarcoma in the distal lower leg, which resulted in a complex defect including the peroneus longus and brevis tendons (10 cm), and the overlying skin (14 × 8 cm). Functional reconstruction was achieved in a single stage with a composite anterolateral thigh flap with vascularized fascia lata of similar dimensions to those of the defect. The fascia lata component of the flap was...
Source: Microsurgery - November 1, 2017 Category: Surgery Authors: Efstathios G. Lykoudis, Ioannis Dalianoudis, Konstantinos Seretis, George E. Lykoudis, Marios G. Lykissas Tags: CASE REPORT Source Type: research
Optimizing venous outflow in reconstruction of Gustilo IIIB lower extremity traumas with soft tissue free flap coverage: Are two veins better than one?
ConclusionLower extremity trauma free flaps with two venous anastomoses demonstrated a fourfold reduction in complication rates compared to single‐vein flaps. Additionally, venous size mismatch >1 mm was an independent predictor of total flap failure, suggesting beneficial effects of both two‐vein outflow and matched vessel diameter. (Source: Microsurgery)
Source: Microsurgery - November 1, 2017 Category: Surgery Authors: John T. Stranix, Z ‐Hye Lee, Lavinia Anzai, Adam Jacoby, Tomer Avraham, Pierre B. Saadeh, Jamie P. Levine, Vishal D. Thanik Tags: CLINICAL ARTICLE Source Type: research
Evaluation of the single medial circummuscular perforator DIEP flap: Outcomes and comparison to traditional transmuscular single perforator flap
ConclusionBased on our findings, using a medial wraparound perforator is a safe and reliable option when compared with a single transmuscular perforator DIEP flap. Choosing the wraparound perforator may show benefit as it eliminates muscular dissection and nerve damage, and tends to minimize fascial incision length. (Source: Microsurgery)
Source: Microsurgery - November 1, 2017 Category: Surgery Authors: Jessica F. Rose, Dmitry Zavlin, Amanda E. Garrett, Vishwanath Chegireddy, Warren A. Ellsworth Tags: CLINICAL ARTICLE Source Type: research
Face allotransplantation for various types of facial disfigurements: A series of five cases
ConclusionsFace transplantation still involves challenges and many issues including compliance and psychological maturity of patients, the risk of opportunistic infections and malignancies still need to be resolved for it to be accepted as a safe procedure. Surgical rescue procedures considering ideal timing should be kept in mind strictly as one of the most important issues in case of unexpected events. (Source: Microsurgery)
Source: Microsurgery - November 1, 2017 Category: Surgery Authors: Ömer Özkan, Özlenen Özkan, Mehmetcan Ubur, Necmiye Hadimioğlu, Melike Cengiz, İsmail Afşar Tags: CLINICAL ARTICLE Source Type: research
Comparison of sub ‐ versus suprafascially raised anterolateral thigh free flaps with regard to donor‐site morbidity, function and aesthetics
ConclusionSub‐ or suprafascial harvest of the ALT free flap for extremity reconstruction does not impact donor‐site morbidity or complications. (Source: Microsurgery)
Source: Microsurgery - November 1, 2017 Category: Surgery Authors: Sebastian Fischer, Yannick Diehm, Christoph Hirche, Thomas Kremer, Adrien Daigeler, Ulrich Kneser, J. Frederick Hernekamp Tags: CLINICAL ARTICLE Source Type: research
U ‐stitches in microvascular anastomosis in an animal model
(Source: Microsurgery)
Source: Microsurgery - October 24, 2017 Category: Surgery Authors: Sara Di Lorenzo, Bartolo Corradino Tags: LETTER TO THE EDITOR Source Type: research
Issue Information
(Source: Microsurgery)
Source: Microsurgery - October 16, 2017 Category: Surgery Tags: Issue Information Source Type: research
Functional results of free tissue transfer for complex heel ‐calcaneal defects
Microsurgery, EarlyView. (Source: Microsurgery)
Source: Microsurgery - October 9, 2017 Category: Surgery Source Type: research
Limb ‐sparing sarcoma reconstruction with functional composite thigh flaps
Microsurgery, EarlyView. (Source: Microsurgery)
Source: Microsurgery - October 9, 2017 Category: Surgery Source Type: research
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Microsurgery, Ahead of Print. (Source: Microsurgery)
Source: Microsurgery - October 9, 2017 Category: Surgery Source Type: research
