Article
Surgery
Z-Hye Lee, David A. Daar, Jason W. Yu, Christodoulos Kaoutzanis, Pierre B. Saadeh, Vishal Thanik, Jamie P. Levine
Summary: This article provides a comprehensive update on the various management aspects of traumatic lower extremity microvascular reconstruction based on the latest evidence, with an examination of recent publications.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2023)
Article
Surgery
Joon Pio Hong, Changsik John Park, Hyunsuk Peter Suh
Summary: Successful lower extremity reconstruction using free flaps requires identifying a suitable recipient vessel and understanding the environment of the defect. Factors to consider include the status of axial arteries, preserving flow, extent and severity of the defect, and determining the ideal type of anastomosis. Ultimately, the decision should be made during surgery based on the exposed artery or vein showing good pulsation and flow.
JOURNAL OF RECONSTRUCTIVE MICROSURGERY
(2021)
Review
Surgery
Keisuke Shimbo, Haruka Kawamoto, Isao Koshima
Summary: This study aimed to assess the differences in outcomes between deep and superficial vein anastomosis for lower-extremity free flap reconstruction. The results showed that the rate of vascular thrombosis was significantly lower for deep vein anastomosis compared to superficial vein anastomosis. Therefore, deep vein anastomosis might be recommended to avoid vascular thrombosis.
Review
Surgery
David Chi, Shreya Raman, Kenan Tawaklna, William Y. Zhu, Alexandra M. Keane, Jordan G. Bruce, Rajiv Parikh, Thomas H. Tung
Summary: This article reviews the underlying principles, application, patient selection, and surgical techniques of free functional muscle transfer for lower extremity reconstruction. The functional recovery and clinical outcomes are discussed, and the need for further investigation is emphasized.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2023)
Article
Dermatology
Jeehyun Moon, Kyeong-Tae Lee, Jin-Woo Park
Summary: This report presents a successful case of lower leg reconstruction using a retrograde recipient vein for free flap. This method can be considered as an alternative option when an antegrade vein is not available or has risks of venous insufficiency.
INTERNATIONAL JOURNAL OF LOWER EXTREMITY WOUNDS
(2023)
Article
Surgery
Dong Yeon Kim, Yesol Kim, Suk-Ho Moon
Summary: Utilizing a Fogarty catheter and vein graft in patients with severely calcified vessels can achieve perfect hemostasis during micro-anastomosis, leading to successful microvascular reconstruction.
Article
Surgery
Hyunsuk P. Suh, Daniel J. Kedar, Yeon Hoon Lee, Pil Hyung Lee, Seung-Whan Lee, Joon Pio Hong
Summary: This study examined the outcomes of reconstruction of ischemic diabetic foot according to the severity of vessel occlusion and found that using recanalized vessels after percutaneous transluminal angioplasty (PTA) can be safe and improve flap survival for partially occluded arteries.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2023)
Article
Biology
Anouk A. M. A. Lindelauf, Joep A. F. van Rooij, Loes Hartveld, Rene R. W. J. van der Hulst, Patrick W. Weerwind, Rutger M. Schols
Summary: This pilot study investigates the physiological effect of postoperative dangling in lower limb free flap transfer using tissue oximetry. The results showed that tissue oxygen saturation decreased significantly during dangling and improved during the recovery period. Patients with a history of smoking had lower tissue oxygen saturation compared to non-smokers.
Article
Surgery
Frankie K. Wong, Joani M. Christensen, Mara Z. Meulendijks, David Iskhakov, Leah Ahn, Seth Fruge, Curtis L. Cetrulo Jr, Lydia A. Helliwell, Jonathan M. Winograd, Ian L. Valerio, Kyle R. Eberlin
Summary: Most patients who undergo lower extremity free tissue transfer require secondary surgery for definitive wound closure and/or refinement. The presence of diabetes and the use of latissimus dorsi donor are predictors for wound closure procedures, while fasciocutaneous and myocutaneous flaps predict refinement procedures.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2023)
Article
Surgery
Manas Nigam, Elizabeth G. Zolper, Banafsheh Sharif-Askary, Salma A. Abdou, Karina Charipova, Jenna C. Bekeny, Kenneth L. Fan, John S. Steinberg, Christopher E. Attinger, Karen K. Evans
Summary: In a study of 200 lower extremity salvage free tissue transfers, the authors found a high prevalence of comorbidities such as diabetes and peripheral vascular disease. However, with standardized protocols and a multidisciplinary approach, successful limb salvage can be achieved in highly comorbid patients.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2022)
Article
Surgery
Seong-Ho Jeong, Sik Namgoong, Eun-Sang Dhong, Seung-Kyu Han
Summary: This study reviewed cases of free anterolateral thigh perforator (ALTP) flap reconstruction in lower extremities, even in the presence of deep vein thrombosis (DVT) in the donor or recipient veins. The authors propose an algorithmic approach to manage DVT, which helps surgeons overcome vein insufficiency for pedicle anastomosis and prevent postoperative thromboembolic complications.
FRONTIERS IN SURGERY
(2022)
Review
Emergency Medicine
Matthew R. Zeiderman, Lee L. Q. Pu
Summary: This review outlines the principles of reconstruction of complex lower extremity traumatic wounds, emphasizing appropriate evaluation and patient selection, as well as the importance of reconstruction planning and choice. Different reconstructive and wound care methods are discussed, with an emphasis on the role of a multidisciplinary team.
Article
Surgery
Romina Deldar, Areeg A. Abu El Hawa, Nisha Gupta, Brian N. Truong, John D. Bovill, Kenneth L. Fan, Karen K. Evans
Summary: A retrospective study compared surgical outcomes in patients undergoing lower extremity free flap reconstruction who were admitted to the floor postoperatively versus the ICU. The study found that there was a similar microsurgical success rate between the two groups, but patients admitted to the floor had significantly shorter postoperative length of stay.
Article
Surgery
Hamad M. Ammar, Jina Kim, Kyeong-Tae Lee
Summary: This report describes our experience with the intraoperative use of indocyanine green angiography (ICGA) for selecting recipient vessels in lower extremity free flap reconstruction cases. The results suggest that ICGA may be a valuable diagnostic tool for evaluating the quality of candidate recipient vessels in cases where their functionality cannot be guaranteed with conventional imaging modalities.
Article
Surgery
F. K. Wong, S. Fruge, M. Z. Meulendijks, J. M. Christensen, D. Iskhakov, L. Ahn, I. L. Valerio, K. R. Eberlin
Summary: This study aimed to identify the etiology and outcome of secondary amputation after lower extremity free-flap reconstruction. The most common etiology for secondary amputation was infection and most patients were able to ambulate with a prosthetic, but the majority reported chronic pain.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2023)
Letter
Surgery
Arif Tri Prasetyo, Lisa Y. Hasibuan, Kevin Leonard Suryadinata
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)
Article
Surgery
Peter J. Nicksic, D'Andrea T. Donnelly, Weifeng Zeng, Allison J. Seitz, Samuel O. Poore, Aaron J. Suminski, Aaron M. Dingle
Summary: The study demonstrates that trigeminal nerve stimulation (TNS) or peripheral nerve stimulation (PNS) can improve functional outcomes of peripheral nerve injury in rats. This finding is important in translating the therapy as a non-invasive treatment for high, mixed nerve injuries in humans.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)
Article
Surgery
K. Can Bayezid, Suat Morkuzu, Erdem Karabulut, Adam Bajus, Libor Streit
Summary: This study compared the spontaneity outcomes of the most preferred neurotization methods in facial reanimation surgery. The results showed that dual innervation and contralateral facial nerve-driven strategies achieved the most promising outcomes, while motor nerve to the masseter had lower potential to elicit spontaneous smile.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)
Letter
Surgery
Hinpetch Daungsupawong, Viroj Wiwanitkit
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)
Article
Surgery
Zidi Yu, Ziwei Zhang, Xiancheng Wang, Dandan Song, Quanding Yan, Yang Sun, Xiang Xiong, Xianxi Meng, Wenbo Li, Zhongjie Yi
Summary: Pathological psychologies such as anxiety, depression, and body dysmorphic disorder (BDD) are common in female patients scheduled to undergo rhinoplasty. BDD is more likely to be associated with depression. Rhinoplasty has little psychological impact on patients, but female patients with BDD are more likely to be dissatisfied with the surgery.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)
Article
Surgery
Lei Wang, Qian Zhu, Yuanyuan Zhang, Yulin Miao, Huan Liu, Fengli Gao
Summary: This comparative observational study found that microscopic varicocoelectomy had higher sperm motility and showed significant improvements in certain postoperative parameters compared to laparoscopic varicocoelectomy. Neither group experienced testicular atrophy.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)
Article
Surgery
Mohamed Dalmar, Mohamed El Sheikh, Richard Baker, Rajan Uppal
Summary: This study analyzed complications following cosmetic surgeries managed by plastic surgery services at Heatherwood and Wexham Park hospitals in 2022, including procedures performed internationally. The majority of complications were related to breast cosmetic surgery and abdominoplasties, with the most common complications being wound dehiscence, post-operative infection, and seromas. Turkey was the most popular country selected for surgery, and there is a need to increase public awareness of the risks involved in seeking international options and how to choose suitable clinics.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)
Editorial Material
Surgery
Rohun Gupta, Lawson E. Spence, Peter K. Firouzbakht, Brian A. Mailey
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)
Article
Surgery
Alexandre Mendonca Munhoz, Ary de Azevedo Marques Neto, Joao Maximiliano, Murillo Fraga
Summary: This study investigated the outcomes of silicone implants in breast augmentation and found that ergonomic style implants can achieve favorable results with lower complication rates.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)
Article
Surgery
Lee H. Kilmer, Allan A. Weidman, Brent R. Degeorge, John T. Stranix, Chris A. Campbell
Summary: The study aims to compare the oncologic, medical, and surgical outcomes of lumpectomy and oncoplastic breast reduction surgery (OBRS) on a national scale. A database was used to analyze patient data and match them based on various factors. The results showed that lumpectomy patients had higher rates of repeat lumpectomy or subsequent mastectomy, while OBRS patients had higher rates of surgical complications but fewer medical complications. Logistic regression analysis revealed that OBRS was associated with a decreased likelihood of repeat lumpectomy. Although OBRS was associated with increased wound complications, medical complications were found to occur less frequently.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)
Review
Surgery
M. Guiotto, C. M. Oranges, M. Cherubino, M. Maruccia, P. Tedeschi, D. F. Kalbermatten, W. Raffoul, P. G. di Summa
Summary: This study evaluated different surgical approaches for neoumbilicoplasty and correlated them with specific surgical needs. The results showed that direct suture, single flap, and multiple flap techniques can achieve overall satisfactory cosmetic outcomes with a low rate of surgical complications. Different surgical techniques are suitable for different patient populations and surgical scenarios.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)
Review
Surgery
Samuel Knoedler, Giuseppe Sofo, Barbara Kern, Konstantin Frank, Sebastian Cotofana, Sarah von Isenburg, Soren Konneker, Francesco Mazzarone, Amir H. Dorafshar, Leonard Knoedler, Michael Alfertshofer
Summary: This study compared real patient feedback with ChatGPT-generated reviews for the top five US plastic surgery procedures. It found that analyzing the emotional tone and review length can help differentiate real from fake reviews, and ChatGPT-generated reviews can convincingly deceive commercial AI detection software.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)
Article
Surgery
Gerlya Asirova, Jan Wynands, Sergey Frolov, Diana Almeida, Pavel Davydenko, Salem Madina
Summary: By assessing the development and growth of costal cartilage, the optimal age for ear reconstruction surgery in the Russian population was determined to be 10 years and older.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)
Letter
Surgery
S. Curran, E. Heffernan, S. Connolly, K. Levins, K. Cronin, R. Dolan
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)
Article
Surgery
Soo Min Cha, Ashwin Pai, Hyun Jong Lee, Hyun Dae Shin
Summary: In this retrospective case series, we found that non-vascularized iliac bone graft longer than 3 cm had satisfactory clinical outcomes in the treatment of non-union of the upper extremities.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2024)