microcirugía

Teotia, S. S; Cho, M. J; Haddock, N.
Plastic and Reconstructive Surgery – Global Open: September 2018 – Volume 6 – Issue 9 – p e1837

portada - PRS Global Open - Vol. 6; No. 3 (2018)Over the years, the choice of recipient vessels for free flap autologous breast reconstruction has shifted from the thoracodorsal to the internal mammary vessels due to ease of flap inset and predictability of anatomy. However, thoracodorsal vessels are still great recipient vessels, and can be useful, especially in the previously failed or staged autologous breast reconstruction. In this study, we present our experience using thoracodorsal or serratus vessels for profunda artery perforator flaps.

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Abraham, J; Saint-Cyr, M.
Clinics in Plastic Surgery, 2017-04-01, Volúmen 44, Número 2, Páginas 385-402

portada - Clinics in Plastic Surgery - Vol. 44; No. 2 (2017)

Pedicle perforator flaps and keystone perforator island flaps are additional tools for reconstructive surgeons. Advances in understanding of vascular anatomy, the dynamic nature of perforator perfusion, inter-perforator flow and the hot-spot principle have led to reconstructive techniques that allow innovative autologous tissue transfer while limiting donor site morbidity. Further modifications of the pedicle perforator flap have led to a multitude of freestyle pedicle perforator flap options, as well as freestyle free flaps for soft tissue reconstruction. Modifications in the keystone perforator island flap have increased the degrees of freedom for soft tissue coverage of large defects, with reliable and aesthetically pleasing results.

 

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Izadpanah, A; Moran, S.
Clinics in Plastic Surgery, 2017-04-01, Volúmen 44, Número 2, Páginas 313-324

portada - Clinics in Plastic Surgery - Vol. 44; No. 2 (2017)As microsurgical expertise has improved, allowing for the safe transfer of smaller and more refined flaps, free tissue transfer has continued to gain popularity for the management of pediatric soft tissue and bony defects. For the past 2 decades pediatric microsurgery has been shown to be technically feasible and reliable. The major advantage of free tissue transfer in children is the ability to reconstruct defects in a single stage, avoiding the historic treatments of skin grafting, tissue expansion, and pedicled flaps. This article reviews the present state-of-the-art in pediatric microsurgery.

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Hua Tang, C.
Clinics in Plastic Surgery, 2017-04-01, Volúmen 44, Número 2, Páginas xix-xxv

portada - Clinics in Plastic Surgery - Vol. 44; No. 2 (2017)The Department of Orthopedics and Replantation Research Laboratory of the Sixth People’s Hospital of Shanghai was at the forefront of technical innovation and development of limb and digital replantation and early microsurgery in the mid-1960s, half a century ago. This was a period when the entirety of China was isolated from the rest of the world, with revolutionary movements spreading over the entire country. Almost unbelievably, the early development of microsurgery took place during this period, unknown to the rest of the world. As a member of the earliest research team in the replantation laboratory and a member of the surgical team in the department, the author recollects some little-known facts dating back half a century that led to now-familiar techniques in microsurgery.