Clinical Progress in Microsurgical Reconstruction

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "General Surgery".

Deadline for manuscript submissions: 30 September 2024 | Viewed by 554

Special Issue Editor


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Guest Editor
Maxillofacial Surgery Operative Unit, Department of Mental Health and Sense Organs, Santa Maria Le Scotte, University Hospital of Siena, 53100 Siena, Italy
Interests: plastic and reconstructive surgery; microsurgery; facial plastic surgery; maxillofacial surgery; head and neck surgery
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Special Issue Information

Dear Colleagues, 

Microsurgery is a fundamental cornerstone of the armamentarium of a reconstructive surgeon, and often represents the only resource available to manage complex and challenging post-traumatic or post-oncological defects, morbid conditions such as lymphedema and reconstructive needs like genital gender-affirming surgery, which is essential for a patient’s self-perception and social life. 

Since the 2000s, new technological tools, such as microvascular anastomotic coupling devices, major improvements in magnification in the surgical field associated with fluorescence for assessing patency and microvascular perfusion, the spread of effective software for Virtual Surgical Planning (VSP) and the introduction of augmented reality, have brought new excitement regarding microsurgery and its future applications. 

This progress in the field of microsurgery provides the opportunity to greatly increase the final treatment outcomes for patients in a predictable manner, with significant reductions in morbidity, invasivity and recovery time, and improvements in functional and aesthetic results.

The aim of this Special Issue is to emphasize these improvements through the publication of papers addressing the above topics with solid scientific evidence. Basic research papers, clinical papers and reviews focused on clinical progresses in microsurgical reconstruction are all highly encouraged for submission.

Dr. Olindo Massarelli
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

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Keywords

  • microsurgery
  • supermicrosurgery
  • microvascular anastomosis
  • head and neck reconstruction
  • oro-maxillofacial re-construction
  • plastic and reconstructive surgery
  • limb reconstruction
  • breast reconstruction
  • genital reconstruction
  • lymphedema
  • lymph nodes transfer
  • facial reanimation

Published Papers (1 paper)

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Research

15 pages, 967 KiB  
Article
The Impact of Technical Innovations and Donor-Site Mesh Repair on Autologous Abdominal-Based Breast Reconstruction—A Retrospective Analysis
by Theresa Promny, Paula Huberth, Wibke Müller-Seubert, Dominik Promny, Aijia Cai, Raymund E. Horch and Andreas Arkudas
J. Clin. Med. 2024, 13(8), 2165; https://doi.org/10.3390/jcm13082165 - 09 Apr 2024
Viewed by 401
Abstract
Background: The aim of this study was to examine the potential benefit that may be achieved through the introduction of technical innovations and the incorporation of mesh for fascial donor site closure in uni- and bilateral autologous breast reconstruction with abdominal tissue. [...] Read more.
Background: The aim of this study was to examine the potential benefit that may be achieved through the introduction of technical innovations and the incorporation of mesh for fascial donor site closure in uni- and bilateral autologous breast reconstruction with abdominal tissue. Methods: A retrospective single-center review of all breast reconstructions with a DIEP or MS-TRAM flap between January 2004 and December 2019 was performed. Donor and recipient site complications and operation times were evaluated before and after the implementation of coupler anastomoses, preoperative computed tomography angiography (CTA), indocyanine green (ICG) angiography, and the inclusion of mesh in donor site repair. Results: A total of 396 patients were included, accounting for 447 flaps. Operation time was significantly shorter in unilateral reconstructions after the implementation of CTA (p < 0.0001). ICG angiography significantly reduced the rates of partial flap loss (p = 0.02) and wound healing disorders (p = 0.02). For unilateral reconstructions, abdominal bulging or hernia was observed more often in MS1-TRAM flaps without synthetic mesh repair (p = 0.001), whereas conservatively treated seroma developed more frequently after mesh implantation (p = 0.03). Conclusions: Recent technological advancements developed over the past few decades have made a substantial impact on decreasing surgical duration and enhancing procedure safety. Full article
(This article belongs to the Special Issue Clinical Progress in Microsurgical Reconstruction)
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