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Lymphovenous Bypass for Immediate Lymphatic Reconstruction in Breast Cancer Patients Undergoing Axillary Lymph Node Dissection: Minimizing the Risk of Upper Extremity Lymphedema
Conclusion This study showed an incidence of 7.7% lymphedema development throughout the duration of study. We also showed that ILR has the potential to reduce the significant long-term adverse outcomes of lymphedema and improve QOL for patients undergoing cALND [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - April 24, 2024 Category: Surgery Authors: M édor, Maria C. Churchill, Isabella F. Pereira, Diego Roberts, Amanda Cordeiro, Erin Findlay-Shirras, Lisa Zhang, Jing Momtazi, Moein Tags: Original Article Source Type: research

Social Determinants of Health and Patient-reported Outcomes Following Autologous Breast Reconstruction, Using Insurance as a Proxy
Conclusion Patients with government-issued insurance had lower success rates of autologous breast reconstruction. Further, patients with Medicare had lower PWBC than patients with commercial insurance regardless of other factors, while other BREAST-Q metrics did not differ. Further investigation as to the causes of such variation is warranted in larger, more diverse cohorts. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - April 12, 2024 Category: Surgery Authors: Plotsker, Ethan L. Graziano, Francis D. Kim, Minji Boe, Lillian A. Tadros, Audree B. Matros, Evan Azoury, Said C. Nelson, Jonas A. Tags: Original Article Source Type: research

Anatomical and Technical Considerations in Fascicular Nerve Transfers for Foot Drop
Conclusion Based on an understanding of why past nerve techniques have failed to correct foot drop, a set of surgical principles can be codified to optimize functional outcomes. A surgical technique should be versatile enough to address foot drop from any of the three common pathways of injury (lumbar spine, sciatic nerve, and common peroneal nerve). With increasing familiarity using this once poorly understood anatomical region, limitations with past nerve transfer techniques may be overcome. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table o...
Source: Journal of Reconstructive Microsurgery - April 11, 2024 Category: Surgery Authors: Seruya, Mitchel Tags: Invited Review Source Type: research

The Use of Unlisted Billing Codes for Microsurgical Breast Reconstruction and Implications for Code Consolidation
Conclusion Coding practices for microsurgical breast reconstruction lacked uniformity in Massachusetts, and payments differed greatly between S2068 and CPT19364. Patients from more affluent towns were more likely to have S-code claims. Coding consolidation could impact access, as the majority of providers in Massachusetts might need to adapt their practices if the S-code were discontinued. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - March 28, 2024 Category: Surgery Authors: Yang, Alan Z. Hyland, Colby J. Carty, Matthew J. Erdmann-Sager, Jessica Pusic, Andrea L. Broyles, Justin M. Tags: Original Article Source Type: research

The Impact of Marijuana Use on Postoperative Outcomes in Abdominal-based Free Flap Breast Reconstruction
Conclusion Marijuana use increases the risks of postoperative VTE and increased postoperative narcotic requirements in patients who underwent abdominal-based free flap breast reconstruction. Future prospective cohort study is required to further understand marijuana-associated risks in microsurgical procedures. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - March 28, 2024 Category: Surgery Authors: Lu, Yi-Hsueh Mahajan, Lakshmi Rudy, Hayeem Yan, Yufan Ricci, Joseph A. Tags: Original Article Source Type: research

When a Good Flap Turns Bad: A Temporal Predictive Model for Free Flap Complications
Conclusion Prior occurrence of complications in an earlier postoperative week, as well as timing and nature of reoperation, were shown to be significant predictors of future complications. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - March 28, 2024 Category: Surgery Authors: Kim, Dylan K. Aschen, Seth Z. Rohde, Christine H. Tags: Original Article Source Type: research

Techniques and Outcomes in Microsurgical Treatment of Posttraumatic Lymphedema: A Systematic Review
Conclusion PTL is currently underrepresented in lymphedema treatment literature, however, our results show that microsurgical techniques are successful in treating lymphedema in PTL patients. Increasing awareness of PTL and establishing standardized diagnostic criteria and treatment options will help clinicians better understand how to diagnose and treat this condition. Prospective and comparative studies are needed to determine true prevalence of PTL and optimal treatment strategies. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of content...
Source: Journal of Reconstructive Microsurgery - March 28, 2024 Category: Surgery Authors: Dahl, Victoria A. Tadisina, Kashyap K. Hale, Eva Fullerton, Natalia Mella-Catinchi, Juan Xu, Kyle Y. Tags: Original Article Source Type: research

Mapping the Anatomy of the Human Lymphatic System
Conclusion Through a collaborative effort, we have developed a unified and centralized source for lymphatic anatomy knowledge available to the entire scientific community. We believe this resource will ultimately advance our knowledge of human lymphatic anatomy while simultaneously highlighting gaps for future research. Advancements in lymphatic anatomy knowledge will be critical for lymphatic surgeons to further refine surgical indications and operative approaches. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstract�...
Source: Journal of Reconstructive Microsurgery - March 28, 2024 Category: Surgery Authors: Bustos, Valeria P. Wang, Robin Pardo, Jaime Boppana, Avinash Weber, Griffin Itkin, Max Singhal, Dhruv Tags: Original Article Source Type: research

Corrigendum: The Histologic Effect of Barrier Vein Wrapping of Peripheral Nerves
J Reconstr Microsurg DOI: 10.1055/s-0044-1782514 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - March 28, 2024 Category: Surgery Authors: Ruch, David S. Spinner, Robert J. Koman, L. Andrew Challa, Venkata R. O'Farrell, Dermot Levin, L. Scott Tags: Corrigendum Source Type: research

Economic Cost-Benefit Analysis of Nerve Implanted into Muscle versus Targeted Muscle Reinnervation versus Regenerative Peripheral Nerve Interface, for Treatment of the Painful Neuroma
Conclusion Evaluation of costs and utilities associated with the various surgical options for the management of painful neuromas suggest that nerve implantation into muscle is the least expensive option with the best improvement in QALY, while demonstrating comparable outcomes to TMR and RPNI with regard to pain symptoms. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - March 26, 2024 Category: Surgery Authors: Zamore, Zachary Yesantharao, Pooja S. Aravind, Pathik Dellon, A. Lee Tags: Original Article Source Type: research

Outpatient Prescription Opioid Use following Discharge after Deep Inferior Epigastric Perforator Breast Reconstruction with and without an Educational Intervention
Conclusion For patients discharging home after DIEP reconstruction, we recommend a prescription for 12 oxycodone 5 mg tablets. With the use of an educational video regarding proper opioid consumption, we were able to reduce the total outpatient opioid use to 5 oxycodone 5 mg tablets following hospital discharge. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - March 26, 2024 Category: Surgery Authors: Marquez, Jessica L. Chow, Josh Moss, Whitney Luo, Jessica Eddington, Devin Agarwal, Jayant P. Kwok, Alvin C. Tags: Original Article Source Type: research

The Continued Impact of Godina's Principles: Outcomes of Flap Coverage as a Function of Time After Definitive Fixation of Open Lower Extremity Fractures
Conclusion Early soft tissue reconstruction of open lower extremity fractures performed within 7 days of ORIF reduces complication rates and reduces the variability of complication rates including SSIs, acute osteomyelitis, and hardware failure. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - March 26, 2024 Category: Surgery Authors: Le, Elliot L. H. McNamara, Colin T. Constantine, Ryan S. Greyson, Mark A. Iorio, Matthew L. Tags: Original Article Source Type: research

Both Patients and Plastic Surgeons Prefer Artificial Intelligence –Generated Microsurgical Information
Conclusion AI-generated patient-facing materials were preferred by surgeons in terms of comprehensiveness and clarity when blindly compared with online material provided by ASRM. Studied AI-generated material was not found to contain inaccuracies. Additionally, surgeons and nonmedical individuals consistently indicated an overall preference for AI-generated material. A readability analysis suggested that both materials sourced from ChatGPT and ASRM surpassed recommended reading levels across six readability scores. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thi...
Source: Journal of Reconstructive Microsurgery - March 26, 2024 Category: Surgery Authors: Berry, Charlotte E. Fazilat, Alexander Z. Lavin, Christopher Lintel, Hendrik Cole, Naomi Stingl, Cybil S. Valencia, Caleb Morgan, Annah G. Momeni, Arash Wan, Derrick C. Tags: Original Article Source Type: research

Postparetic Synkinesis: Objective and Subjective Comparisons of Depressor Anguli Oris Myectomies versus Depressor Anguli Oris and Buccinator Myectomies
Conclusion The addition of a buccinator myectomy to a DAO myectomy does not provide significant clinical benefit when compared with an isolated DAO myectomy, based on objective measures and subjective patient-reported outcomes. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Journal of Reconstructive Microsurgery)
Source: Journal of Reconstructive Microsurgery - March 18, 2024 Category: Surgery Authors: Sanchez, Cristina V. Ercan, Alp Rozen, Shai M. Tags: Original Article Source Type: research

Delayed Commissuroplasty Increases Interincisal Distance in Buccogingival Cancer Patients Treated with Free Flap Reconstruction of the Oral Commissure
Conclusion Delayed commissuroplasty increased interincisal distance and normalize drooling in patients who required full-thickness excision of the buccal mucosa and oral commissure and free tissue reconstruction. The presented data can help to educate patients on expected postoperative outcomes and likely advocates for a second-stage procedure after completion of adjunct radiotherapy to achieve optimal commissural placement and oral competence. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstract | Full text (Sou...
Source: Journal of Reconstructive Microsurgery - March 18, 2024 Category: Surgery Authors: Hung, Shao Yu Hanba, Curtis Chang, Tommy Nai-Jen Chen, Yan-Lin Lu, Johnny Chuieng-Yi Tags: Original Article Source Type: research