Clinical Advances and Innovations in Reconstructive and Plastic Surgery

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Clinical Medicine, Cell, and Organism Physiology".

Deadline for manuscript submissions: 30 November 2025 | Viewed by 2227

Special Issue Editor


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Guest Editor
Discipline of Plastic Surgery, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania
Interests: plastic surgery; breast reconstruction; oncologic and trauma reconstruction; skin tumors; burn injuries; minimally invasive

Special Issue Information

Dear Colleagues,

This Special Issue, “Clinical Advances and Innovations in Reconstructive and Plastic Surgery”, aims to promote the dissemination of knowledge and the ongoing improvement of patient care through the sharing of innovative research and clinical practices in the field of reconstructive and plastic surgery. The journal serves as a comprehensive resource for practitioners, researchers, and scholars, providing an opportunity for the exchange of information about the advancement of plastic surgical practices.

This Special Issue covers a wide range of subjects in the field of reconstructive and plastic surgery. These include, but are not limited to, techniques and outcomes related to restoring form and function after trauma, congenital anomalies, and surgical removal; innovations in cosmetic procedures and minimally invasive techniques; progress in microsurgical procedures, such as tissue transplantation and complex reconstructions using microvascular techniques; research on the latest treatments for burn injuries, innovations in wound care, and scar management; updates on the management of hand injuries and conditions; and advancements in breast reconstruction and the integration of new technologies such as 3D printing, robotics, and virtual reality in surgical planning and execution.

Dr. Laura Răducu
Guest Editor

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Keywords

  • plastic surgery
  • breast reconstruction
  • robotics
  • microsurgery
  • burns injury

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Published Papers (2 papers)

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Research

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10 pages, 593 KiB  
Article
The Precision of Colour Doppler Ultrasonography Combined with Dynamic Infrared Thermography in Perforator Mapping for Deep Inferior Epigastric Perforator Flap Breast Reconstruction
by Alex Victor Orădan, Alexandru Valentin Georgescu, Andrei Nicolae Jolobai, Gina Iulia Pașca, Alma Andreea Corpodean, Teodora Paula Juncan, Alexandru Ilie-Ene and Maximilian Vlad Muntean
J. Pers. Med. 2024, 14(9), 969; https://doi.org/10.3390/jpm14090969 - 13 Sep 2024
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Abstract
Background: Perforator mapping is a mandatory tool for the preoperative planning of a microsurgical free flap, especially in breast reconstruction. Numerous methods for mapping have been described. In this study, we investigate the combined use of Dynamic Infrared Thermography (DIRT) and Colour [...] Read more.
Background: Perforator mapping is a mandatory tool for the preoperative planning of a microsurgical free flap, especially in breast reconstruction. Numerous methods for mapping have been described. In this study, we investigate the combined use of Dynamic Infrared Thermography (DIRT) and Colour Doppler Ultrasonography (CDUS) only to see whether it can eliminate the need for Computed Tomography Angiography (CTA). Methods: A prospective study was conducted on 33 patients with deep inferior epigastric perforator (DIEP) flaps for breast reconstruction. DIRT, followed by CDUS and CTA, was performed preoperatively and perforators were confirmed intraoperatively. Results: From 135 hot spots found on DIRT, 123 perforators were confirmed by CDUS (91.11%). A total of 86.66% of the perforator vessels detected on CTA have their correspondent on DIRT, while 95.12% have their correspondent on CDUS. No statistically significant difference (p > 0.05) was found comparing DIRT vs. CTA and CDU vs. CTA. The average DIRT time was 121.54 s and CDUS 232.09 s. The mean sensitivity for DIRT was 95.72% and 93.16% for CDUS. Conclusion: DIRT combined with CDUS can precisely and efficiently identify suitable perforators without the need for CTA in DIEP breast reconstruction. Full article
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Review

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12 pages, 788 KiB  
Review
Mastectomy Skin Flap Perfusion Assessment Prior to Breast Reconstruction: A Narrative Review
by Alex Victor Orădan, Alexandru Valentin Georgescu, Alexandru Ilie-Ene, Alma Andreea Corpodean, Teodora Paula Juncan and Maximilian Vlad Muntean
J. Pers. Med. 2024, 14(9), 946; https://doi.org/10.3390/jpm14090946 - 6 Sep 2024
Cited by 1 | Viewed by 1037
Abstract
Background: Predicting the viability of the skin flaps after mastectomy is of high importance and significance in immediate breast reconstruction. Numerous methods have been used and are readily available. This review aims to describe and compare the current preferred perfusion assessment tools. Methods: [...] Read more.
Background: Predicting the viability of the skin flaps after mastectomy is of high importance and significance in immediate breast reconstruction. Numerous methods have been used and are readily available. This review aims to describe and compare the current preferred perfusion assessment tools. Methods: Four major scientific databases—Web of Science, PubMed, Embase, and Scopus—were consulted to retrieve reviews, meta-analyses, clinical trials, experimental studies, and case reports focused on skin flap perfusion assessment following mastectomy. English-language articles published within the last 10 years were included. The most recent search was conducted on 31 July 2024. Results: A summary focused on the relevant information of all included studies was drafted, and the results of the studies have been synthetized and compared. A total of 58 studies have been included in this review. Conclusion: Indocyanine green angiography (ICG-A) is the preferred and most-used method of evaluating perfusion, especially in high-risk patients, while new technologies show promising results and might be of great interest in the future. Perfusion assessment tools complement and should not replace clinical evaluation. Full article
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