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12 Results Found

  • Article
  • Open Access
3 Citations
1,654 Views
10 Pages

Von Willebrand Factor Antigen, Biomarkers of Inflammation, and Microvascular Flap Thrombosis in Reconstructive Surgery

  • Rihards Peteris Rocans,
  • Janis Zarins,
  • Evita Bine,
  • Insana Mahauri,
  • Renars Deksnis,
  • Margarita Citovica,
  • Simona Donina,
  • Indulis Vanags,
  • Sabine Gravelsina and
  • Anda Vilmane
  • + 2 authors

12 September 2024

Background: Microvascular flap surgery has become a routine option for defect correction. The role of von Willebrand factor antigen (VWF:Ag) in the pathophysiology of flap complications is not fully understood. We aim to investigate the predictive va...

  • Article
  • Open Access
10 Citations
3,232 Views
9 Pages

3 September 2019

Background and Objective: Thrombosis due to inherited hypercoagulability is an issue that has been raised in microvascular flap surgery previously. We analyzed the association of a single nucleotide polymorphism (SNP) in rs2066865 in the fibrinogen g...

  • Article
  • Open Access
831 Views
12 Pages

Early Postoperative Increase in Transforming Growth Factor Beta-1 Predicts Microvascular Flap Loss in Reconstructive Surgery: A Prospective Cohort Study

  • Rihards Peteris Rocans,
  • Janis Zarins,
  • Evita Bine,
  • Insana Mahauri,
  • Renars Deksnis,
  • Margarita Citovica,
  • Simona Donina,
  • Sabine Gravelsina,
  • Anda Vilmane and
  • Santa Rasa-Dzelzkaleja
  • + 2 authors

Background and Objectives: Microvascular flap surgery is a widely used reconstructive technique for the repair of various defects. Biomarkers have become an essential tool for monitoring flap viability, early detection of complications, and predictio...

  • Review
  • Open Access
1 Citations
3,134 Views
15 Pages

Novel Challenges and Opportunities for Anesthesia and Perioperative Care in Microvascular Flap Surgery: A Narrative Review

  • Aleksi Matias Ojuva,
  • Rihards Peteris Rocans,
  • Janis Zarins,
  • Evita Bine,
  • Insana Mahauri,
  • Simona Donina,
  • Biruta Mamaja and
  • Indulis Vanags

18 October 2024

Complex microvascular techniques and in-depth knowledge of blood rheology and microanastomosis function are required for success in microvascular flap surgery. Substantial progress has been achieved in preventing complications, but the rate of flap l...

  • Study Protocol
  • Open Access
2 Citations
2,454 Views
11 Pages

Enhancing Anticoagulation Monitoring and Therapy in Patients Undergoing Microvascular Reconstruction in Maxillofacial Surgery: A Prospective Observational Trial

  • Tom A. Schröder,
  • Henry Leonhardt,
  • Dominik Haim,
  • Christian Bräuer,
  • Kiriaki K. Papadopoulos,
  • Oliver Vicent,
  • Andreas Güldner,
  • Martin Mirus,
  • Jürgen Schmidt and
  • Hanns C. Held
  • + 7 authors

27 July 2022

Background: In reconstructive surgery, loss of a microvascular free flap due to perfusion disorders, especially thrombosis, is a serious complication. In recent years, viscoelastic testing (VET) has become increasingly important in point-of-care (POC...

  • Systematic Review
  • Open Access
2 Citations
3,079 Views
15 Pages

The Use of Fibrinolytic Agents in the Salvage of Free Flaps: A Systematic Review

  • Patrick Mandal,
  • Maximilian Moshammer,
  • Andrzej Hecker,
  • Christian Smolle,
  • Martina Carnieletto,
  • Marcel Mayrhofer,
  • Michael Schintler,
  • Raimund Winter and
  • Lars Peter Kamolz

29 July 2024

Background: Microvascular thrombosis following free tissue transfer presents a complex challenge for surgeons and carries the potential risk of flap failure. The application of fibrinolytic agents represents a robust therapeutic option. The aim of th...

  • Article
  • Open Access
20 Citations
3,728 Views
12 Pages

16 March 2022

Background: Vascular patency is the key element for high flap survival rates. The purpose of this study was to assess and compare the blood flow characteristics of deep inferior epigastric perforator (DIEP) and muscle-sparing transverse rectus abdomi...

  • Article
  • Open Access
2 Citations
1,629 Views
9 Pages

Hands-On Robotic Microsurgery: Robotic-Assisted Free Flap Reconstruction of the Upper Extremity

  • Felix Struebing,
  • Amir Khosrow Bigdeli,
  • Arne Boecker,
  • Jonathan Weigel,
  • Ulrich Kneser and
  • Emre Gazyakan

6 December 2024

Background/Objectives: Robot-assisted microsurgery (RAMS) has been introduced into the field of plastic surgery in recent years. It potentially offers enhanced precision and control compared to traditional methods, which is crucial for complex microv...

  • Article
  • Open Access
32 Citations
410 Views
9 Pages

Microvascular Free Tissue Transfer in the Reconstruction of Scalp and Lateral Temporal Bone Defects

  • Daniel A. O'Connell,
  • Marita S. Teng,
  • Eduardo Mendez and
  • Neal D. Futran

Defects of the scalp and lateral temporal bone (LTB) represent a unique challenge to the reconstructive surgeon. Simple reconstructive methods such as skin grafts, locoregional flaps, or tissue expanders are often not feasible due to a myriad of reas...

  • Review
  • Open Access
2 Citations
4,420 Views
15 Pages

Use of Thromboelastography and Rotational Thromboelastometry in Otolaryngology: A Narrative Review

  • Mathew K. Marsee,
  • Faisal S. Shariff,
  • Grant Wiarda,
  • Patrick J. Watson,
  • Ali H. Sualeh,
  • Toby J. Brenner,
  • Max L. McCoy,
  • Hamid D. Al-Fadhl,
  • Alexander J. Jones and
  • Patrick K. Davis
  • + 2 authors

20 February 2022

In the field of otolaryngology—head and neck surgery (ENT), coagulopathies present unique diagnostic and therapeutic challenges. In both hyper- and hypocoagulable patients, management of coagulopathies requires intricate attention to the nature...

  • Article
  • Open Access
10 Citations
2,466 Views
12 Pages

Risk Factors for Flap Loss: Analysis of Donor and Recipient Vessel Morphology in Patients Undergoing Microvascular Head and Neck Reconstructions

  • Johannes G. Schuderer,
  • Huong T. Dinh,
  • Steffen Spoerl,
  • Jürgen Taxis,
  • Mathias Fiedler,
  • Josef M. Gottsauner,
  • Michael Maurer,
  • Torsten E. Reichert,
  • Johannes K. Meier and
  • Florian Weber
  • + 1 author

10 August 2023

In microvascular head and neck reconstruction, various factors such as diabetes, alcohol consumption, and preoperative radiation hold a risk for flap loss. The primary objective of this study was to examine the vessel morphology of both recipient and...

  • Systematic Review
  • Open Access
7 Citations
2,837 Views
12 Pages

22 January 2025

Background: Postoperative bed rest is considered essential after free flap reconstruction of the lower limb to ensure microsurgical success, but prolonged inactivity can lead to physical deconditioning and psychosocial challenges, even in otherwise h...