- Reconstructive Surgery and Microvascular Techniques
- Reconstructive Facial Surgery Techniques
- Lymphatic System and Diseases
- Surgical site infection prevention
- Trauma Management and Diagnosis
- Sarcoma Diagnosis and Treatment
- Vascular Malformations and Hemangiomas
- Bone fractures and treatments
- Tracheal and airway disorders
- Breast Implant and Reconstruction
- Body Contouring and Surgery
- Nerve Injury and Rehabilitation
- Cancer Diagnosis and Treatment
- Diagnosis and Treatment of Venous Diseases
- Breast Cancer Treatment Studies
- Orthopedic Surgery and Rehabilitation
- Wound Healing and Treatments
- Vascular Procedures and Complications
- Bone Tumor Diagnosis and Treatments
- Genital Health and Disease
- Urological Disorders and Treatments
- Head and Neck Cancer Studies
- Lymphatic Disorders and Treatments
- Sympathectomy and Hyperhidrosis Treatments
- Pressure Ulcer Prevention and Management
Luzerner Kantonsspital
2018-2025
University of Lucerne
2020-2025
Kantonsspital Winterthur
2022-2023
Swisscom (Switzerland)
2022
The University of Western Australia
2022
Heidelberg University
2021
University Hospital Heidelberg
2021
University Hospital of Zurich
2016-2019
Chang Gung University
2014-2019
Kaohsiung Chang Gung Memorial Hospital
2014-2019
Background: Defects in the weight-bearing region of foot sole can represent a substantial restriction quality life and pose challenge for reconstructive plastic surgery. The purpose this article is to report authors’ experience with use medial plantar artery perforator flap reconstruction defects three different regions: heel, middle sole, forefoot. Methods: From January 2003 May 2016, 28 patients (13 male 15 female patients) an average age 54 years (range, 12 84 years) underwent flaps....
The use of intraoperative indocyanine green (ICG) angiography has been well documented for confirmation arterial perfusion in transferred free flaps. However, no previous report yet focused on whether ICG can be used to detect congestion present investigates the feasibility detecting flap intraoperatively through illustrative cases.From September 2019 2020, 65 consecutive female patients who underwent breast reconstructions using a deep inferior epigastric perforator (DIEP) were enrolled...
Abstract Background Head and neck tissue defects after ablative surgery often require complex composite reconstructions. The superficial circumflex iliac artery perforator (SCIP) flap is an extremely versatile perforator‐based with minimal donor site morbidity, which may represent the optimal procedure in this setting. Over last 5 years, we collected a large base of experience, including both simple chimeric SCIP‐based reconstruction, making our first choice for head Patients Methods...
Introduction Up to one-fifth of breast cancer survivors will develop chronic cancer-related lymphoedema (BCRL). To date, complex physical decongestion therapy (CDT) is the gold standard treatment. However, it mainly symptomatic and often ineffective in preventing BCRL progression. Lymphovenous anastomosis (LVA) vascularised lymph node transfer (VLNT) are microsurgical techniques that aim restore lymphatic drainage. This international randomised trial aims evaluate advantages interventions...
Background: The authors present the posteromedial thigh flap as an alternative source for head and neck reconstruction, perforator patterns vascular anatomy of this were further investigated. Methods: From March to August 2014, 23 patients underwent reconstruction with flaps. numbers, locations, types perforators measured. surgical technique results after evaluated. Results: Most located 8 10 cm away from pubic crease on reference line between perineum insertion semitendinosus muscle....
Background: The purpose of this study was to compare the clinical outcomes and donor-site morbidity between suprafascial subfascial harvesting anterolateral thigh flaps. Methods: Sixty-one patients who underwent free flap reconstruction (30 31 flaps) were included in study. assessed subjective satisfaction with overall functional result using a self-reported questionnaire. characteristics (i.e., perforator number, size, harvest time) success rate, partial necrosis, infection, hematoma,...
Abstract Background Pedicled island flaps, including pedicled propeller flaps and transposition are widely used especially for coverage of soft tissue defects in the extremities trunk. However, due to its mobility limitations, inset can be challenging at times, when rotation or pressure is applied pedicle. The aim this report evaluate feasibility intraoperative indocyanine green (ICG) angiography detection prediction postoperative flap congestion flaps. Patients Methods From June 2018...
Abstract Background Sarcoma surgery often requires large tissue resection to be treated safely. When the tumor is localized in groin and/or medial thigh, lymphocele and lymphedema are common complications because of rich lymphatic network present there. The aim this study share outcome seven patients who received defect reconstruction area with combined pedicled superficial circumflex artery perforator (SCIP) flap preservation lymphovenous anastomosis (LVA) for prevention complications....
The vertical posteromedial thigh (vPMT) perforator flap is a new reliable with versatility. purpose of this article was to report our experience the use free vPMT for reconstruction breast.From May 2015 December 2015, seven patients received immediate unilateral breast flaps. flaps were raised based on first medial profunda femoris artery (PFA). internal mammary and vein dissected as recipient vessels.The sizes varied from 25 × 9 cm 30 10 cm. average weight mastectomy specimen 431 g (range:...
Head and neck tissue defects after ablative head surgery often require complex composite reconstructions. The superficial circumflex iliac artery perforator (SCIP) flap is an extremely versatile perforator-based with minimal donor-site morbidity. authors present their experience both simple chimeric SCIP reconstructions for in various regions.Twenty-two patients undergoing oncologic abnormalities were treated by means of a reconstruction. Patients' mean age was 62 years; 21 men one woman....
Background: Understanding the precise anatomy in experimental animals is crucial for correct design of research projects. Rats are commonly used scientific plastic surgery because their availability academic institutions, moderate cost, and sizable vessels microsurgical procedures. In past publications about rat anatomy, lymphatic mapping has been limited incomplete. The aim this study was to comprehensively map superficial system rat. Methods: Twenty-seven Sprague-Dawley rats were study....
Background The proximal peroneal artery perforator (PPAP) flap is a reliable, thin fasciocutaneous flap. purpose of this article was to report our experience with the use free PPAP flaps for reconstruction defects distal hand and foot. Patients Methods From November 2012 September 2013, 9 patients received 10 flaps. defect locations included big toe (2 cases), metatarsophalangeal joint (5 dorsal finger cases) volar (1 case). Flaps were raised based on vessels without sacrificing artery....
We intend to establish a complexity score for soft tissue tumor surgeries compare the complexities of different and ultimately assign affected patients appropriate treatments.We developed (STS-SCS) based on three pillars: in addition patient-related factors, biology surgery-associated parameters were taken into account. The STS-SCS was applied our sampling group 711 patients.The minimum 4, maximum 34 average 11.4 ± 5.9. scores with malignant diagnoses notably higher more widely scattered...
Fournier's gangrene can lead to extensive defects of the perineoscrotal area with exposure testes. Such defect poses challenging tasks for both functional and cosmetic reconstruction. Due its proximity, medial thigh skin appeared be most versatile donor site In this report, we present a case reconstruction large because using posteromedial (PMT) perforator propeller flap. A 58 year‐old male who suffered from resulted in scrotal 10 × 12 cm 2 dead space. pedicled PMT flap measuring 9 23 two...
None of the existing treatments in management painful end-neuromas superficial branch radial nerve (SBRN) has been proven superior due to high levels pain relapse. Fat grafts enriched with stromal vascular fraction (SVF) could act as a mechanic barrier biological effects decreasing resorption rate and boosting graft's regenerative potential. This study describes novel surgical treatment technique SVF-enriched fat grafting.In this clinical study, five consecutive patients treated for SBRN...
The superior thyroid artery (STA) is the most commonly used recipient vessel in free tissue transfer for head and neck reconstruction. Size discrepancy between donor vessels might affect patency rate. objective of this study was to compare outcomes "open-Y" technique end-to-end anastomoses STA arteries those conventional STA.A total 337 patients with reconstruction as were recruited September 2011 August 2013. anastomosis 72 cases, whereas applied 256 cases. arterial anastomotic site-related...
The posterior medial thigh is mainly vascularized by the profunda femoris artery (PFA), which nourishes adductor magnus muscle and overlying skin, to supply a number of perforators that can potentially be used as pedicles for local perforator flaps. Here we present two cases utilizing pedicled posteromedial flap (PMT) reconstruct groin defects. Two patients underwent resection metastatic malignant melanoma resulting in large defects with exposure major inguinal vessels; dimensions skin were...
The posteromedial thigh (PMT) perforator flap is a new reliable with versatility. purpose of this article was to report our experience the use free PMT flaps for reconstruction defects lower extremity.From July 2014 May 2015, 8 patients received flaps. defect locations included heel (1 case), dorsal foot (2 cases), plantar lateral malleolus Achilles tendon and tibia cases). Flaps were raised based on first medial profunda femoris artery (PFA) (7 cases) circumflex femoral (LCFA) case)....