Plastic and Reconstructive Surgery Global Open最新文献

{"title":"Reconstruction of Facial Soft Tissue Defects in Dark Skin: A Cross-sectional Study.","authors":"Albra Kamal, Momen Mohamed, Amin Yassin, Hozifa Mohamed, Mohamed Dirar","doi":"10.1097/GOX.0000000000007696","DOIUrl":"https://doi.org/10.1097/GOX.0000000000007696","url":null,"abstract":"<p><strong>Background: </strong>The face acts as a portal for individuals to connect with their surroundings and communicate with others, thus necessitating the preservation of its structural integrity. Facial distortions can arise from numerous causes, predominantly trauma. This article focuses on facial deformities acquired due to various etiologies and the reconstruction techniques utilized while also reflecting on the current landscape of facial surgery in Africa.</p><p><strong>Methods: </strong>This research provides a descriptive retrospective analysis of a multicenter, hospital-based study that focused on the evaluation and reconstruction of acquired facial soft tissue defects in Sudan. The study encompassed patients with facial defects caused by trauma and skin pathology who subsequently received reconstructive surgery.</p><p><strong>Results: </strong>In a study involving 85 patients, the number of women slightly surpassed that of men, accounting for 51.7% and 41.8%, respectively. The cheek was the most affected area, with 29.4%, followed by the eyelid and lip, each 21.2%. A significant 87.5% of the tumors were classified as malignant nonmelanoma skin cancers, specifically basal cell carcinoma and squamous cell carcinoma. The most frequently used flaps included the nasolabial flap (9.4%). Infection was the most common early complication, occurring in 11.7% of cases.</p><p><strong>Conclusions: </strong>Surgical procedures are crucial despite the susceptibility of colored skin to various complications. Operations performed on dark skin are considered safe. When a primary repair is achievable, it is a superior surgical technique, provided that it achieves a satisfactory result. Other techniques can resurface defects, but carry a high risk of complications.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"14 5","pages":"e7696"},"PeriodicalIF":1.8,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148743/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147840337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Utility of Computed Tomography Angiography and Color Doppler Ultrasound in Lower Extremity Reconstruction.","authors":"Vanesa Lovětínská, Andrej Sukop, Matěj Patzelt, Jozef Kučerák, Michal Kamenisty","doi":"10.1097/GOX.0000000000007564","DOIUrl":"https://doi.org/10.1097/GOX.0000000000007564","url":null,"abstract":"<p><strong>Background: </strong>Lower limb reconstruction remains a significant challenge, often requiring free flap transfers. However, the goal is not only flap survival and limb salvage but ultimately restoration of independent ambulation. Therefore, this study aimed to identify risk factors associated with adverse functional outcomes in lower extremity reconstruction despite initial microsurgical success.</p><p><strong>Methods: </strong>A retrospective review of all free flaps performed for lower extremity reconstructions in our unit between 2006 and 2022 was undertaken. Apart from demographic details, data collection focused on long-term results regarding weight bearing, ambulatory status, and secondary amputation and overall function using the lower extremity functional scale (LEFS). Multivariate regression analysis was used to identify risk factors for adverse functional outcomes.</p><p><strong>Results: </strong>A total of 466 consecutive patients undergoing 516 free flap procedures were included. The mean follow-up was 46 months. In most cases, preoperative ambulatory status was restored postoperatively, resulting in 86.4% achieving unassisted ambulation (12.9% assisted, 0.5% wheelchair). Evaluation of 251 LEFS scores (average follow-up 7.8 y) showed a mean value of 55.4 points. Overall, 3.77% of patients underwent secondary amputation. The most significant risk factors associated with secondary amputation were flap failure and postoperative infections, whereas lower LEFS scores significantly correlated with secondary amputation and obesity.</p><p><strong>Conclusions: </strong>Lower extremity reconstruction remains a challenging endeavor for reconstructive surgeons, where flap survival should not be regarded as the endpoint. Functional restoration and independent ambulation should constitute the main goals, and patient-specific factors should be considered in an individualized approach.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"14 5","pages":"e7564"},"PeriodicalIF":1.8,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147841275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reducing Cartilage Warp in Nasal Reconstruction: The Role of Collagen and Proteoglycans.","authors":"Saba Rafieian, Cari M Whyne, Margarete K Akens, Wilfred W Lam, Jeffrey A Fialkov","doi":"10.1097/GOX.0000000000007731","DOIUrl":"https://doi.org/10.1097/GOX.0000000000007731","url":null,"abstract":"<p><strong>Background: </strong>Costal cartilage is commonly used in nasal reconstruction due to its strength and biocompatibility; however, warping of carved struts remains a challenge. Although proteoglycans (PGs) are known to generate internal swelling pressures contributing to warping, the role of collagen fiber orientation in modulating these stresses and the spatial interplay between PGs and collagen across costal cartilage remains poorly understood. This study compared regional variations in collagen alignment and PG distribution from 2 anatomical sites: one that when transversely cut demonstrates no warping, and one that has higher tendency to warp.</p><p><strong>Methods: </strong>Human costal cartilage samples were collected from the sixth/seventh rib costal bridge (autograft) and long rib (allograft). Collagen fiber orientation was assessed using diffusion tensor imaging/tractography and polarized light microscopy. Matrix composition was evaluated via histology. Fractional anisotropy and mean diffusivity maps were used to correlate structural and compositional patterns.</p><p><strong>Results: </strong>In the costal bridge and long rib cartilage, collagen fibers were predominantly aligned anterior-posterior in the mid and deep zones, with a tangential circumferential alignment near the surface. PG content was concentrated in the mid and deep zones and depleted superficially.</p><p><strong>Conclusions: </strong>These results suggest that cartilage warping arises from internal stress imbalances linked to regional variations in PGs and collagen. The elucidated microstructural geometry of struts sliced transversely from the costal bridge preserves matrix architecture and the circumferential tension band, preventing warping due to unresisted PG expansion. In contrast, disruption of the collagen fibers and unbalanced PG distribution in long cylindrical ribs leaves nonperfectly concentric carved struts, prone to deformation.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"14 5","pages":"e7731"},"PeriodicalIF":1.8,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147840335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Radiographic Indications for Orbital Blowout Fracture Reconstruction: A Critical Review of 2 Decades of Literature.","authors":"Ahmed M Hashem, James MacKenzie, Alexander Flores, Kylie Nikolli, Joshua Rayham, Bassem Chamma, Francis Papay","doi":"10.1097/GOX.0000000000007687","DOIUrl":"https://doi.org/10.1097/GOX.0000000000007687","url":null,"abstract":"<p><strong>Background: </strong>Clinical criteria (eg, persistent diplopia, enophthalmos) are clear indications for surgery in orbital blowout fractures (OB-OFs). A variety of additional radiographic indications are often described (eg, fracture size, orbital volume changes, inferior rectus muscle [IRM] rounding and displacement) but their significance varies across studies. This systematic review aimed to evaluate the reliability of these radiographic criteria.</p><p><strong>Methods: </strong>Following Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines, a PubMed search (2000-2024) was conducted to assess studies analyzing radiographic indications for surgery in OB-OFs. We included only studies where surgery was based exclusively on clinical grounds with radiographic correlation established retrospectively, or cohorts followed up conservatively until the development of symptoms. Identified studies were assessed for aim, design, methods, bias, radiographic criteria, surgery, and study outcomes.</p><p><strong>Results: </strong>Out of 683 articles, only 6 were eligible. Fracture size was found to be weakly predictive of symptoms or the need for surgery, with variable cutoff values (≥42%, >2.3 cm², >3 cm²). Orbital volume changes showed conflicting results. Herniated volume demonstrated contradictory outcomes with variable cutoff values (>0.531, 1.3-2.2, or >2.2 cm³). IRM rounding was either weakly predictive or strongly associated with symptoms. IRM displacement, however, was found to be consistently predictive of symptomatic fractures.</p><p><strong>Conclusions: </strong>Clinical criteria remain the most reliable indications for OB-OF reconstruction. Caudal IRM displacement was consistently predictive of symptomatic fractures. Until a consensus is reached on a consistent methodology to calculate volume and fracture area, the reported cutoff values may be insufficient to guide treatment independently.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"14 5","pages":"e7687"},"PeriodicalIF":1.8,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147841692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Versatile Application of the Medial Femoral Condyle Free Flap: A 10-year Experience.","authors":"Francesca Pucci, Pennylouise Hever, Jonathan Charnock, Maria Chicco, Onur Berber, Georgios Pafitanis, Dariush Nikkhah","doi":"10.1097/GOX.0000000000007695","DOIUrl":"https://doi.org/10.1097/GOX.0000000000007695","url":null,"abstract":"<p><strong>Background: </strong>Management of osseous nonunion presents a significant challenge to reconstructive surgeons. Conventional treatment options include rigid internal fixation with nonvascularised bone graft, local pedicled vascularized bone flap, and microvascular free bone flaps. The medial femoral condyle free flap (MFC-FF) is versatile, with reliable blood supply, good pedicle length, and ability to be harvested in various compositions. It has been well described in the literature for scaphoid reconstruction following recalcitrant proximal pole nonunion. Its application in other areas of the body has not been so well reported.</p><p><strong>Methods: </strong>Data were retrospectively collected using the hospital clinical applications system for all patients undergoing MFC-FF under the senior authors between 2014 and 2024. Preoperative, intraoperative, and postoperative data were collected.</p><p><strong>Results: </strong>Ten cases are included (7 upper limb, 2 lower limb, and 1 head and neck). Indications included recalcitrant osseous avascular nonunion, infected nonunion, and cortical bone defect secondary to trauma/other pathology. Patient ages ranged from 17 to 61 years. Mean time from injury to surgery was 54 months. Postoperative follow-up ranged from 2 to 54 months (average 6 mo). All patients demonstrated improvement in pain, restoration of function, and evidence of osseous union on x-ray. No donor site complications were reported.</p><p><strong>Conclusions: </strong>We demonstrate the MFC-FF to be a versatile flap that can successfully reconstruct a variety of osteochondral defects across the body, in an otherwise challenging cohort. We report good functional outcomes and a high rate of union, with limited donor site morbidity. It is a reliable flap, with a short learning curve for successful flap raise.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"14 5","pages":"e7695"},"PeriodicalIF":1.8,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147841295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Bidirectional, Capability-building Illustrative Model for International Surgical Exchange.","authors":"Thomas J Sorenson, Narin Ratanaprasert, Joseph Connors, Andrew C Prince, Michael S Chow, Montian Nearnlop, Cheerasook Chongkolwatana, Adam Jacobson, Jamie P Levine","doi":"10.1097/GOX.0000000000007720","DOIUrl":"https://doi.org/10.1097/GOX.0000000000007720","url":null,"abstract":"","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"14 5","pages":"e7720"},"PeriodicalIF":1.8,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147841653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Faculty Recruitment and Retention in Academic Plastic Surgery.","authors":"Abdulaziz Elemosho, Amy M Moore, Jeffrey E Janis","doi":"10.1097/GOX.0000000000007681","DOIUrl":"https://doi.org/10.1097/GOX.0000000000007681","url":null,"abstract":"<p><strong>Background: </strong>Academic plastic surgery continues to face challenges in recruiting and retaining faculty. Although prior studies have reported rising faculty attrition, updated national data in academic plastic surgery reflecting recent workforce and institutional changes are lacking.</p><p><strong>Methods: </strong>A 29-item electronic survey was distributed in March to April of 2025 to chairs and chiefs of Accreditation Council for Graduate Medical Education-accredited plastic surgery programs. The survey assessed trends during the past decade in faculty hiring, resignation, compensation, mentorship, benefits, and retention strategies.</p><p><strong>Results: </strong>Thirty-five programs (43.8% response rate) were included. Faculty recruitment was concentrated at the assistant professor level, with an average of 1.7, 4.3, and 6.5 faculty added during the past 1, 5, and 10 years, respectively. Concurrently, faculty losses averaged 0.4, 2.2, and 3.0, with turnover rates of 4.2%, 29.1%, and 38.9% during the past 1, 5, and 10 years, respectively. Retention rates declined over time, from 95.8% at 1 year to 61.1% at 10 years, with only 8.6% of programs having a formal retention committee. Family considerations (54.3%) and inadequate compensation (34.3%) were the most cited reasons for faculty departure. Reported retention strategies included competitive compensation packages (80.0%), professional development initiatives (74.3%), mentorship programs (65.7%), and work-life balance accommodations (45.7%), awards and recognition (37.1%), and flexible scheduling (28.6%).</p><p><strong>Conclusions: </strong>Despite continued faculty growth, long-term retention remains a significant challenge in academic plastic surgery. Compensation alone does not seem sufficient to ensure faculty longevity. Broader institutional strategies, including formal retention committee creation, are needed to sustain faculty engagement and ensure workforce stability in the decade ahead.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"14 5","pages":"e7681"},"PeriodicalIF":1.8,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143501/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147841674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of a 3-dimensional Cleft Palate Model as an Aid in Learning Palatoplasty Technique.","authors":"Carlos E Ruiz, Diana C Martínez, Laura A Poveda, Oswaldo J Gómez","doi":"10.1097/GOX.0000000000007664","DOIUrl":"https://doi.org/10.1097/GOX.0000000000007664","url":null,"abstract":"<p><strong>Background: </strong>Cleft lip and palate, the most common craniofacial malformation, has a significant physical and psychological impact on affected individuals and their families. Early surgical correction provides an almost complete solution in most cases, allowing for normal speech development. However, palatoplasty remains a demanding surgical procedure with limited teaching opportunities due to the lack of animal or cadaveric models. A 3D model of a Veau II cleft palate can serve as an effective and affordable tool for improving surgical skills and confidence in performing palatoplasty using the modified Furlow technique.</p><p><strong>Methods: </strong>This study presents a series of 6 cases testing a 3D model of a Veau II cleft palate, developed by members of the Plastic Surgery Department at the National University of Colombia.</p><p><strong>Results: </strong>A significant improvement in palatoplasty performance using the modified Furlow technique was observed in all participants. Additionally, participants reported an increase in self-confidence when performing the procedure.</p><p><strong>Conclusions: </strong>The 3D cleft palate model presented is shown to be an affordable and fully functional option for training in the surgical technique of palatoplasty. The findings indicate that the simulator is a useful learning tool for surgical education in cleft palate repair.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"14 5","pages":"e7664"},"PeriodicalIF":1.8,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147841683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Direct Neurotization Feasibility With Intercostal Nerve in Autologous Breast Reconstruction: A Cadaveric Study.","authors":"Mohamad Rachadian Ramadan, Risal Djohan, Kristaninta Bangun, Fitri Octaviana, Nurjati Chairani Siregar, Farida Briani Sobri, Khanza Isdiharana Keusuma, Ayu Putri Balqis Sarena, Diana Ashilah Rifai, Sonar Soni Panigoro","doi":"10.1097/GOX.0000000000007710","DOIUrl":"https://doi.org/10.1097/GOX.0000000000007710","url":null,"abstract":"<p><strong>Background: </strong>Restoring breast sensation has the potential to improve a patient's quality of life after breast reconstruction. With recent advances in breast neurotization, sensory restoration has become possible. This study aimed to map the lateral cutaneous branch (LCB) of the fourth intercostal nerve (ICN) and assess the feasibility of direct neurotization in autologous breast reconstruction.</p><p><strong>Methods: </strong>Bilateral chest dissections were performed in 10 cadavers. The LCB of the fourth ICN was identified along the lateral sternal border, the midclavicular line, and the anterior axillary line. The total potential length of the donor ICNs was measured, and the cross-sectional areas (CSAs) of the combined nerve grafts were compared with the CSA of the LCB using the Wilcoxon signed-rank test.</p><p><strong>Results: </strong>All LCB of the fourth ICN were identified. Median distances were 14.90 (13.50-16.75) cm from the lateral sternal border, 7.75 (6.25-10.00) cm from the midclavicular line, 0.25 (0.00-1.38) cm from the anterior axillary line, and 12.50 (12.00-13.00) cm from the clavicle. The median potential graft length was 43.75 (40.50-48.38) cm. Median CSAs of ICN 3-4 and 4-5 were 1.42 (1.42-1.91) and 1.57 (1.31-1.69) mm², compared with 1.22 (1.13-2.54) mm² for the LCB. No significant differences were found (<i>P</i> = 0.58 and <i>P</i> = 0.55, respectively).</p><p><strong>Conclusions: </strong>Direct neurotization using the ICNs is anatomically feasible for autologous breast reconstruction and represents a practical alternative when nerve allografts are unavailable.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"14 5","pages":"e7710"},"PeriodicalIF":1.8,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147841694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introducing the VasoChip: A Modular Training Tool for Objective Assessment of Microsurgical Skills.","authors":"Daehee Jeong, Lucas Rohrer, Esther Ochoa, Yingxiang Liang, Adam Boukind, Saif Badran, Justin M Sacks, Xiaowei Li","doi":"10.1097/GOX.0000000000007718","DOIUrl":"https://doi.org/10.1097/GOX.0000000000007718","url":null,"abstract":"<p><p>The widespread utility of microsurgery has spurred its rapid global development. With the emergence of supermicrosurgery on structures as small as 0.1 mm in diameter, the already high skill ceiling of the practice continues to increase. This is especially relevant for new surgical trainees, who benefit from early practice of microsurgery-specific fine motor and visuospatial skills. To this end, surgical training programs have designed specialized microsurgical curricula. These programs use diverse tools to practice microvascular anastomoses, including live animal models, chicken thighs, synthetic tubes, and augmented reality. Despite the plethora of available models, each has inherent limitations. For example, artificial models lack functional circulatory systems, whereas augmented reality remains computationally limited. A shared shortcoming among all models is the absence of a quantitative assessment of anastomotic quality. To address this limitation, our group designed the VasoChip, which uses a modular network of motors, tubing, and reservoirs to transport fluid through an interchangeable anastomotic element. This device can simulate a wide range of physiological conditions, including hydrostatic pressures and pulse rates. Notably, the VasoChip provides objective measures of anastomotic quality by quantifying the amount of leakage. In a cohort of resident and attending physicians, the VasoChip identified experience-dependent differences in anastomotic leakage across multiple physiological conditions.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"14 5","pages":"e7718"},"PeriodicalIF":1.8,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147841686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}