Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...最新文献

{"title":"Correction: Garlic (Allium sativum)-Induced Chemical Burns-A Current Review of Treatment Techniques and a Case Report.","authors":"Alexander Hach, Yanic Jost, Helena Häuser, Jan Warszawski, Julian Ernst, Benjamin Ziegler, Christoph Hirche, Albrecht Heine-Geldern","doi":"10.1055/a-2939-8181","DOIUrl":"https://doi.org/10.1055/a-2939-8181","url":null,"abstract":"","PeriodicalId":520635,"journal":{"name":"Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...","volume":"58 4","pages":"e2"},"PeriodicalIF":0.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148805151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Extensive perineal reconstruction with chimeric latissimus dorsi flaps.","authors":"Alberto Franchi, Fulvio Antonino Nicolò","doi":"10.1055/a-2912-7510","DOIUrl":"https://doi.org/10.1055/a-2912-7510","url":null,"abstract":"","PeriodicalId":520635,"journal":{"name":"Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148650356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lipödem – eine verborgene Erkrankung mit einer Prävalenz von 0,95% – basierend auf 8,7 Millionen Versicherten.","authors":"Marie-Luise Aitzetmüller-Klietz, Laura Acar, Mahmut Öztürk, Maximilian Kückelhaus, Martial Mboulla Nzomo, Ursula Marschall, Matthias Aitzetmüller-Klietz, Tobias Hirsch","doi":"10.1055/a-2763-4919","DOIUrl":"10.1055/a-2763-4919","url":null,"abstract":"<p><strong>Background and objectives: </strong>Despite ongoing research, the prevalence of lipoedema still relies on estimates, with figures in the recent literature ranging from 1% to 10%. Large-scale epidemiological studies on lipoedema are lacking.</p><p><strong>Patients and methods: </strong>This retrospective observational study analysed health insurance claims data from the second-largest health insurance fund in Germany (8.7 million insured individuals), focusing on women with lipoedema stages I-III. Propensity score matching was performed to compare co-morbidities in lipoedema patients with those in the general patient population and in patients with grade III obesity.</p><p><strong>Results: </strong>Between 2017 and 2021, the documented prevalence of lipoedema increased by 123.5% (from 3.89 to 8.69 cases per 1,000 insured individuals). Stage II lipoedema was the most common, with a prevalence of 0.34% in 2021. Extrapolation of the data to the total population suggests approximately 338.200 affected women in Germany in 2021, corresponding to a prevalence of 0.95%.</p><p><strong>Conclusions: </strong>This study is the first to provide a robust nationwide extrapolation of lipoedema prevalence. The findings highlight the underutilisation of conservative treatment and the significant comorbidities present in the affected patient population.</p>","PeriodicalId":520635,"journal":{"name":"Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...","volume":" ","pages":"285-295"},"PeriodicalIF":0.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147446718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Brustimplantat assoziiertes ALCL: ab wann musste aufgeklärt werden?","authors":"Sixtus Allert, Thomas Kremer, Bernd Halbe, Uwe von Fritschen","doi":"10.1055/a-2860-5648","DOIUrl":"10.1055/a-2860-5648","url":null,"abstract":"<p><strong>Abstract: </strong>Currently, there is a growing number of lawsuits from patients, primarily those with Biocell breast implants, against the surgeons who performed the procedures. This is partly due to law firms actively seeking out affected individuals to pursue claims for damages based on allegedly inadequate disclosure of the risk of BIA-ALCL. The unsuccessful attempts to obtain financial compensation through product liability and proof of a defective medical device may also contribute to this trend. This raises the question of when a surgeon could reasonably be expected to disclose the associated risks.</p>","PeriodicalId":520635,"journal":{"name":"Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...","volume":" ","pages":"344-349"},"PeriodicalIF":0.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148059434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vom Auge zur Vene: Modifizierte Verwendung einer Spülkanüle bei venösen Koppler-Anastomosen.","authors":"Selim Atay, Dominik Steiner, Henrik Lauer, Sabrina Krauß, Ingmar Rieger, Jana Ritter, Johannes Heinzel, Adrien Daigeler, Johannes Tobias Thiel","doi":"10.1055/a-2846-0092","DOIUrl":"10.1055/a-2846-0092","url":null,"abstract":"","PeriodicalId":520635,"journal":{"name":"Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...","volume":" ","pages":"350-352"},"PeriodicalIF":0.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148153181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Foundations for the Successful Establishment of a Multidisciplinary Orthoplastic Surgery Team.","authors":"Elliot L H Le, Evan Haas, Marlie H Fisher, Jerry H Yang, David W Mathes, Matthew L Iorio, Mark A Greyson","doi":"10.1055/a-2867-5035","DOIUrl":"10.1055/a-2867-5035","url":null,"abstract":"<p><strong>Abstract: </strong>Orthoplastic surgery, a multidisciplinary approach to addressing complex, traumatic reconstruction, has grown significantly since its emergence over three decades ago. Its success in improving both functional and reconstructive outcomes has led to an increased demand for orthoplastic surgeons and the development of dedicated limb salvage programs at institutions around the world. This review outlines the development of a multidisciplinary orthoplastic surgery program at a Level 1 trauma center in the United States, which serves as a major tertiary referral hub for complex extremity trauma and reconstruction. Central to the success of this practice is collaboration between multiple surgical and medical subspecialists. Coordination of our program is enhanced through center-supported staff such as nurse navigators and practice managers. The goal of this review article is to highlight the foundations that our program is built on and provide a framework for other institutions to emulate when establishing an orthoplastic surgery program.</p>","PeriodicalId":520635,"journal":{"name":"Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...","volume":" ","pages":"296-303"},"PeriodicalIF":0.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13456942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148379492","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":"[Comparative Analysis of Conventional and Blended-Learning Teaching Techniques for a Skills Lab Course on Local Flaps].","authors":"Susanne Rein, Katharina Müller, Frank Siemers, Dietrich Stoevesandt","doi":"10.1055/a-2742-4125","DOIUrl":"10.1055/a-2742-4125","url":null,"abstract":"<p><strong>Purpose: </strong>A practical course on local flap surgery was developed for students who had completed the curricular suture course. During the COVID-19 pandemic, the course design was modified to control contact times through didactic adjustments. The aim of this study was to analyse the influence of the teaching method on the theoretical and practical skills of course participants, comparing conventional face-to-face instruction with blended-learning teaching techniques.</p><p><strong>Methods: </strong>The data were collected prospectively and anonymously between January 2022 and November 2024. In the conventional course [n=44], an introductory lecture was held in person at the beginning of the course to explain the anatomical and surgical principles of the four flap procedures before each flap surgery was demonstrated in an instructional video. The blended-learning group [n=57] received this lecture and the surgical videos online for self-study prior to the course. The students in both groups practiced each of the four techniques independently on an ex-vivo porcine back specimen under the supervision of two tutors. After the completion of all surgical exercises, each student's surgical performance was assessed both by the student and by the two tutors using the Stanford Microsurgery and Resident Training (SMaRT) scale after completing all surgical exercises.This was followed by a quiz featuring clinical cases, in which the surgical procedure was discussed within the group. Afterwards, the theoretical knowledge was assessed with ten multiple-choice (MC) questions. At the end of the course, all participants completed an evaluation form containing questions on prior knowledge, course structure, and learning outcomes.</p><p><strong>Results: </strong>No significant differences were observed between the two groups in terms of theoretical and practical knowledge, learning outcomes, the MC exam, the SMaRT questionnaire, and course organisation. The conventional teaching method group (29.9%) reported significantly more often that they did not have enough time to practice the flap techniques during the course compared with the blended-learning group (17.5%; p=0.023).</p><p><strong>Conclusion: </strong>Performing local flaps independently improves students' surgical skills for reconstruction of soft tissue defects. Thus, a skills lab is an appropriate learning institution for surgical skills. Both teaching methods lead to comparable theoretical and practical learning effects. Consequently, the blended-learning technique is recommended for a practical course, as it allows more time for surgical exercises.</p>","PeriodicalId":520635,"journal":{"name":"Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...","volume":" ","pages":"329-337"},"PeriodicalIF":0.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145961172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Flächige Injektion von Testosteronpräparaten als neue Ursache einer entstellenden histiozytären Fremdkörperreaktion mit dystrophem Kalk bei Bodybuildern.","authors":"Arian Gharoony, Bernarda Crnjak, Jacqueline Abel, Lukas Pindur, Peter Isfort, Florian Neubrech","doi":"10.1055/a-2739-3657","DOIUrl":"10.1055/a-2739-3657","url":null,"abstract":"","PeriodicalId":520635,"journal":{"name":"Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...","volume":" ","pages":"353-356"},"PeriodicalIF":0.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146000290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[A Consensus Statement of the German-Speaking Society for Reconstructive Microsurgery (GSRM): Closure of the DIEP/ms-TRAM Flap Donor-Site Defect].","authors":"Arlena Klinger, Andreas Arkudas, Alexander D Bach, Arash Momeni, Gabriel Djedovic, Christoph Hirche, Thomas Kremer, Ulrich Rieger, Stefan Winsauer, Robert Jonathan Musmann, Mazen Hagouan","doi":"10.1055/a-2781-1782","DOIUrl":"10.1055/a-2781-1782","url":null,"abstract":"<p><strong>Objectives: </strong>Harvesting DIEP or msTRAM flaps for autologous breast reconstruction may lead to complications such as hernia formation and abdominal bulging at the donor site. This consensus statement aims to identify and recommend strategies to minimize donor-site morbidity. During the consensus workshop at the 45th Annual Meeting of the German-speaking Society for Reconstructive Microsurgery (GSRM) in Aachen, the following key questions were addressed: Which dissection strategies minimize complications? When is prophylactic mesh placement indicated? What postoperative measures are advisable?</p><p><strong>Methods: </strong>An expert consensus was developed through a systematic literature review and in-depth discussion of current evidence among workshop participants.</p><p><strong>Results: </strong>The panel reached consensus on the following recommendations: Atraumatic dissection techniques should be used to reduce the risk of bulging. Selective mesh placement is recommended depending on the presence of a fascial defect. Postoperative activity restriction (avoidance of heavy lifting for 6 weeks) is advised for hernia prevention. The panel emphasized the importance of individualized treatment strategies and highlighted the need for further scientific investigation in this area.</p>","PeriodicalId":520635,"journal":{"name":"Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...","volume":" ","pages":"322-328"},"PeriodicalIF":0.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147680251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Large Language Models Artificial Intelligence in Plastic Surgery: Postoperative Documentation Using Large Language Models].","authors":"Sinan Mert, Felix H Vollbach, Constanze Kuhlmann, Wolfram Demmer, Nikolaus Wachtel, Nikolaus Thierfelder, Riccardo E Giunta, Benedikt Fuchs","doi":"10.1055/a-2721-9672","DOIUrl":"10.1055/a-2721-9672","url":null,"abstract":"<p><strong>Background: </strong>Language-based artificial intelligence (AI) models offer novel opportunities for optimising clinical workflows. One promising application lies in the automation of postoperative documentation in hand and plastic surgery - specifically, procedural coding and the formulation of postoperative care plans. This study aimed to evaluate the performance of AI models in generating postoperative documentation for hand surgery and plastic surgery procedures.</p><p><strong>Methods: </strong>Four standardised operative reports representing common plastic surgical interventions were submitted to ChatGPT o3. The model was prompted to generate procedural codes and to propose appropriate postoperative care recommendations. Coding output was evaluated for accuracy and completeness, while postoperative plans were assessed by three board-certified plastic surgeons using predefined criteria - correctness, completeness, and overall quality - on a 10-point Likert scale (1=very poor, 10=excellent). The time to task completion was recorded in seconds.</p><p><strong>Results: </strong>The AI model achieved a mean coding accuracy of 92.86±14.29% and a completeness score of 90.28±11.45%. Postoperative care recommendations received mean ratings of 7.33±2.10 for completeness, 8.66±0.98 for correctness, and 7.83±1.53 for overall quality. The mean time required for procedural coding was 143.75±46.61 seconds, while postoperative planning required 24.25±11.35.</p><p><strong>Conclusion: </strong>AI models demonstrate promising results in automating postoperative documentation within the field of hand and plastic surgery. Their high coding accuracy, clinically relevant recommendations, and rapid processing make them particularly effective for standardised procedures. Nevertheless, expert review remains essential.</p>","PeriodicalId":520635,"journal":{"name":"Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...","volume":" ","pages":"304-310"},"PeriodicalIF":0.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}