Handchirurgie Mikrochirurgie Plastische Chirurgie最新文献

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On occasion of the "ESPRAS - A day in Sarajevo" meeting at the 13th BAFPRAS Congress. 第 13 届 BAFPRAS 大会期间举行的 "ESPRAS - 萨拉热窝的一天 "会议。
IF 0.4 4区 医学
Handchirurgie Mikrochirurgie Plastische Chirurgie Pub Date : 2024-11-18 DOI: 10.1055/a-2457-6885
Riccardo E Giunta
{"title":"On occasion of the \"ESPRAS - A day in Sarajevo\" meeting at the 13th BAFPRAS Congress.","authors":"Riccardo E Giunta","doi":"10.1055/a-2457-6885","DOIUrl":"10.1055/a-2457-6885","url":null,"abstract":"","PeriodicalId":55075,"journal":{"name":"Handchirurgie Mikrochirurgie Plastische Chirurgie","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Is networking in international societies dispensable in Plastic Surgery? Clear vote in favour of ESPRAS and ICOPLAST at the 54th Annual Conference of the DGPRÄC in Düsseldorf]. [在整形外科领域,国际学会的网络联系是否可有可无?在杜塞尔多夫举行的第 54 届 DGPRÄC 年会上,ESPRAS 和 ICOPLAST 获得了明确的赞成票]。
IF 0.4 4区 医学
Handchirurgie Mikrochirurgie Plastische Chirurgie Pub Date : 2024-11-18 DOI: 10.1055/a-2418-4345
Riccardo E Giunta
{"title":"[Is networking in international societies dispensable in Plastic Surgery? Clear vote in favour of ESPRAS and ICOPLAST at the 54th Annual Conference of the DGPRÄC in Düsseldorf].","authors":"Riccardo E Giunta","doi":"10.1055/a-2418-4345","DOIUrl":"10.1055/a-2418-4345","url":null,"abstract":"","PeriodicalId":55075,"journal":{"name":"Handchirurgie Mikrochirurgie Plastische Chirurgie","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Postoperative Pain Level Following Surgery of the Hand and Wrist in the Ambulatory Setting]. [门诊环境下手部和腕部手术后的疼痛程度]。
IF 0.4 4区 医学
Handchirurgie Mikrochirurgie Plastische Chirurgie Pub Date : 2024-11-13 DOI: 10.1055/a-2436-9471
Steffen Löw, Öznur Dervis, Sebastian Kiesel, Holger C Erne, Christian Karl Spies, Frank Unglaub
{"title":"[Postoperative Pain Level Following Surgery of the Hand and Wrist in the Ambulatory Setting].","authors":"Steffen Löw, Öznur Dervis, Sebastian Kiesel, Holger C Erne, Christian Karl Spies, Frank Unglaub","doi":"10.1055/a-2436-9471","DOIUrl":"https://doi.org/10.1055/a-2436-9471","url":null,"abstract":"<p><strong>Background: </strong>Surgical procedures of the hand are increasingly performed in an ambulatory setting. Postoperative analgesia is based empirically on the painfulness of individual surgical procedures without these having been examined systematically.</p><p><strong>Patients and methods: </strong>The painfulness (visual analogue scale) of 722 surgical procedures of the hand and wrist (1 July 2021 to 30 June 2023) was assessed until day 5. Analgesia was conducted empirically in accordance with WHO principles. The primary endpoint was the pain sensation on the first postoperative day in bone and joint procedures compared with soft tissue or endoscopic procedures as well as hardware removals. Secondary endpoints were pain sensation in correlation with gender, age, duration of the procedure and preoperative analgesia.</p><p><strong>Results: </strong>Bone and joint procedures were associated with significantly (p<0.001) more pain (5.42±2.8) compared with other procedures (3.47±2.6). Female (p=0.001) and younger patients (R>0.2) as well as longer procedure duration (R>0.2) showed a weak association with higher postoperative pain, whereas preoperative consumption of opioids was moderately associated with higher opioid intake (R=0.34). Overall, pain decreased continuously from the evening of the procedure (4.4±2.8) until day 5 (3.7±2.7; 2.8±2.4; 2.1±2.1; 1.6±1.9; 1.3±1.7) CONCLUSION: This data provides a scientific basis for pain medication supply following surgical procedures of the hand and wrist in an ambulatory setting. A broad range of pain perception must be considered, even in seemingly minor surgical procedures.</p>","PeriodicalId":55075,"journal":{"name":"Handchirurgie Mikrochirurgie Plastische Chirurgie","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Palmar Displacement in Distal Radius Fractures following Extension Injuries of the Wrist]. [腕关节伸展损伤后桡骨远端骨折的掌侧移位]。
IF 0.4 4区 医学
Handchirurgie Mikrochirurgie Plastische Chirurgie Pub Date : 2024-10-21 DOI: 10.1055/a-2411-9237
Christopher Selle, David Latz, Denis Friesen, Michael Schädel-Höpfner
{"title":"[Palmar Displacement in Distal Radius Fractures following Extension Injuries of the Wrist].","authors":"Christopher Selle, David Latz, Denis Friesen, Michael Schädel-Höpfner","doi":"10.1055/a-2411-9237","DOIUrl":"https://doi.org/10.1055/a-2411-9237","url":null,"abstract":"<p><strong>Background: </strong>Fractures of the distal radius have been traditionally classified based on the suspected mechanism of injury. Among clinicians, the terms \"Colles\" and \"Smith\" fractures are commonly used to refer to a distal radius fracture that is either displaced to the dorsal (Colles) or palmar (Smith) side of the radius. When analysing x-rays, it is not uncommon for a Smith fracture to be detected in cases where patients describe a fall on the wrist in an extended position. Thus, the question arises how a flexion-type fracture can occur after an extension injury. So far, only little research has been conducted into this subject.</p><p><strong>Material and methods: </strong>The aim of this study was to analyse the mechanisms of injury that lead to various types of distal radius fractures. Particular emphasis was placed on \"Smith\" fractures and on the biomechanical, physiological and anatomical characteristics that contribute to their occurrence. To assess these relationships, data of fractures were collected following a life-like fracture simulation using a \"drop-bench\" in non-formalin fixated human specimens. These fractures were produced between January 2016 and December 2021. Biographic data of all specimens used were available. Additionally, all biomechanical and physical characteristics of the fracture simulation were fully documented.</p><p><strong>Results: </strong>Of the 122 specimens with a full data set, 17 (13.9%) fractures were determined to be Smith fractures based on their radiological appearance. In 10 of these flexion fractures, the wrist was set in dorsal extension. The mean angle of extension was 86.3 degrees for flexion fractures compared to 90.5 degrees for extension fractures. Six out of 10 Smith-type fractures that were set in dorsal extension were also exposed to pronation, whereas only one was exposed to supination. The mean potential energy for fracture creation was 168.0 joules for Smith fractures in dorsal extension, whereas all other fractures showed a mean of 185.2 joules.</p><p><strong>Conclusions: </strong>It can be concluded that a Smith fracture is not limited to being the result of a fall on the wrist in a flexed position. The same fracture may also be the result of a fall with the wrist in an extended position if certain physical factors are applicable.</p>","PeriodicalId":55075,"journal":{"name":"Handchirurgie Mikrochirurgie Plastische Chirurgie","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Dorsal Screw Osteosynthesis of a Scaphoid Nonunion associated with Congenital Scaphotrapezial and Lunotriquetral Coalitions: A Case Report]. [与先天性肩胛骨和月骨联合相关的肩胛骨骨不连的背侧螺钉骨合成术:病例报告]。
IF 0.4 4区 医学
Handchirurgie Mikrochirurgie Plastische Chirurgie Pub Date : 2024-10-14 DOI: 10.1055/a-2348-3256
Jan Wulf, Rainer Schmitt, Adrian Cavalcanti Kußmaul, Wolfgang Böcker, Boris Holzapfel, Fabian Gilbert
{"title":"[Dorsal Screw Osteosynthesis of a Scaphoid Nonunion associated with Congenital Scaphotrapezial and Lunotriquetral Coalitions: A Case Report].","authors":"Jan Wulf, Rainer Schmitt, Adrian Cavalcanti Kußmaul, Wolfgang Böcker, Boris Holzapfel, Fabian Gilbert","doi":"10.1055/a-2348-3256","DOIUrl":"https://doi.org/10.1055/a-2348-3256","url":null,"abstract":"<p><p>We present the case of a 24-year-old man who sustained a scaphoid fracture in the presence of congenital scaphotrapezial and lunotriquetral coalitions. As the fracture progressed to a nonunion, a screw osteosynthesis was performed. The altered biomechanics caused by the two coalitions necessitated a dorso-proximal surgical approach, and two screws were implanted to prevent rotational instability. The scaphoid fracture healed entirely.</p>","PeriodicalId":55075,"journal":{"name":"Handchirurgie Mikrochirurgie Plastische Chirurgie","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Autologous Breast Reconstruction and Radiotherapy: Consensus Report of the German-Speaking Society for Reconstructive Microsurgery (GSRM)]. [自体乳房重建与放射治疗:自体乳房再造与放射治疗:德语国家显微再造外科协会(GSRM)共识报告]。
IF 0.4 4区 医学
Handchirurgie Mikrochirurgie Plastische Chirurgie Pub Date : 2024-10-02 DOI: 10.1055/a-2407-9254
Albrecht Heine-Geldern, Christoph Hirche, Thomas Kremer, Kristina Lössl, Alexander D Bach, Elisabeth Russe, Hisham Fansa, Justus P Beier, Yves Harder, Arash Momeni
{"title":"[Autologous Breast Reconstruction and Radiotherapy: Consensus Report of the German-Speaking Society for Reconstructive Microsurgery (GSRM)].","authors":"Albrecht Heine-Geldern, Christoph Hirche, Thomas Kremer, Kristina Lössl, Alexander D Bach, Elisabeth Russe, Hisham Fansa, Justus P Beier, Yves Harder, Arash Momeni","doi":"10.1055/a-2407-9254","DOIUrl":"10.1055/a-2407-9254","url":null,"abstract":"<p><p>Autologous postmastectomy breast reconstruction is associated with favourable long-term clinical outcomes and superior patient-reported outcomes (PROMs) compared with implant-based reconstruction. However, adjuvant radiotherapy has traditionally been considered a relative contraindication to immediate flap-based reconstruction due to its unpredictable effects on the reconstructive outcome. While modern adjuvant postmastectomy radiotherapy (PMRT) has been able to significantly reduce acute and chronic radiation-induced complications, plastic surgeons still hesitate to offer immediate autologous reconstruction to patients expected to undergo adjuvant radiotherapy. More recently, evidence has emerged suggesting a paradigm shift in favour of immediate autologous reconstruction despite subsequent radiotherapy. At the 44<sup>th</sup> Annual Meeting of the German-speaking Society for Reconstructive Microsurgery (GSRM) in Bern, Switzerland, a workshop discussed the literature on PMRT and autologous breast reconstruction, aiming to establish consensus among the participants. Several areas of agreement were identified, including the goals of postmastectomy reconstruction, specifically the creation of a soft and sensitive breast symmetrical in shape and size to the unaffected breast via the safest procedure possible. The importance of preserving the maximum amount of native breast skin envelope through skin- and nipple-sparing approaches was emphasised. Finally, a consensus was reached that PMRT should no longer be considered a contraindication to immediate autologous breast reconstruction.</p>","PeriodicalId":55075,"journal":{"name":"Handchirurgie Mikrochirurgie Plastische Chirurgie","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Commentary on the Article of Philipp Moog, Edith Gawlik, Stefan Eisenreich et al. The Cost of Lipedema Treatment Exceeds the DRG Revenues - Evaluation of the Surgical Treatment Costs Of Lipedema (Stage III) at a German University Clinic]. [对 Philipp Moog、Edith Gawlik、Stefan Eisenreich 等人文章的评论:《脂肪性水肿治疗费用超过 DRG 收入--德国一所大学诊所脂肪性水肿(III 期)手术治疗费用评估》。]
IF 0.4 4区 医学
Handchirurgie Mikrochirurgie Plastische Chirurgie Pub Date : 2024-10-01 DOI: 10.1055/a-2357-9973
Sixtus Allert
{"title":"[Commentary on the Article of Philipp Moog, Edith Gawlik, Stefan Eisenreich et al. The Cost of Lipedema Treatment Exceeds the DRG Revenues - Evaluation of the Surgical Treatment Costs Of Lipedema (Stage III) at a German University Clinic].","authors":"Sixtus Allert","doi":"10.1055/a-2357-9973","DOIUrl":"10.1055/a-2357-9973","url":null,"abstract":"","PeriodicalId":55075,"journal":{"name":"Handchirurgie Mikrochirurgie Plastische Chirurgie","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[The Cost of Lipoedema Treatment Exceeds the DRG Revenues - Evaluation of the Surgical Treatment Costs of Lipoedema (Stage III) at a German University Clinic]. [脂肪性水肿治疗费用超过 DRG 收入--德国一所大学诊所脂肪性水肿(III 期)手术治疗费用评估]。
IF 0.4 4区 医学
Handchirurgie Mikrochirurgie Plastische Chirurgie Pub Date : 2024-09-16 DOI: 10.1055/a-2362-1185
Philipp Moog, Edith Gawlik, Stefan Eisenreich, Oliver Schoeffski, Hans-Günther Machens, Jun Jiang, Haydar Kükrek
{"title":"[The Cost of Lipoedema Treatment Exceeds the DRG Revenues - Evaluation of the Surgical Treatment Costs of Lipoedema (Stage III) at a German University Clinic].","authors":"Philipp Moog, Edith Gawlik, Stefan Eisenreich, Oliver Schoeffski, Hans-Günther Machens, Jun Jiang, Haydar Kükrek","doi":"10.1055/a-2362-1185","DOIUrl":"https://doi.org/10.1055/a-2362-1185","url":null,"abstract":"<p><strong>Background: </strong>Liposuction for stage III lipoedema is a guideline-based but also time-consuming treatment, which can be carried out under specific conditions at the expense of the German statutory health insurance companies (SHI) based on a decision made by the German Federal Joint Committee (\"Gemeinsamer Bundesausschuss\", G-BA), the highest decision-making body in the German healthcare system, in 09/2019. We postulate that the treatment is not reflected in a cost-covering manner in the university cost system.</p><p><strong>Methods: </strong>This monocentric, retrospective study examined the economic aspects of 92 cases in 48 lipoedema patients treated during the period from 09/2019 to 08/2023 at the expense of the SHI. These cases were filtered out using DRG coding and the Operation and Procedure Classification system (\"Operationen- und Prozedurenschlüssel\", OPS), and the costs and revenues per patient were calculated using the data from our internal service accounting.</p><p><strong>Results: </strong>After an inpatient stay of 2.64±1.33 days, the total revenue was € 4,726.79±680.98. This included € 1,532.92±856.99 inpatient costs, € 2,686.02±1,174.70 in operating costs, € 940.76±189.18 in anaesthesia costs and € 63.19±125.38 in other costs that had to be paid within the clinic. On average across all treatments, this resulted in a loss of -€ 875.22 /case. In 54 cases (59%), the costs exceeded the revenue. In total, the calculation of all cases resulted in a loss of € -80,520.63. If medical personnel costs are included, this amount rises to over € 100,000.</p><p><strong>Conclusion: </strong>The results show that the surgical treatment of lipoedema in the German DRG and university cost systems is not cost-covering. This could be relevant in the final economic assessment of the G-BA, which may result in an adjustment of the DRG revenue.</p>","PeriodicalId":55075,"journal":{"name":"Handchirurgie Mikrochirurgie Plastische Chirurgie","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Optimising Processes in a Severe Burn Intensive Care Unit through the Implementation of a Digital Management System]. [通过实施数字化管理系统优化严重烧伤重症监护室的流程]。
IF 0.4 4区 医学
Handchirurgie Mikrochirurgie Plastische Chirurgie Pub Date : 2024-09-09 DOI: 10.1055/a-2360-9549
Sonja Verena Schmidt, Marius Drysch, Yonca Steubing, Christoph Wallner, Marcus Lehnhardt, Oliver Schoeffski, Felix Reinkemeier
{"title":"[Optimising Processes in a Severe Burn Intensive Care Unit through the Implementation of a Digital Management System].","authors":"Sonja Verena Schmidt, Marius Drysch, Yonca Steubing, Christoph Wallner, Marcus Lehnhardt, Oliver Schoeffski, Felix Reinkemeier","doi":"10.1055/a-2360-9549","DOIUrl":"https://doi.org/10.1055/a-2360-9549","url":null,"abstract":"<p><strong>Background: </strong>The treatment of severely burned patients is demanding and necessitates specialised centres capable of providing adequate therapy over several months. The establishment of digital management systems in intensive care units signifies a substantial advancement in modern healthcare. Introducing such a system in a specialised intensive care unit for severe burn patients presents opportunities for optimisation but also potential obstacles. This study aims to provide insights into the perception of change from the perspective of staff and discuss the implementation of digital systems in the field of intensive care medicine.</p><p><strong>Methods: </strong>After a selective sample was established, the impacts of the digital management system were examined across various categories. The data collected through a questionnaire and brief interviews were evaluated in terms of average values within each category, with interpretations taking into account characteristics such as professional group and work experience.</p><p><strong>Results: </strong>Overall, the digital management system is considered suitable for use in the intensive care unit for severe burn patients by both medical and nursing staff. The continuous monitoring of vital parameters and the reduction of errors in medication administration are highlighted as positive aspects. However, negative points include the inferior documentation of burn wounds and specialised documentation for burn patients.</p><p><strong>Conclusion: </strong>In due consideration of various factors such as experience, team size, and patient clientele, which impact the usability of the program, some aspects in need of improvement were identified. In summary, however, it can be said that there was a positive and favourable consensus regarding the introduction of such a system in the intensive care unit. Additionally, it can be concluded that the system is described as significantly more effective for a general surgical intensive care unit than for a specialised intensive care unit, e. g. an intensive care unit for severe burn patients.</p>","PeriodicalId":55075,"journal":{"name":"Handchirurgie Mikrochirurgie Plastische Chirurgie","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Hairiness and Skin Colouration after Breast Reconstruction with a Deep Inferior Epigastric Perforator Flap and Reconstruction of the Nipple-Areolar Complex]. [用深下上腹部穿孔器皮瓣和乳头乳晕复合体重建乳房后的毛发和皮肤颜色]。
IF 0.4 4区 医学
Handchirurgie Mikrochirurgie Plastische Chirurgie Pub Date : 2024-09-05 DOI: 10.1055/a-2372-1848
Yi Bräuer, Jan Langer, Jörn Andreas Lohmeyer, Philipp Deindl, Maike Keck
{"title":"[Hairiness and Skin Colouration after Breast Reconstruction with a Deep Inferior Epigastric Perforator Flap and Reconstruction of the Nipple-Areolar Complex].","authors":"Yi Bräuer, Jan Langer, Jörn Andreas Lohmeyer, Philipp Deindl, Maike Keck","doi":"10.1055/a-2372-1848","DOIUrl":"https://doi.org/10.1055/a-2372-1848","url":null,"abstract":"<p><strong>Introduction: </strong>Although DIEP (deep inferior epigastric perforator) is the gold standard for breast reconstruction, long-term results with a view to postoperative hairiness and flap skin colouration have rarely been described in the literature.</p><p><strong>Methods: </strong>Patients who underwent DIEP flap breast reconstruction followed by NAC reconstruction between 2010 and 2019 were invited to our clinic for a survey and a clinical examination. A total of 781 patients were invited. The survey included the BREAST-Q and a study-specific questionnaire. The clinical examination contained specific measurements regarding postoperative hairiness and skin colouration.</p><p><strong>Results: </strong>A total of 179 patients were examined, with 203 breasts having been reconstructed. Only breasts with a visible flap skin island were taken into further evaluation. A total of 109 DIEP flap and 77 NAC reconstructions were evaluated. In the patient-reported survey, 27.5% (30 of 109) reported additional flap hairiness and 62.4% (68 of 109) reported differences in flap skin colouration compared with the surrounding skin. The clinical examination revealed a significant difference between the skin colouration of the flap compared with the surrounding skin and the skin colouration of the reconstructed NAC compared with the existing original NAC. In both cases, the reconstructions appeared significantly \"lighter\" (p<0.05). No significant difference was found between patients with and without hair in terms of overall satisfaction evaluated by using the BREAST-Q. Neither did the colour difference have a significant influence on patients' satisfaction.</p><p><strong>Conclusion: </strong>Additional breast hairiness and different skin colouration is relevant and should be communicated preoperatively.</p>","PeriodicalId":55075,"journal":{"name":"Handchirurgie Mikrochirurgie Plastische Chirurgie","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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