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最佳新皮瓣及显微外科技巧成功要素。

Best New Flaps and Tips for Success in Microsurgery.

机构信息

From the Department of Plastic and Reconstructive Surgery, Asan Medical Centre, University of Ulsan; and the Division of Plastic Surgery, University of British Columbia.

出版信息

Plast Reconstr Surg. 2020 Dec;146(6):796e-807e. doi: 10.1097/PRS.0000000000007331.

Abstract

LEARNING OBJECTIVES

After reviewing this article, the participant should be able to: 1. Understand the trends in reconstruction using flaps. 2. Understand the surgical anatomy and elevation of the three best flaps: superficial circumflex iliac artery perforator, profunda artery perforator, and thin anterolateral thigh perforator. 3. Understand the core principle and the modern evolution of microsurgery. 4. Be acquainted with new microsurgical tips to maximize outcomes.

SUMMARY

Plastic surgery has a long history of innovation expanding the conditions we can treat, and microsurgical reconstruction has played a pivotal role. Freestyle free flaps now create another paradigm shift in reconstructive surgery, relying on a better understanding of anatomy and physiology, opening the door to patient-specific customized reconstruction. This article aims to provide information regarding useful and practical new advances in the field of microsurgery.

摘要

学习目标

在回顾本文后,参与者应能够:1. 了解皮瓣重建的趋势。2. 了解三种最佳皮瓣(旋髂浅动脉穿支、股深动脉穿支和股前外侧薄穿支)的手术解剖和提升。3. 了解显微外科的核心原则和现代演变。4. 了解新的显微外科技巧,以最大限度地提高效果。

摘要

整形外科学有着不断创新的悠久历史,扩大了我们可以治疗的条件,而显微外科重建则发挥了关键作用。自由风格游离皮瓣现在在重建外科中引发了另一个范式转变,这依赖于对解剖学和生理学的更好理解,为患者特异性定制重建开辟了大门。本文旨在提供有关显微外科领域有用和实用的新进展的信息。

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