Publications by authors named "Alex Oradan"

Article Synopsis
  • Perforator mapping is essential for planning microsurgical free flaps in breast reconstruction, with various mapping techniques available.
  • A study involving 33 patients showed that using Dynamic Infrared Thermography (DIRT) and Colour Doppler Ultrasonography (CDUS) can effectively identify perforators, potentially replacing Computed Tomography Angiography (CTA).
  • Results indicated a high confirmation rate of perforators detected by DIRT and CDUS, with DIRT being faster and equally accurate compared to CTA, suggesting that these methods could streamline preoperative assessment.
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Article Synopsis
  • The review highlights the significance of skin flap viability after mastectomy in immediate breast reconstruction and aims to compare current perfusion assessment methods.
  • Researchers analyzed data from four major scientific databases, including studies published in English over the last decade, resulting in a total of 58 relevant studies.
  • Indocyanine green angiography (ICG-A) is identified as the most preferred tool for assessing perfusion, especially in at-risk patients, while emerging technologies show potential for future use, emphasizing the importance of complementing these tools with clinical evaluation.
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Abdominal wall reconstruction aims at restoring the anatomical, functional and aesthetic integrity of this region, while providing protection of abdominal viscera and prevent herniation. There are various techniques used for abdominal wall reconstruction. We present a difficult case of abdominal wall reconstruction performed with a pedicled antero-lateral thigh (ALT] flap with good postoperative results.

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Ever since the description of the first microvascular anastomosis, numerous alternative methods have been described to the classical approach. Tissue adhesive has shown promising result in previous studies and can be a fast and efficient alternative which still requires more studies to allow its clinical implementation. A randomized comparative experimental study was conducted on rats' femoral arteries and an end-to-end anastomosis was performed in order to compare 2 anastomosis techniques.

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Achieving good aesthetic outcomes during immediate reconstruction in women with large ptotic breast presents a unique challenge for the reconstructive surgeon. We present our paradigm regarding immediate reconstruction in patients with large ptotic breasts, using the inferiorly based dermal flap. Ten patients with large ptotic breasts underwent mastectomy and immediate implant reconstruction at the "Prof.

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Background:  The double stitch everting (DSE) technique, in which time is won by leaving the needle inside the vessel wall in-between stitching, is a modification of the end-to-side (ETS) anastomosis in the interest of reducing anastomosis time. This ensures proper wall eversion, intima-to-intima contact, and improved suture symmetry.

Methods:  We designed an N-of-1 randomized trial with each microsurgeon as their own control.

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Parotid sialocele is an accumulation of saliva inside a subcutaneous cavity, usually as a result of trauma or iatrogenic injury of the parotid gland or duct, which can progress to other complications if left untreated. Numerous treatment options have been described before, but there is currently no evidence based consensus. We present a case of a patient treated for sialocele with the use of negative pressure wound therapy.

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Clinical and experimental observations emphasize that inflammation is a direct risk factor for stroke. We performed a detailed histological and immunohistochemical analysis, assisted by digital morphometry, to compare the representative brain lesions in the ischemic core and penumbra in a rat model. Focal neuronal necrosis and degeneration were significantly more intense in the core, whereas inflammatory infiltration, MPO, CD68, CD3, FXIII, Cox-2, iNOS2, Arg-1 expressions were stronger in the penumbra.

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