Microvascular coupler device versus hand-sewn venous anastomosis: A systematic review of the literature and data meta-analysis.

Background: Successful vascular anastomosis is essential for the survival of free tissue transfer. The aim of the study is to review the current literature and perform a meta-analysis to assess the potential advantages of a mechanical anastomosis coupler device (MACD) over the hand-sewn (HS) technique for venous anastomoses.

Methods: A systematic Medline search was performed to gather all reports of articles related to MACD from 1984 until now.

Breast Asymmetry, Classification, and Algorithm of Treatment: Our Experience.

Background: In the literature, several classifications of breast asymmetries and treatment protocols have been proposed over time, which are mainly based on etiological or morphological characteristics of the deformity. The aim of this study was to present our new classification, based on patient's self-consciousness of breast asymmetry, a simple and reliable treatment algorithm is also presented.

Methods: The case series included 343 patients treated between January 2006 and January 2015.