Current Fat Grafting Practices and Preferences: A Survey from Members of ISPRES.

Unlabelled: Fat grafting has established its niche in a wide spectrum of aesthetic and reconstructive procedures. A consensus-based method of harvest, processing, enrichment, injection, and assessment is lacking, despite the rising trends in its application. We conducted a survey among plastic surgeons to evaluate and identify trends of fat grafting practices.

End-to-side Anastomosis on Digital Arteries: Just a Technical Choice or a Real Benefit?

Unlabelled: High-quality evidence is currently poor regarding the benefits of end-to-end (ETE) or end-to-side (ETS) anastomosis in arterial and venous anastomoses, despite being postulated as a potential influence on outcomes. A sufficient microvascular anastomosis is indispensable for the success of any free tissue transfer. ETS microvascular anastomoses have been becoming increasingly important as they allow reconstruction even in patients with impaired vascular status.

Tailored Skin Flaps for Hand Reconstruction.

Unlabelled: Acquired soft-tissue defects of the hand can be a result of different types of trauma, infection, tumor resection, or burns. The evolution of the design and types of flaps have optimized the reconstruction and, nowadays, it is important to achieve not only a functional result but also an aesthetic result. The aim of the present study is to propose a model for treating a wide variety of skin defects in the hands based on our flap experience.

Beauty and Function: The Use of Trimmed Great Toe in Thumb and Finger Reconstruction.

Unlabelled: Finger amputations are one of the most common traumas of daily life. Regularization of the digital stump is the most widely used option in the literature today. The aim of this study was to evaluate a valid functional and aesthetic alternative to amputation.

Thinking Out of the Box: Use of the Radial Artery Distally to the Snuffbox as Recipient Vessel.

Unlabelled: The use of the radial artery (RA) as a recipient vessel in the hand is mainly described in the snuffbox. However, we believe that employing the RA distally to the extensor pollicis longus (EPL) tendon may provide remarkable advantages.

Methods: We conducted a prospective study from June 2019 until December 2021, which included all patients who underwent reconstructive procedures with the RA distally to the snuffbox as the recipient vessel.

To Do or Not to Do? Neurorrhaphy in Great Toe Pulp Flap Fingertip Reconstruction.

Unlabelled: Since its inception, the great toe pulp (GTP) flap has represented a valid therapeutic choice in the reconstruction of defects of the hand. This study illustrates the clinical outcomes of GTP free flaps performed without nerve anastomosis' mainly for fingertip defect reconstruction.

Methods: We performed a retrospective, monocentric cohort study.

Minimally invasive harvest of the latissimus dorsi flap for breast reconstruction: A systematic review.

Background: Poor cosmetic results with oncoplastic and implant-based breast reconstruction have stimulated an interest in latissimus dorsi flap (LDF)-based reconstruction. We reviewed the surgical techniques and outcomes of the LDF harvested with minimally invasive surgery.

Methods: A systematic search was conducted across PubMed-MEDLINE, Web of Science, Scopus, and Ovid-MEDLINE(R).

Partial Ear Reconstruction with a Prelaminated Induced Expanded Radial Artery Flap.

A 76-year-old man underwent an extensive resection for squamous cell carcinoma 2 years before, resulting in the loss of the superior half of the right ear, without any attempt at reconstruction. The decision was to reconstruct with a combined suprafascial tissue expansion, an alloplastic framework fabricated with porous polyethylene, and a radial artery free flap. At 1-year follow-up, the patient was satisfied with the result.