Publications by authors named "Tomoyoshi Shibata"

Introduction: COVID-19 have changed our lifestyle and little is known how our lifestyle associated with flourishing during COVID-19. This study examined the association between lifestyle, including sleep time, drinking, and smoking, and flourishing during the COVID-19 pandemic in Japan.

Methods: We used the population-based study, Utsunomiya COVID-19 seROprevalence Neighborhood Association (U-CORONA) survey conducted in November 2021 to examine the association between lifestyle such as sleeping time, drinking and smoking, and flourishing ( = 473).

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Background: A goal in ideal lower eyelid reconstruction is to achieve not only an esthetic recovery of the shape of the eyelid but also to obtain satisfactory eyelid function without damage to the corneal surface. In this report, we introduce our "Like with Like" reconstruction technique using a combined Hughes flap and swing skin flap. The Hughes flap is a tarsoconjunctival pedicled flap from the upper eyelid, and the swing skin flap is a kind of transposition flap based on the orbicularis muscle pedicle.

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Article Synopsis
  • - The deep inferior epigastric perforator (DIEP) flap is the leading method for breast reconstruction but has issues like abdominal bulging, prompting the exploration of the superficial inferior epigastric artery (SIEA) flap as an alternative despite its own complications.
  • - The study introduced a new combined technique using SIEA and superficial circumflex iliac artery perforator (SCIP) flaps, tested on five patients who underwent unilateral breast reconstruction after mastectomy, with a positive outcome in terms of vascular supply and minimal complications.
  • - Results showed that the combined flaps provided sufficient volume and size for reconstruction, with strong vascular support and no major complications, indicating potential for improved safety and effectiveness in breast
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Unlabelled: Soft tissue sarcomas are rare neoplasms that can occur on any part of the body. The operative position for the resection is determined depending on the site of the soft tissue sarcomas; intraoperative repositioning may be needed for reconstruction. We present the profunda femoris artery perforator (PAP) flap harvest technique (wherein the flap can be used in any position), and suggest that the PAP flap transfer can eliminate the need for intraoperative repositioning.

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Article Synopsis
  • A hemi-abdominal DIEP flap is proposed as a new option for patients needing breast reconstruction, especially in cases of asynchronous contralateral breast cancer.
  • The design focuses on creating a spindle-shaped flap to improve the aesthetic appearance of the donor site while preserving vital blood vessels.
  • In this specific case, a 50-year-old woman underwent the procedure with a successful outcome, although minor complications occurred; further studies are needed to validate this technique.
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The profunda artery perforator (PAP) flap has become an alternative option for breast reconstruction. Reliable perforators arise through the adductor magnus muscle, and dissection of the perforator is straightforward. Recently, we have found that the PAP flap with the sensory nerves can be harvested as an innervated flap.

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Background And Objectives: The profunda femoris artery perforator (PAP) flap is gaining popularity in microsurgical reconstruction. The complications that can occur after the PAP flap harvest include donor-site lymphedema, seroma, or cellulitis. The aim of this study was to evaluate and establish a safer technique for the elevation of lymphatic vessels preserving profunda femoris artery perforator (LpPAP) flap using pre- and intraoperative ICG lymphography.

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A phyllodes tumor of the breast is a rare neoplasm, accounting for 0.3%-1% of all breast cancers. The size is 4-5 cm on average but sometimes the tumor grows more and involves the entire breast.

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Although soft tissue sarcoma, especially in the sole of the foot, is a rare disease, weight-bearing region reconstruction considering postoperative gait is needed. For functionally satisfactory sole reconstruction, it is important to cover the weight-bearing region with a nonbulky but durable skin paddle that can withstand a significant amount of shear pressure. We herein present a case in which a free contralateral medial plantar flap was used for reconstruction of the weight-bearing mid plantar region for a 41-year-old man who suffered from mid-foot sarcoma.

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