New Innovations in Head and Neck Microsurgical Reconstruction

Current Surgery Reports, Journal Year: 2025, Volume and Issue: 13(1)

Published: Feb. 7, 2025

Language: Английский

Present and Future of Autologous Breast Reconstruction: Advancing Techniques to Minimize Morbidity and Complications, Enhancing Quality of Life and Patient Satisfaction

Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(8), P. 2599 - 2599

Published: April 10, 2025

Background: Autologous breast reconstruction has undergone a remarkable evolution, driven by the pursuit of addressing past concerns primarily related to donor site morbidity and complication risks. Improved techniques now prioritize minimizing invasiveness, complications, recovery time while achieving aesthetically pleasing durable results. Methods: Recent advancements in autologous have been examined, focusing on enhancements surgical techniques, imaging technologies, minimally invasive approaches, postoperative care. Results: To reduce morbidity, attention recently shifted back abdominal flaps vascularized subcutaneous vessels. Specifically, superficial circumflex iliac artery perforator (SCIP) flap emerged as promising option. Additionally, robotic-assisted harvest serves another method invasiveness. At recipient site, rib-sparing internal mammary vessel isolation perforator-to-perforator anastomosis suggested lessen trauma maintain thoracic integrity. The use thorough preoperative intraoperative assessment real-time perfusion with indocyanine green angiography (ICG) enhanced success procedure. Beyond aesthetic restoration, contemporary reconstructive surgeons are increasingly aware both short-term long-term particularly lymphatic sequelae. LYMPHA technique (lymphatic microsurgical preventive healing approach) promotes immediate restoration system shown potential risk cancer-related lymphedema (BCRL). Furthermore, integration after surgery (ERAS) protocols transformed perioperative care optimizing pain management, hospitalization duration, allowing quicker return daily activities. Conclusions: significantly improved patient outcomes. With innovations design, technology, preservation, protocols, it possible usher new era less procedures fewer complications high results patients their lives quickly possible.

Language: Английский

Loco-Regional Anesthesia for Pain Management in Robotic Thoracic Surgery

Journal of Clinical Medicine, Journal Year: 2024, Volume and Issue: 13(11), P. 3141 - 3141

Published: May 27, 2024

Robotic thoracic surgery is a prominent minimally invasive approach for the treatment of various diseases. While this technique offers numerous benefits including reduced blood loss, shorter hospital stays, and less postoperative pain, effective pain management remains crucial to enhance recovery minimize complications. This review focuses on application loco-regional anesthesia techniques in robotic surgery, particularly emphasizing their role management. Techniques such as local infiltration (LIA), epidural (TEA), paravertebral block (PVB), intercostal nerve (INB), erector spinae plane (ESPB) are explored detail regarding methodologies, benefits, potential limitations. The also discusses imperative integrating these methods with optimize patient outcomes. findings suggest that while each has unique advantages, choice should be tailored patient’s clinical status, complexity specific requirements procedures. concludes multimodal analgesia strategy, potentially incorporating several techniques, may offer most managing perioperative surgery. Future directions include refining through technological advancements like ultrasound guidance exploring long-term impacts surgical outcomes context

Language: Английский