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  1. Article ; Online: Microsurgical reconstruction in the time of COVID-19.

    Ramella, Vittorio / Papa, Giovanni / Bottosso, Stefano / Cazzato, Vito / Arnež, Zoran Marij

    Microsurgery

    2020  Volume 40, Issue 6, Page(s) 723

    MeSH term(s) Aged, 80 and over ; COVID-19/prevention & control ; COVID-19/transmission ; Female ; Humans ; Male ; Microsurgery ; Middle Aged ; Mouth Neoplasms/surgery ; Reconstructive Surgical Procedures/methods ; Tibial Fractures/surgery
    Keywords covid19
    Language English
    Publishing date 2020-05-15
    Publishing country United States
    Document type Case Reports ; Letter
    ZDB-ID 605524-2
    ISSN 1098-2752 ; 0738-1085
    ISSN (online) 1098-2752
    ISSN 0738-1085
    DOI 10.1002/micr.30604
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1570: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Microsurgical reconstruction in the time of COVID ‐19

    Ramella, Vittorio / Papa, Giovanni / Bottosso, Stefano / Cazzato, Vito / Arnež, Zoran Marij

    Microsurgery

    2020  Volume 40, Issue 6, Page(s) 723–723

    Keywords Surgery ; covid19
    Language English
    Publisher Wiley
    Publishing country us
    Document type Article ; Online
    ZDB-ID 605524-2
    ISSN 1098-2752 ; 0738-1085
    ISSN (online) 1098-2752
    ISSN 0738-1085
    DOI 10.1002/micr.30604
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1570: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  4. Article ; Online: Microsurgical complication associated with vaccine-induced immune thrombotic thrombocytopenia (VITT): A case report.

    Hung, Chen-Ting / Hsu, Honda

    Medicine

    2023  Volume 102, Issue 7, Page(s) e33013

    Abstract: Rationale: The use of ChAdOx1 nCoV-19 (Astra Zeneca) vaccine has proven beneficial ... myocardial infarction 3 weeks after receiving his first dose of ChAdOx1 nCoV-19 in June 2021. Three months later ... his second dose of ChAdOx1 nCoV-19 vaccine.: Diagnosis: Based on recent exposure to vaccination ...

    Abstract Rationale: The use of ChAdOx1 nCoV-19 (Astra Zeneca) vaccine has proven beneficial, but in a limited number of the general population, it was found to be associated with vaccine-induced immune thrombotic thrombocytopenia (VITT). However, there have been no reports of this complication occurring in a microsurgical free tissue transfer.
    Patient concerns: A 49-year-old man developed an acute myocardial infarction 3 weeks after receiving his first dose of ChAdOx1 nCoV-19 in June 2021. Three months later, he presented with right third toe wet gangrene with extension into the plantar foot nine days after receiving his second dose of ChAdOx1 nCoV-19 vaccine.
    Diagnosis: Based on recent exposure to vaccination, the timing of inoculation before the development of his symptoms, and serology tests (platelet, D-dimer, and anti-PF4 antibodies), the patient was diagnosed with VITT.
    Interventions: Fasciectomy and sequestrectomy were performed for wound bed preparation. Limb salvage was done using free vastus lateralis muscle flap and skin graft for reconstruction.
    Outcome: The flap was complicated by persistent microthrombi leading to superficial necrosis without vascular pedicle compromise. Repeated debridement of the superficial necrosis was done. Three months after the development of VITT, no further new superficial necrosis was seen. A well-contoured flap was seen 5 months after the initial surgery.
    Lessons: We believe this is the first case describing microthrombi in the free flap due to VITT after microsurgical reconstruction. Patients and surgeons should be advised of this possible risk when contemplating microsurgery once VITT has developed after ChAdOx1 nCoV-19 administration.
    MeSH term(s) Humans ; Male ; Middle Aged ; ChAdOx1 nCoV-19/adverse effects ; Free Tissue Flaps ; Purpura, Thrombocytopenic, Idiopathic/chemically induced ; Thrombosis/chemically induced ; COVID-19/prevention & control
    Chemical Substances ChAdOx1 nCoV-19 (B5S3K2V0G8)
    Language English
    Publishing date 2023-02-17
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 80184-7
    ISSN 1536-5964 ; 0025-7974
    ISSN (online) 1536-5964
    ISSN 0025-7974
    DOI 10.1097/MD.0000000000033013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Ua VI Zs.171: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  5. Article ; Online: Microsurgical autologous breast reconstruction in the midst of a pandemic: A single-unit COVID-19 experience.

    Ho, Weiguang / Köhler, Guido / Haywood, Richard M / Rosich-Medina, Anais / Masud, Dhalia

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2021  Volume 75, Issue 1, Page(s) 112–117

    Abstract: ... performed, autologous breast reconstruction was safely delivered throughout the COVID-19 pandemic ... to compare the unit's performance of microsurgical autologous breast reconstruction in the "post-COVID ... Introduction: COVID-19 has disrupted the provision of breast reconstructive services ...

    Abstract Introduction: COVID-19 has disrupted the provision of breast reconstructive services throughout the UK. Autologous free flap breast reconstruction was restarted in our unit on 3 June 2020. We aimed to compare the unit's performance of microsurgical autologous breast reconstruction in the "post-COVID" period compared with the exact time period in the preceding year.
    Methods: We retrospectively reviewed prospectively collected data in the "pre-COVID" (from 3 June 2019 to 31 December 2019) and "post-COVID" period (from 3 June 2020 to 31 December 2020). Patient demographics included age, body mass index, co-morbidities, Anaesthesiologists (ASA) grade and smoking status. Surgical factors included neoadjuvant chemotherapy, previous chest wall radiotherapy, unilateral or bilateral reconstruction, reconstruction timing, number of pedicles, contralateral symmetrisation and other procedures. dependant variables were ischaemic time, operative time, mastectomy weight, flap weight, length of stay, return to theatre and complication rates. The number of trainers and trainees present in theatre was recorded and analysed.
    Results: Fewer DIEP flaps were performed in the "post-COVID" period (45 vs. 29). No significant difference was observed in mastectomy resection weight, but flap weight was significantly increased. No significant difference was found in ischaemic time as well. The postoperative length of stay was significantly reduced. No significant difference was found in rates of return to theatre, unplanned admission, infection, haematoma, seroma or wound dehiscence. No cases of venous thromboembolism or flap failures were recorded. The mean number of trainers and trainees, and the trainee-to-trainer ratio was not found to be significantly different between cohorts.
    Conclusion: Although fewer cases were performed, autologous breast reconstruction was safely delivered throughout the COVID-19 pandemic in the first wave without affecting training.
    MeSH term(s) Breast Neoplasms/surgery ; COVID-19/epidemiology ; Female ; Free Tissue Flaps/transplantation ; Humans ; Length of Stay/statistics & numerical data ; Mammaplasty/methods ; Mastectomy ; Microsurgery/methods ; Middle Aged ; Pandemics ; Retrospective Studies ; SARS-CoV-2 ; Transplantation, Autologous ; United Kingdom/epidemiology
    Language English
    Publishing date 2021-10-07
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2217750-4
    ISSN 1878-0539 ; 1748-6815 ; 0007-1226
    ISSN (online) 1878-0539
    ISSN 1748-6815 ; 0007-1226
    DOI 10.1016/j.bjps.2021.09.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Uk I Zs.157: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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