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Article ; Online: Cephalic vein inconsistency in autologous breast reconstruction salvage.

Powell, C A / Prousskaia, E / Wilson, S M

Journal of plastic, reconstructive & aesthetic surgery : JPRAS

2015 Volume 68, Issue 2, Page(s) e39

MeSH term(s)	Anastomosis, Surgical ; Female ; Humans ; Mammaplasty ; Middle Aged ; Salvage Therapy ; Surgical Flaps/blood supply ; Transplantation, Autologous ; Veins/abnormalities
Language	English
Publishing date	2015-02
Publishing country	Netherlands
Document type	Case Reports ; Letter
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.2014.10.019
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Article ; Online: The Versatility of the Superficial Circumflex Iliac Artery Perforator Flap: A Single Surgeon's 16-Year Experience for Limb Reconstruction and a Systematic Review.

Berner, Juan Enrique / Nikkhah, Dariush / Zhao, Jade / Prousskaia, Elena / Teo, Tiew Chong

Journal of reconstructive microsurgery

2019 Volume 36, Issue 2, Page(s) 93–103

Abstract: Background: The superficial circumflex iliac artery perforator (SCIP) flap is a versatile option of free tissue transfer for small to large defects. In this study, we examine the advantages of the SCIP flap, its cadaveric anatomy, and clinical subtypes. ...

Abstract	Background: The superficial circumflex iliac artery perforator (SCIP) flap is a versatile option of free tissue transfer for small to large defects. In this study, we examine the advantages of the SCIP flap, its cadaveric anatomy, and clinical subtypes. Methods: Ten cadavers were dissected and the corresponding pedicles of the SCIP and groin flaps were identified. A retrospective review of 20 clinical cases of free SCIP flap reconstruction was undertaken. The indication for reconstruction, flap dimensions, and survival were analyzed. A systematic literature review was conducted including articles that have previously reported the use of the SCIP flap. Results: The SCIP pedicle was present in all our cadaveric dissections. The starting point of its pedicle ranged from 1.5 to 4.5 cm along the superficial circumflex iliac artery. The median diameter of the perforator and its concomitant vein was 1mm (range 0.8-2 mm). A cutaneous vein (1.3-2.3 mm) could be included in the flap if the concomitant vein was too small. Twenty consecutive patients had free SCIP flaps between 2002 and 2018. The indications were for finger defects ( Conclusion: The SCIP flap is useful for reconstruction throughout the body due to its ease of dissection, thinness, adjustable pedicle length, and flap dimension ranging from tiny to large, as well as the feasibility of raising a compound flap incorporating an adipofascial or vascularized bone component if necessary.This is a level of evidence therapeutic IV study.
MeSH term(s)	Humans ; Iliac Artery/surgery ; Lower Extremity ; Perforator Flap ; Reconstructive Surgical Procedures ; Retrospective Studies ; Surgeons
Language	English
Publishing date	2019-09-02
Publishing country	United States
Document type	Journal Article ; Systematic Review
ZDB-ID	605983-1
ISSN	1098-8947 ; 0743-684X ; 0743-684X
ISSN (online)	1098-8947 ; 0743-684X
ISSN	0743-684X
DOI	10.1055/s-0039-1695051
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Article: Point of Technique: Protecting the Pedicle in Free Flap Breast Reconstruction from the Drain.

Emam, Ahmed / Khan, Khurram / Prousskaia, Elena

Plastic and reconstructive surgery. Global open

2015 Volume 3, Issue 6, Page(s) e419

Language	English
Publishing date	2015-07-08
Publishing country	United States
Document type	Journal Article
ZDB-ID	2851682-5
ISSN	2169-7574 ; 2169-7574
ISSN (online)	2169-7574
ISSN	2169-7574
DOI	10.1097/GOX.0000000000000395
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Article ; Online: Salvage of the failed implant-based breast reconstruction using the Deep Inferior Epigastric Perforator Flap: A single centre experience with tertiary breast reconstruction.

Holmes, Will J M / Quinn, Marcus / Emam, Ahmed T / Ali, Stephen R / Prousskaia, Elena / Wilson, Sherif M

Journal of plastic, reconstructive & aesthetic surgery : JPRAS

2019 Volume 72, Issue 7, Page(s) 1075–1083

Abstract: Background: The longevity and durability of implant-based reconstruction is limited and many patients who develop complications seek alternative reconstruction. Recent studies have shown tertiary reconstruction with autologous tissue to be safe in the ... ...

Abstract	Background: The longevity and durability of implant-based reconstruction is limited and many patients who develop complications seek alternative reconstruction. Recent studies have shown tertiary reconstruction with autologous tissue to be safe in the short term. But no study has looked in-depth at the motivation for seeking referral and its long-term outcome. Methods: This was a retrospective study using patient case-notes and a prospectively-collated database. One hundred and fifteen patients underwent tertiary breast reconstruction with a Deep Inferior Epigastric Perforator (DIEP) flap between 1998 and 2016. Results: Mean age was 49 (23-67). The predominant initial reconstruction was expander (71%). Twenty nine percent received a definitive reconstruction (implant with acellular dermal matrix or pedicled latissimus dorsi). The proportion of patients who received post-mastectomy radiotherapy (PMRT) to their implant was 72%. Thirty four percent underwent surgical salvage prior to referral for autologous tissue and this was significantly higher in the group that did not receive PMRT (29% vs 40, p = 0.04). Predominant motivation for autologous reconstruction was poor cosmesis (62%) and/or grade III/IV capsular contracture (27%). Mean time from implant to DIEP was 4 years 5 months. Ten percent had complications requiring re-operation. Flap loss was 0.7%. Fifty five percent required an additional ipsilateral procedure and 47% required symmetrization. Median follow-up was 20-months (6-months to 7-years). Conclusions: We present the largest UK series of tertiary breast reconstruction. Tertiary reconstruction is safe with a surgical outcome comparable to delayed autologous reconstruction. Patients with implant complications often had multiple failed attempts at salvage prior to referral. We advocate careful consideration of implants in the setting of PMRT and early referral for autologous tissue once complications become apparent.
MeSH term(s)	Acellular Dermis ; Adult ; Aged ; Breast Implantation/instrumentation ; Breast Implantation/methods ; Breast Implants ; Breast Neoplasms/surgery ; Carcinoma, Ductal, Breast/surgery ; Carcinoma, Intraductal, Noninfiltrating/surgery ; Carcinoma, Lobular/surgery ; Epigastric Arteries ; Female ; Follow-Up Studies ; Humans ; Middle Aged ; Perforator Flap/blood supply ; Postoperative Complications/epidemiology ; Postoperative Complications/surgery ; Reoperation/statistics & numerical data ; Retrospective Studies ; Salvage Therapy/methods ; Superficial Back Muscles/transplantation ; Tertiary Care Centers ; Tissue Expansion/instrumentation ; Tissue Expansion/methods ; Tissue Expansion Devices ; Treatment Failure
Language	English
Publishing date	2019-03-22
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.2019.03.003
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Article ; Online: Tertiary Breast Reconstruction for Salvage of the Failed Implant-Based Reconstruction Using the Deep Inferior Epigastric Perforator Flap.

Ali, Stephen R / Holmes, Will J M / Quinn, Marcus / Emam, Ahmed T / Prousskaia, Elena / Wilson, Sherif M

Journal of reconstructive microsurgery

2019 Volume 34, Issue 9, Page(s) e1–e2

Language	English
Publishing date	2019-02-21
Publishing country	United States
Document type	Letter
ZDB-ID	605983-1
ISSN	1098-8947 ; 0743-684X ; 0743-684X
ISSN (online)	1098-8947 ; 0743-684X
ISSN	0743-684X
DOI	10.1055/s-0039-1679885
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Article: Treatment of nasal burns: analysis of 150 cases.

Prousskaia, E / El-Muttardi, N / Philp, B / Dziewulski, P / Shelley, O P

Annals of burns and fire disasters

2016 Volume 28, Issue 2, Page(s) 121–127

Abstract: Nasal burns present a challenge for the plastic surgeon in terms of immediate management, choice of primary treatment and secondary reconstruction with the goals of good aesthetic and functional outcome. We present a retrospective analysis of the ... ...

Abstract	Nasal burns present a challenge for the plastic surgeon in terms of immediate management, choice of primary treatment and secondary reconstruction with the goals of good aesthetic and functional outcome. We present a retrospective analysis of the management of 150 patients with nasal burns treated in our center between July 2005 and July 2011. We rationalized our conservative and all surgical treatments of this subset of burns patients and organized them in a simple and structured way. The reconstructive options for most complex full thickness nasal injury is determined by the integrity of adjacent facial tissues which would always be preferred when available. Microsurgical free tissue transfer is dependent upon the fitness of the patient and the availability of unburned skin at the donor site. Secondary nasal reconstruction is based on an assessment of the residual functional and cosmetic problems. Airways narrowing from scar contracture or loss of support are managed using standard plastic surgical and rhinoplasty principles. Cosmetic refinements range from flap debulking to the importation of new tissue on to the nose. Our experience with this challenging group of patients has led us to develop a simple treatment algorithm for the management of nasal burns.
Language	English
Publishing date	2016-06-01
Publishing country	Italy
Document type	Journal Article
ZDB-ID	2106850-1
ISSN	1592-9566 ; 1592-9558
ISSN (online)	1592-9566
ISSN	1592-9558
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Article: The Versatility of the Superficial Circumflex Iliac Artery Perforator Flap: A Single Surgeon's 16-Year Experience for Limb Reconstruction and a Systematic Review

Berner, Juan Enrique / Nikkhah, Dariush / Zhao, Jade / Prousskaia, Elena / Teo, Tiew Chong

Journal of Reconstructive Microsurgery

2019 Volume 36, Issue 02, Page(s) 93–103

Abstract	Background: The superficial circumflex iliac artery perforator (SCIP) flap is a versatile option of free tissue transfer for small to large defects. In this study, we examine the advantages of the SCIP flap, its cadaveric anatomy, and clinical subtypes. Methods: Ten cadavers were dissected and the corresponding pedicles of the SCIP and groin flaps were identified. A retrospective review of 20 clinical cases of free SCIP flap reconstruction was undertaken. The indication for reconstruction, flap dimensions, and survival were analyzed. A systematic literature review was conducted including articles that have previously reported the use of the SCIP flap. Results: The SCIP pedicle was present in all our cadaveric dissections. The starting point of its pedicle ranged from 1.5 to 4.5 cm along the superficial circumflex iliac artery. The median diameter of the perforator and its concomitant vein was 1mm (range 0.8–2 mm). A cutaneous vein (1.3–2.3 mm) could be included in the flap if the concomitant vein was too small. Twenty consecutive patients had free SCIP flaps between 2002 and 2018. The indications were for finger defects ( n = 8), thumb reconstruction ( n = 1), lower limb compound fractures ( n = 3), iatrogenic wounds ( n = 2), upper limb large defects ( n = 2), and scar contractures ( n = 4). Flap dimensions ranged from 2 × 4 cm to 14 × 25cm, and the longest pedicle was 8cm. All flaps survived. The systematic literature review identified 34 previous reports using the SCIP flaps, most of these published by Asian units. Conclusion: The SCIP flap is useful for reconstruction throughout the body due to its ease of dissection, thinness, adjustable pedicle length, and flap dimension ranging from tiny to large, as well as the feasibility of raising a compound flap incorporating an adipofascial or vascularized bone component if necessary. This is a level of evidence therapeutic IV study.
Keywords	anatomy ; free tissue transfer ; limb reconstruction
Language	English
Publishing date	2019-09-02
Publisher	Thieme Medical Publishers
Publishing place	Stuttgart ; New York
Document type	Article
ZDB-ID	605983-1
ISSN	1098-8947 ; 0743-684X ; 0743-684X
ISSN (online)	1098-8947 ; 0743-684X
ISSN	0743-684X
DOI	10.1055/s-0039-1695051
Database	Thieme publisher's database

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Article: Locally Advanced Breast Cancer: Autologous Versus Implant-based Reconstruction.

Tanos, Grigorios / Prousskaia, Elena / Chow, Whitney / Angelaki, Anna / Cirwan, Cleona / Hamed, Hisham / Farhadi, Jian

Plastic and reconstructive surgery. Global open

2016 Volume 4, Issue 2, Page(s) e622

Abstract: Unlabelled: Recent papers and guidelines agree that patients with locally advanced breast cancer (LABC) should be offered breast reconstruction. Yet, the type of reconstruction in this group of patients is still a point of controversy.: Methods: One ... ...

Abstract	Unlabelled: Recent papers and guidelines agree that patients with locally advanced breast cancer (LABC) should be offered breast reconstruction. Yet, the type of reconstruction in this group of patients is still a point of controversy. Methods: One hundred fourteen patients, treated for LABC from 2007 to 2013, were divided into 3 groups based on the reconstructive option: no reconstruction (NR), implant-based/expander-based reconstruction (IBR), and autologous tissue reconstruction (ATR). We analyzed demographics and compared delay in adjuvant therapy, length of hospitalization, surgical complications, failure of reconstruction, local recurrence, and disease-free survival. Results: Twenty-six patients had NR, 38 had IBR, and 50 had ATR. No significant difference was found in the percentage of patients who had their adjuvant treatment delayed [16% (NR) vs 22% (IBR) vs 14% (ATR)]. Mean length of hospitalization for the NR, IBR, and ATR groups was 2.7, 6, and 7.5 days, respectively. Complication rates requiring readmission were 36% (NR), 42% (IBR), and 32% (ATR). In the IBR group, 37% of implants were removed because of complications. Failure of reconstruction was 37% and 0% for the IBR and ATR groups, respectively. Local recurrence rates in the NR and Reconstruction (groups IBR and ATR combined) groups were 7% and 2%, respectively. Mean survival times in patients were 18 (NR), 10.3 (IBR), and 12.2 (ATR) months. Conclusions: No significant difference was found in the hospital stay length, adjuvant treatment delay, and complication rates between IBR and ATR. High rates of failed reconstruction suggest that the use of implants should be considered very carefully in patients with LABC.
Language	English
Publishing date	2016-02-17
Publishing country	United States
Document type	Journal Article
ZDB-ID	2851682-5
ISSN	2169-7574 ; 2169-7574
ISSN (online)	2169-7574
ISSN	2169-7574
DOI	10.1097/GOX.0000000000000598
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Article ; Online: Aplicaciones de la dermis artificial para la prevención y tratamiento de cicatrices hipertróficas y contracturas Artificial dermis aplications to prevent and treat hypertrofyc scars and skin retractions

I. Ferreiro González / J. Gabilondo Zubizarreta / E. Prousskaia

Cirugía Plástica Ibero-Latinoamericana, Vol 38, Iss 1, Pp 61-

2012 Volume 67

Abstract: En nuestro centro hospitalario fueron ingresados 517 pacientes por quemaduras a lo largo de los últimos 8 años, de los cuales 48 fueron reconstruidos con dermis artificial. Presentamos un grupo de 8 grandes quemados en los que aplicamos Integra® en el ... ...

Abstract	En nuestro centro hospitalario fueron ingresados 517 pacientes por quemaduras a lo largo de los últimos 8 años, de los cuales 48 fueron reconstruidos con dermis artificial. Presentamos un grupo de 8 grandes quemados en los que aplicamos Integra® en el periodo agudo y en el periodo de secuelas, con el propósito de tratar o prevenir la formación de cicatrices hipertróficas y contracturas. Evaluamos las siguientes variables: hematoma, infección y pérdida total o parcial de la dermis artificial. Durante el periodo postoperatorio analizamos la pigmentación, vascularización, pliabilidad y altura de la cicatriz con la escala de Vancouver. Medimos el grado de satisfacción de los pacientes empleando una encuesta con puntuación de 0 a 10. Ninguna de las áreas tratadas con dermis artificial presentó cicatrización patológica y no hubo recurrencia en los pacientes con cicatrices hipertróficas. Observamos que en el quemado agudo, las áreas tratadas con dermis artificial desarrollaron mejor calidad de cicatriz que las áreas tratadas únicamente con injertos de piel. Conseguimos una cobertura satisfactoria de las áreas con exposición tendinosa. Consideramos que en pacientes seleccionados, la dermis artificial puede aplicarse en el periodo agudo de la quemadura en zonas especiales para prevenir contracturas y cicatrices hipertróficas; también puede servir como cobertura de estructuras no injertables con defectos menores de 3 cm., en los que normalmente también un colgajo podría servir para solucionar el problema. Durante la fase crónica de la quemadura, la dermis artificial puede ser útil como tratamiento de contracturas y cicatrices hipertróficas. Over the last 8 years, 517 patients were admitted to our centre with burn injuries; of these, 48 had reconstruction with artificial dermis. We present a group of 8 extensively burned patients, who were treated with Integra�� during the acute and later phases to prevent and treat hypertrophic scars and contractures. The following variables were evaluated: haematoma, infection and total ...
Keywords	Dermis artificial ; Quemaduras ; Contracturas ; Cicatrices hipertróficas ; Artificial dermis ; Burns ; Skin retractions ; Hypertrophic scars ; Medicine ; R ; Surgery ; RD1-811
Language	Spanish
Publishing date	2012-03-01T00:00:00Z
Publisher	Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Tertiary Breast Reconstruction for Salvage of the Failed Implant-Based Reconstruction Using the Deep Inferior Epigastric Perforator Flap

Ali, Stephen R. / Holmes, Will J. M. / Quinn, Marcus / Emam, Ahmed T. / Prousskaia, Elena / Wilson, Sherif M.

Journal of Reconstructive Microsurgery

2018 Volume 34, Issue 09, Page(s) e1–e2

Language	English
Publishing date	2018-11-01
Publisher	Thieme Medical Publishers
Publishing place	Stuttgart ; New York
Document type	Article
ZDB-ID	605983-1
ISSN	1098-8947 ; 0743-684X ; 0743-684X
ISSN (online)	1098-8947 ; 0743-684X
ISSN	0743-684X
DOI	10.1055/s-0039-1679885
Database	Thieme publisher's database

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