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  1. Article ; Online: Response to "The Reversed Flow Hemisoleus Propeller Muscle Flap".

    Marchesi, Andrea / Cavalli, Erica Michela / Gatto, Arianna

    Annals of plastic surgery

    2024  Volume 92, Issue 3, Page(s) 340

    MeSH term(s) Humans ; Surgical Flaps ; Plastic Surgery Procedures ; Muscles
    Language English
    Publishing date 2024-01-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 423835-7
    ISSN 1536-3708 ; 0148-7043
    ISSN (online) 1536-3708
    ISSN 0148-7043
    DOI 10.1097/SAP.0000000000003787
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1419: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article: Comment: Reconstruction of the Axillary Region after Excision of Hidradenitis Suppurativa: A Systematic Review.

    Abbaticchio, Donato / Gatto, Arianna / Marchesi, Andrea / Ribuffo, Diego

    Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India

    2023  Volume 56, Issue 6, Page(s) 555–556

    Language English
    Publishing date 2023-11-24
    Publishing country Germany
    Document type Journal Article ; Comment
    ZDB-ID 2118680-7
    ISSN 1998-376X ; 0970-0358
    ISSN (online) 1998-376X
    ISSN 0970-0358
    DOI 10.1055/s-0043-1776898
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Modified transmanubrial approach for complicated type 1 cervical rib resection requiring subclavian artery reconstruction.

    Petrella, Francesco / Rossi, Luca / Gatto, Arianna / Segramora, Vittorio Maria / Del Bene, Massimo / Froio, Alberto

    European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery

    2024  Volume 65, Issue 1

    Abstract: The transmanubrial musculoskeletal sparing approach (TMA) is commonly used for resecting apical lung tumours with vascular involvement. Non-neoplastic conditions which might require surgical exploration of the thoracic outlet include the 'cervical rib', ... ...

    Abstract The transmanubrial musculoskeletal sparing approach (TMA) is commonly used for resecting apical lung tumours with vascular involvement. Non-neoplastic conditions which might require surgical exploration of the thoracic outlet include the 'cervical rib', a clinical condition consisting of an additional rib forming above the first rib and growing from the base of the neck just above the clavicle. Type 1 cervical rib-when a complete cervical rib articulates with the first rib or manubrium of the sternum-is the most challenging scenario where the subclavian artery can be damaged by continuous compression due to the narrow space between clavicle, first rib and supernumerary cervical rib, requiring prosthetic reconstruction of the involved tract. Here, we describe a modified TMA in which the incision in the neck is conducted posteriorly to the sternocleidomastoid muscle, thus allowing safe dissection of the superior and middle trunk of the brachial plexus.
    MeSH term(s) Humans ; Subclavian Artery/diagnostic imaging ; Subclavian Artery/surgery ; Subclavian Artery/pathology ; Cervical Rib/pathology ; Cervical Rib/surgery ; Lung Neoplasms/pathology ; Plastic Surgery Procedures ; Ribs/surgery ; Ribs/pathology ; Thoracic Outlet Syndrome/etiology ; Thoracic Outlet Syndrome/pathology ; Thoracic Outlet Syndrome/surgery
    Language English
    Publishing date 2024-01-13
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 639293-3
    ISSN 1873-734X ; 1010-7940 ; 1567-4258
    ISSN (online) 1873-734X
    ISSN 1010-7940 ; 1567-4258
    DOI 10.1093/ejcts/ezae019
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2303: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Article ; Online: Free-style propeller ulnar artery perforator flaps for radial forearm flap donor site repair.

    Marchesi, Andrea / Gatto, Arianna / Cavalli, Erica M / Del Bene, Massimo

    Microsurgery

    2023  Volume 44, Issue 1, Page(s) e31074

    Abstract: Introduction: The radial forearm free flap (RFFF) is still one of the most used free flaps to repair soft tissue defects of the head and neck. Among its main drawbacks, it presents severe donor site complications. We report our experience about the use ... ...

    Abstract Introduction: The radial forearm free flap (RFFF) is still one of the most used free flaps to repair soft tissue defects of the head and neck. Among its main drawbacks, it presents severe donor site complications. We report our experience about the use of free-style propeller ulnar artery perforator flaps (UAP) to repair RFFF donor site.
    Patients and methods: From February 2010 to June 2020, six patients who underwent immediate tongue reconstruction with RFFF after cancer excision, had the donor site at the forearm reconstructed with a free-style propeller UAP flap. The indication for a UAP flap was based on defect size and the presence of tendons or radial nerve exposure. Ulnar artery perforators were identified intra-operatively with a handheld Doppler. The UAP flaps were harvested and rotated to cover donor site defects. The patients' mean age was 59, ranging from 49 to 65 years old. The defects size ranged from 8-12 cm × 5-7 cm with a mean size of 10.5 × 6.7 cm.
    Results: The UAP flap harvested ranged from 8-11 cm × 5-7 cm with a mean size of 10.5 × 5.5 cm. The perforators, identified with a power Doppler, were located at the middle third of the forearm. Flaps' rotation varied from 90 to 160° with a mean rotation of 122°. Mean operating time was 60 min ranging from 40 to 75 min for UAP flap elevation. No flap necrosis or tendon exposure occurred. One case of wound dehiscence was reported. Two out of six patients suffered from tendon adhesions to the flap. UAP flap donor site was primarily closed in four out of six patients, whereas two cases required a split-thickness skin grafts. Mean donor site healing time was about 20 days (19.8 days) ranging from 14 to 30 days. Follow-up ranged from 12 to 31 months with a mean follow up time of 19 months (18.6 months). At 6 months follow-up only one patient experienced a functional limitation of wrist and finger joints extension of 20° which required tenolysis. At the end of the patient's follow up that is 22 months, the range of movement was within normal limits. In our casuistry neuropathic pain was absent.
    Conclusions: RFF is still a paramount tool in reconstructive surgery but its donor site is still burdened by a high complication rate. Free-style UAP flaps can provide a local and safe solution.
    MeSH term(s) Humans ; Middle Aged ; Aged ; Ulnar Artery/surgery ; Forearm/surgery ; Perforator Flap/blood supply ; Plastic Surgery Procedures ; Skin Transplantation ; Soft Tissue Injuries/surgery ; Treatment Outcome
    Language English
    Publishing date 2023-06-13
    Publishing country United States
    Document type Case Reports
    ZDB-ID 605524-2
    ISSN 1098-2752 ; 0738-1085
    ISSN (online) 1098-2752
    ISSN 0738-1085
    DOI 10.1002/micr.31074
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    Zs.A 1570: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  5. Article: Comment: Reconstruction of the Axillary Region after Excision of Hidradenitis Suppurativa: A Systematic Review

    Abbaticchio, Donato / Gatto, Arianna / Marchesi, Andrea / Ribuffo, Diego

    Indian Journal of Plastic Surgery

    2023  Volume 56, Issue 06, Page(s) 555–556

    Language English
    Publishing date 2023-11-24
    Publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2118680-7
    ISSN 1998-376X ; 0970-0358
    ISSN (online) 1998-376X
    ISSN 0970-0358
    DOI 10.1055/s-0043-1776898
    Database Thieme publisher's database

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  6. Article ; Online: Immediate Soft Tissue Reconstruction in Lower Limb Traumas Using Propeller Perforator Flaps.

    Gatto, Arianna / Giacomini, Giorgio / Cavalli, Erica Michela / Pajardi, Giorgio Eugenio / Marchesi, Andrea

    Annals of plastic surgery

    2023  Volume 91, Issue 5, Page(s) 590–596

    Abstract: Background: Open bone fractures represent a demanding clinical condition that can be life- or limb-threatening. For small- to medium-size soft tissue defects of the lower extremity, propeller perforator flaps are a viable option for reconstruction. We ... ...

    Abstract Background: Open bone fractures represent a demanding clinical condition that can be life- or limb-threatening. For small- to medium-size soft tissue defects of the lower extremity, propeller perforator flaps are a viable option for reconstruction. We report our experience in Gustilo IIIB open fractures treatment with immediate coverage through propeller-based perforator flaps performed in acute setting.
    Methods: Between 2019 and 2022, 94 Gustilo III fractures were admitted to our trauma center, and 28 were Gustilo IIIB fractures. Five patients were eligible for an immediate perforator-based propeller flaps reconstruction. The mean age of the patients was 33.8 years. All of them were male. One of them was a heavy smoker (15 cigarettes per day). No other comorbidities were present.
    Results: The mean operating time, including fracture reduction and fixation time, was 106 minutes. The length of the defect varied between 5 and 7 cm and the width between 3 and 4 cm. We reported no major complications, and none of the patients required a surgical revision of the flap. A patient with smoking habit reported a superficial flap necrosis. The mean follow-up was 5.5 months. No cases of nonunion or osteomyelitis have developed so far.
    Conclusions: The use of perforator-based propeller flaps, in acute trauma setting, has not been reported in literature so far. In our experience, propeller perforator flaps are a viable reconstructive option in immediate reconstruction during the acute management of open fractures.
    MeSH term(s) Humans ; Male ; Adult ; Female ; Perforator Flap/surgery ; Plastic Surgery Procedures ; Fractures, Open/surgery ; Lower Extremity/surgery ; Leg Injuries/surgery ; Soft Tissue Injuries/surgery ; Treatment Outcome ; Retrospective Studies
    Language English
    Publishing date 2023-09-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 423835-7
    ISSN 1536-3708 ; 0148-7043
    ISSN (online) 1536-3708
    ISSN 0148-7043
    DOI 10.1097/SAP.0000000000003696
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1419: 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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  7. Article ; Online: Posterior Circumflex Humeral Artery Perforator Flap: A Cadaveric Study and Case Series.

    Garieri, Pietro / Gatto, Arianna / Brambilla, Leonardo / Cavalli, Erica / Codazzi, Denis / Marchesi, Andrea

    Annals of plastic surgery

    2023  Volume 90, Issue 5, Page(s) 447–450

    Abstract: Background: Reconstruction of soft tissue defects of the acromioclavicular region represents a relatively uncommon but challenging event. Many muscular, fasciocutaneous, and perforator flaps have been described, including the posterior circumflex ... ...

    Abstract Background: Reconstruction of soft tissue defects of the acromioclavicular region represents a relatively uncommon but challenging event. Many muscular, fasciocutaneous, and perforator flaps have been described, including the posterior circumflex humeral artery perforator (PCHAP) flap based on the direct cutaneous perforator of the PCHA. This study aims to describe a variant of the PCHAP flap, based on a constant musculocutaneous perforator, by means of a cadaveric study and a case series.
    Methods: A cadaveric study was conducted using 11 upper limbs. The perforator vessels originating from the PCHA were dissected and the musculocutaneous ones were identified and measured in their length and distance from the deltoid tuberosity. Besides, we retrospectively analyzed the posterior shoulder reconstruction conducted among 2 plastic surgery department (San Gerardo Hospital, Monza and Hospital Papa Giovanni XXIII, Bergamo) using the musculocutaneous perforators of the PCHA.
    Results: The cadaver dissection showed the presence of a constant musculocutaneous perforator arising from the PCHA. The mean pedicle length is 6.10 ± 1.18 cm, and the musculocutaneous perforator pierces the fascia at a mean distance of 10.4 ± 2.06 cm from the deltoid tuberosity. In all the cadaver dissected, the perforator of interest divided into 2 terminal branches, anterior and posterior, nourishing the skin paddle.In our case series, the mean age of the patients was 66.7 years, the mean size of the defect was 46 cm 2 , the mean operating time was 79.3 minutes, the mean length of hospital stay was 2.7 days, and the complication rate was 28.6%.
    Conclusions: According to this preliminary data, the PCHAP flap based on the musculocutaneous perforator seems to be a reliable alternative in posterior shoulder region reconstruction.
    MeSH term(s) Humans ; Aged ; Perforator Flap/blood supply ; Retrospective Studies ; Thoracic Arteries ; Cadaver ; Humerus
    Language English
    Publishing date 2023-03-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 423835-7
    ISSN 1536-3708 ; 0148-7043
    ISSN (online) 1536-3708
    ISSN 0148-7043
    DOI 10.1097/SAP.0000000000003523
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1419: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    ab Jg. 2022: Lesesaal (EG)

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  8. Article ; Online: Thoracodorsal artery perforator flap, muscle-sparing latissimus dorsi, and descending branch latissimus dorsi: A multicenter retrospective study on early complications and meta-analysis of the literature.

    Gatto, Arianna / Parisi, Paola / Brambilla, Leonardo / Simonelli, Ilaria / Vestri, Annarita / Torto, Federico Lo / Giovanazzi, Riccardo / Marchesi, Andrea

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2022  Volume 75, Issue 11, Page(s) 3979–3996

    Abstract: The thoracodorsal (TD) vessels represent a complex vascular system that offers a variety of pedicled and free flaps. Variations of the classical latissimus dorsi (LD) flap have been developed to overcome its major drawbacks. The thoracodorsal artery ... ...

    Abstract The thoracodorsal (TD) vessels represent a complex vascular system that offers a variety of pedicled and free flaps. Variations of the classical latissimus dorsi (LD) flap have been developed to overcome its major drawbacks. The thoracodorsal artery perforator (TDAP) flap described by Angrigiani represents one of these options. Other techniques have been defined as "muscle-sparing" latissimus dorsi (MSLD) due to the preservation of the LD muscle and the TD nerve, in whole or in part. Nevertheless, the term "muscle sparing" has also been applied to the descending branch LD (DB-LD) flap which requires the denervation of the LD muscle. According to our knowledge, there are no articles in the literature reviewing and comparing the reconstructive options based on the TD vessels. We performed a systematic search in PubMed, Web of Science, and Cochrane databases to perform a literature review and meta-analysis about the reconstructive options based on the TD vessels. The primary outcome of interest was the percentage of flaps developing a specific early complication, i.e., hematoma of the donor site, seroma of the donor site, partial flap loss, total flap loss, wound dehiscence, and wound infection. Moreover, we analyzed the outcomes and complications of our cases, comparing the MSLD flaps, the DB-LD flaps, and the TDAP flaps. According to both our casuistry and the literature, the three techniques can be considered safe in terms of early donor site complications. According to the literature, MSLD has been shown to develop partial flap necrosis more frequently than the TDAP flap.
    MeSH term(s) Humans ; Arteries ; Mammaplasty/methods ; Multicenter Studies as Topic ; Perforator Flap/blood supply ; Postoperative Complications ; Retrospective Studies ; Superficial Back Muscles/transplantation
    Language English
    Publishing date 2022-06-29
    Publishing country Netherlands
    Document type Journal Article ; Meta-Analysis ; Review ; Systematic Review
    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.2022.06.083
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    Uk I Zs.157: Show issues Location:
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