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Microsurgery Topic Center

Microsurgery

Original Research
Piscine-Derived Acellular Dermal Matrix in Upper Extremity Reconstruction
03/13/2025
Shawhin Shahriari, MD, MA, MS; Cees Whisonant, MD; Joseph Kuhn, MD; Tyler Chavez, MD; Joshua Harrison, MD; Casey McDonald, MD; Adam Schwartz, MD; Jolee Suddock, MD; Elizabeth Mikola, MD; Gregory Borah, MD, DMD
Exploring the use of piscine acellular dermal matrix in reconstructing upper extremity wounds with exposed critical structures in complex surgical cases.
Exploring the use of piscine acellular dermal matrix in reconstructing upper extremity wounds with exposed critical structures in complex surgical cases.
Exploring the use of piscine...
03/13/2025
ePlasty
Original Research
Outcomes of Brachial Plexus Neurolysis in 40 Patients With Obstetric Brachial Plexus Injury
01/29/2025
Rahul K. Nath, MD; Chandra Somasundaram, PhD
This study examines brachial plexus neurolysis as a reconstructive procedure for obstetric brachial plexus injury, exploring its impact on limb function and mobility.
This study examines brachial plexus neurolysis as a reconstructive procedure for obstetric brachial plexus injury, exploring its impact on limb function and mobility.
This study examines brachial...
01/29/2025
ePlasty
Case Report
Bilateral Nipple Piercings and Subsequent Methicillin-Resistant Staphylococcus Aureus Breast Abscess Formation
11/27/2024
Nicholas W. Miller, BS; Zachary A. Koenig, MD; Kerri M. Woodberry, MD, MBA
The authors present the case of a 39-year-old female who developed a methicillin-resistant Staphylococcus aureus right-breast abscess approximately 7 weeks following bilateral nipple piercings.
The authors present the case of a 39-year-old female who developed a methicillin-resistant Staphylococcus aureus right-breast abscess approximately 7 weeks following bilateral nipple piercings.
The authors present the case of...
11/27/2024
ePlasty
Case Report
Regenerative Peripheral Nerve Interfaces for the Management of Symptomatic Non-extremity Neuropathic Pain and Neuromas
10/23/2024
Navya Baranwal, BA; Jesse E. Menville, BA; Elijah M. Persad-Paisley, BA; Nikhil Sobti, MD; Loree K. Kalliainen, MD, MA
Regenerative peripheral nerve interfaces (RPNI) effectively treat non-extremity neuropathic pain. A review of seven patient cases highlights diverse trauma-related nerve injuries.
Regenerative peripheral nerve interfaces (RPNI) effectively treat non-extremity neuropathic pain. A review of seven patient cases highlights diverse trauma-related nerve injuries.
Regenerative peripheral nerve...
10/23/2024
ePlasty
Case Report
Pigtail-Assisted Distal Canalicular Repair in a Child: An Innovative Technique for Bicanalicular Intubation With Single Monocanalicular Stent
06/03/2024
Gautam Lokdarshi, MD, MRCS; Abdul Shameer Shamanzil, MD, MRCS
This report describes an innovative but simple technique for the repair of medial canthus injury involving canaliculus.
This report describes an innovative but simple technique for the repair of medial canthus injury involving canaliculus.
This report describes an...
06/03/2024
ePlasty
Case Report
Postsurgical Pyoderma Gangrenosum After Penile Inversion Vaginoplasty: Case With Review of Diagnostic and Management Strategies
05/23/2024
This report presents a patient who developed postsurgical pyoderma gangrenosum 10 days postoperatively following penile inversion vaginoplasty.
This report presents a patient who developed postsurgical pyoderma gangrenosum 10 days postoperatively following penile inversion vaginoplasty.
This report presents a patient...
05/23/2024
ePlasty
Original Research
Treatment of Lymphedema in Patients With Advanced Cancer Receiving Palliative Care: A Single-Center Experience
05/09/2024
Isao Koshima, MD; Keisuke Shimbo; Haruka Kawamoto
This single-center, retrospective cohort study investigated the course of treatment for lymphedema in patients receiving palliative care to assess posttreatment outcomes.
This single-center, retrospective cohort study investigated the course of treatment for lymphedema in patients receiving palliative care to assess posttreatment outcomes.
This single-center,...
05/09/2024
ePlasty
Case Report
Penile Revascularization for Erectile Dysfunction Secondary to Arterial Insufficiency: A Case Series
04/29/2024
This report describes 2 cases of penile revascularization for arteriogenic erectile dysfunction at a level 1 trauma center.
This report describes 2 cases of penile revascularization for arteriogenic erectile dysfunction at a level 1 trauma center.
This report describes 2 cases of...
04/29/2024
ePlasty
Case Report
Pubic Aneurysmal Bone Cyst Following Penile Inversion Vaginoplasty: A Case Report
04/02/2024

 

 
This report describes the development of a pubic aneurysmal bone cyst in a transgender patient who had previously undergone PIV, possibly indicating a very rare complication of this gender-affirming operation.
This report describes the development of a pubic aneurysmal bone cyst in a transgender patient who had previously undergone PIV, possibly indicating a very rare complication of this gender-affirming operation.
This report describes the...
04/02/2024
ePlasty
Case Report
Role of Hyperbaric Oxygen Therapy in Maximizing Flap Survival in Compromised Free Flaps: A Case Report
03/14/2024
Haruka Kawamoto; Isao Koshima, MD; Keisuke Shimbo
This case report presents the use of hyperbaric oxygen therapy in a 76-year-old man who underwent free flap reconstruction for calcaneal osteomyelitis.
This case report presents the use of hyperbaric oxygen therapy in a 76-year-old man who underwent free flap reconstruction for calcaneal osteomyelitis.
This case report presents the...
03/14/2024
ePlasty
Original Research
Replacing Bacitracin With Vancomycin in Adams Triple Antibiotic Solution for Irrigation in Breast Implant Reconstruction: A Retrospective Review of 277 Reconstructions
09/25/2025
Retrospective single-center study evaluates vancomycin-based triple antibiotic irrigation during tissue expander breast reconstruction, assessing postoperative infection patterns and safety profiles.
Retrospective single-center study evaluates vancomycin-based triple antibiotic irrigation during tissue expander breast reconstruction, assessing postoperative infection patterns and safety profiles.
Retrospective single-center...
09/25/2025
ePlasty
Original Research
Comparison of Surgical Complications in Staged Versus Combined Hysterectomy Approach in Masculinizing Bottom Surgery: A National Surgical Quality Improvement Program Analysis
09/15/2025
Analysis of national surgical data explores perioperative outcomes of masculinizing genital surgery performed with or without concurrent hysterectomy procedures.
Analysis of national surgical data explores perioperative outcomes of masculinizing genital surgery performed with or without concurrent hysterectomy procedures.
Analysis of national surgical...
09/15/2025
ePlasty
Case Report
Buccal Sulcus Approach to Septal Perforation Repair
08/12/2025
Midfacial degloving via transoral access offers a novel approach to pediatric septal perforation repair, avoiding external or endonasal incisions.
Midfacial degloving via transoral access offers a novel approach to pediatric septal perforation repair, avoiding external or endonasal incisions.
Midfacial degloving via...
08/12/2025
ePlasty
Case Report
Thoracic Outlet Syndrome: An Overlooked Diagnosis in the Pediatric Population
08/08/2025
Pediatric thoracic outlet syndrome remains underrecognized. This case explores diagnosis and management considerations in a child with cervical rib compression.
Pediatric thoracic outlet syndrome remains underrecognized. This case explores diagnosis and management considerations in a child with cervical rib compression.
Pediatric thoracic outlet...
08/08/2025
ePlasty
Case Report
A Case of Extrasphincteric Enterocutaneous Fistula After Scrotal Reconstruction for Fournier Gangrene: Use of a Novel Salvage Technique
08/08/2025
Case report details surgical management of a rare, long extrasphincteric fistula complicating prior scrotal reconstruction following Fournier gangrene.
Case report details surgical management of a rare, long extrasphincteric fistula complicating prior scrotal reconstruction following Fournier gangrene.
Case report details surgical...
08/08/2025
ePlasty
Case Report
Extreme Injury of Multiple Hand Extensor Tendons (Zones II to VII) Combined With an Extensive Degloving Injury of the Dorsal Hand: Staged Reconstruction Utilizing Silicon Rods and a Groin Flap
08/06/2025
Staged reconstruction of dorsal hand degloving with extensor tendon injury using groin flap, tendon grafts, and silicone rod technique.
Staged reconstruction of dorsal hand degloving with extensor tendon injury using groin flap, tendon grafts, and silicone rod technique.
Staged reconstruction of dorsal...
08/06/2025
ePlasty
Original Research
Opioid Prescription Patterns in Hand Surgery: A Medicare Part D Analysis
07/18/2025
Sabrina M. Wang, MD, MPH; Steven L. Zeng, BA; Victoria Wu, BA; Emmanuel O. Emovon, III, BS; J. Andres Hernandez, MD, MBA; William M. Tian, BS; Cynthia Feltner, MD, MPH; Suhail K. Mithani, MD
National trends and regional disparities in opioid prescribing by hand surgeons highlight evolving practices within the Medicare population from 2015–2019.
National trends and regional disparities in opioid prescribing by hand surgeons highlight evolving practices within the Medicare population from 2015–2019.
National trends and regional...
07/18/2025
ePlasty
Original Research
Technique to Reduce Wound Size: The Double-Opposing Purse-String and Horizontal Continuous Closure Algorithm
07/17/2025
Alexander L. Mostovych, MS; Lexina R. Patel, BS; Kartik Garg, MD; Quinton L. Carr, BA; Mitchell Peake, MD; Ryan Cantrell, BS ; Bradon J. Wilhelmi, MD
Double-opposing purse-string and horizontal closure technique offers a simplified reconstructive option for complex wounds, particularly in high-risk patients.
Double-opposing purse-string and horizontal closure technique offers a simplified reconstructive option for complex wounds, particularly in high-risk patients.
Double-opposing purse-string and...
07/17/2025
ePlasty
Case Report

Triple-Positive PALB-2 Breast Cancer in a 27-Year-Old Male-to-Female Patient
07/17/2025
Kelly C. Ho, BS; Kristin N. Huffman, BS; Madeline J. O’Connor, BA; Payton Sparks, BS; Caden Bozigar; Helene Sterbling, MD; Nora Hansen, MD
Case highlights breast cancer screening considerations in transgender women with long-term hormone therapy and familial risk factors.
Case highlights breast cancer screening considerations in transgender women with long-term hormone therapy and familial risk factors.
Case highlights breast cancer...
07/17/2025
ePlasty
Original Research
Fluorescein Dye-Assisted Tangential Excision and Skin Grafting in Hand Burns: Achieving Optimal Cosmetic and Functional Outcomes
07/17/2025
Dylan Singh, MD; Justin H. Wong, BS; Alana A. Parsa, MD; Fereydoun D. Parsa, MD, FACS
Fluorescein-guided tangential excision offers a technique for early burn depth assessment and precision debridement in hand burn management.
Fluorescein-guided tangential excision offers a technique for early burn depth assessment and precision debridement in hand burn management.
Fluorescein-guided tangential...
07/17/2025
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Popular Articles

Case Q&A
Classification of Burn Depth
02/28/2024
Stephen M. Milner, BDS, FRCSE, FACS, DSc(Hons), MBBS, FRCSE
Classification of burn depth is discussed in the context of a 41-year-old man with 15% total body surface area burn localized to his right upper extremity and chest.
Classification of burn depth is discussed in the context of a 41-year-old man with 15% total body surface area burn localized to his right upper extremity and chest.
Classification of burn depth is...
02/28/2024
ePlasty
Original Research
Scaphoid Fractures Requiring Bone Graft: Does Graft Source Matter?
05/07/2024
Ashley Ignatiuk, MD, MSc, FRCSC
This study compares the outcomes of treatment of scaphoid waist fractures with the use of distal radius and iliac crest bone grafts.
This study compares the outcomes of treatment of scaphoid waist fractures with the use of distal radius and iliac crest bone grafts.
This study compares the outcomes...
05/07/2024
ePlasty
Original Research
Soft Tissue Support as an Adjunct to Implant-Based Cosmetic Breast Surgery: A 500+ Case Experience
09/18/2024
Julia A. Chiemi, BSc; S. Sean Kelishadi, MD, FACS
This study examines the use of polydioxanone (PDO) mesh in 522 breast implant surgeries to enhance aesthetic outcomes.
This study examines the use of polydioxanone (PDO) mesh in 522 breast implant surgeries to enhance aesthetic outcomes.
This study examines the use of...
09/18/2024
ePlasty
Case Q&A
Utility of Ultrasound in Performing a Reverse Allen’s Test in Patients At Risk for Radial Artery Occlusion
10/10/2023
David T. Cheng, DO; Pramod K. Chetty, MD; Kevin B. Gerold, DO, JD, MEd, FCCM, FCCP
This Case Q&A discusses the reverse Allen's Test and the use of ultrasound over the conventional method.
This Case Q&A discusses the reverse Allen's Test and the use of ultrasound over the conventional method.
This Case Q&A discusses the...
10/10/2023
ePlasty
Original Research
Addressing the Rhino in the Room: ChatGPT Creates "Novel" Patent Ideas for Rhinoplasty
03/12/2024
Daniel Najafali, BS; Logan G. Galbraith, BA; Justin M. Camacho, MBA; Sydney H. Arnold, MD; Michael Alperovich, MD, MSc; Timothy W. King, MD, PhD; Mark S. Cohen, MD; Shane D. Morrison, MD, MS; Amir H. Dorafshar, MD
This study used a chatbot to generate possible innovations in aesthetic surgery relating to rhinoplasty.
This study used a chatbot to generate possible innovations in aesthetic surgery relating to rhinoplasty.
This study used a chatbot to...
03/12/2024
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