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Indocyanine green near-infrared fluorescence angiography in free parascapular flaps: Distal flap perfusion assessment in a retrospective study of 112 cases.

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Microsurgical Breast Reconstruction.

Syena Moltaji1, Jesse C Selber2, Kongkrit Chaiyasate2

  • 1University Health Network, Toronto, Ontario, Canada; Division of Plastic Reconstructive & Aesthetic Surgery, Department of Surgery, Temerty Faculty of Medicine, University of Toronto.

Clinics in Plastic Surgery
|November 20, 2025
PubMed
Summary
This summary is machine-generated.

This review covers microsurgical breast reconstruction techniques. It highlights innovations like indocyanine green angiography and robotic approaches for improved patient outcomes.

Keywords:
Autologous breast reconstructionDIEPDUG/TUGGAPLAPMicrosurgeryPAP

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Area of Science:

  • Microsurgery
  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Microsurgical breast reconstruction is a complex procedure.
  • Advancements are continuously improving outcomes and patient selection.

Purpose of the Study:

  • To review current approaches in microsurgical breast reconstruction.
  • To highlight recent innovations and practical considerations.

Main Methods:

  • Review of current literature and techniques in microsurgical breast reconstruction.
  • Discussion of innovations such as indocyanine green angiography, resensation, robotic surgery, and lymphovenous bypass.
  • Analysis of recipient vessel considerations, flap selection, and surgical techniques.

Main Results:

  • Key innovations enhance safety and outcomes, particularly in challenging populations like obese patients.
  • Detailed review of recipient vessel selection and troubleshooting strategies.
  • Comprehensive overview of first-line and alternative flap options.

Conclusions:

  • Microsurgical breast reconstruction involves careful flap selection and surgical technique.
  • Innovations offer improved results and expand reconstructive possibilities.
  • Addressing specific patient factors and technical challenges is crucial for success.