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Hoyer A, Struk S, Spree M, van der Zwaag T, Haep S, Hülser T. Herstellung prozessierbarer Dispersionen von Nanopartikeln aus der Gasphase durch direkten Transfer in Trägerflüssigkeiten. CHEM-ING-TECH 2020. [DOI: 10.1002/cite.202055259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- A. B. Hoyer
- Institut für Energie- und Umwelttechnik e.V. (IUTA) Partikelprozesstechnik und Charakterisierung Bliersheimer Str. 58–60 47229 Duisburg Deutschland
| | - S. Struk
- Institut für Energie- und Umwelttechnik e.V. (IUTA) Partikelprozesstechnik und Charakterisierung Bliersheimer Str. 58–60 47229 Duisburg Deutschland
| | - M. Spree
- Institut für Energie- und Umwelttechnik e.V. (IUTA) Partikelprozesstechnik und Charakterisierung Bliersheimer Str. 58–60 47229 Duisburg Deutschland
| | - T. van der Zwaag
- Institut für Energie- und Umwelttechnik e.V. (IUTA) Luftreinhaltung und Aerosole Bliersheimer Str. 58–60 47229 Duisburg Deutschland
| | - S. Haep
- Institut für Energie- und Umwelttechnik e.V. (IUTA) Luftreinhaltung und Aerosole Bliersheimer Str. 58–60 47229 Duisburg Deutschland
| | - T. Hülser
- Institut für Energie- und Umwelttechnik e.V. (IUTA) Partikelprozesstechnik und Charakterisierung Bliersheimer Str. 58–60 47229 Duisburg Deutschland
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Rimareix F, Sarfati B, Leymarie N, Alkhashnam H, Honart JF, Tran De Frémicourt K, Conversano A, Struk S, Schaff JB, Bennis Y, Mazouni C, Delaloge S, Rivera S, Kolb F. [Mastectomy and immediate reconstruction: Indications, techniques and decision algorithm]. ANN CHIR PLAST ESTH 2018; 63:542-544. [PMID: 30144962 DOI: 10.1016/j.anplas.2018.07.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2018] [Accepted: 07/12/2018] [Indexed: 01/22/2023]
Abstract
Immediate breast reconstruction indications extend to infiltrating carcinomas, due to new matrix implant coverage techniques and the development of perforator flaps. These techniques allow adjuvant treatments. However, the decision of immediate reconstruction must be discussed with the oncological multidisciplinary team and the benefits/risks must also be evaluated in relation to the morphology of the patients and their co-morbidities. The chosen type of mastectomy: conventional or skin sparing and/or nipple sparing depends on the shape and volume of the breast, the localization of the tumor in the breast and the distance from the nipple areola complex (NAC). We describe an algorithm to allow, in the case of therapeutic mastectomy with or without adjuvant radiotherapy, an immediate reconstruction with implants or free or pedicled flaps.
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Affiliation(s)
- F Rimareix
- Département de chirurgie plastique, Gustave-Roussy, 114, rue Edouard-Vaillant, 94800 Villejuif, France.
| | - B Sarfati
- Département de chirurgie plastique, Gustave-Roussy, 114, rue Edouard-Vaillant, 94800 Villejuif, France.
| | - N Leymarie
- Département de chirurgie plastique, Gustave-Roussy, 114, rue Edouard-Vaillant, 94800 Villejuif, France.
| | - H Alkhashnam
- Département de chirurgie plastique, Gustave-Roussy, 114, rue Edouard-Vaillant, 94800 Villejuif, France.
| | - J F Honart
- Département de chirurgie plastique, Gustave-Roussy, 114, rue Edouard-Vaillant, 94800 Villejuif, France.
| | - K Tran De Frémicourt
- Département de chirurgie plastique, Gustave-Roussy, 114, rue Edouard-Vaillant, 94800 Villejuif, France.
| | - A Conversano
- Département de chirurgie plastique, Gustave-Roussy, 114, rue Edouard-Vaillant, 94800 Villejuif, France.
| | - S Struk
- Département de chirurgie plastique, Gustave-Roussy, 114, rue Edouard-Vaillant, 94800 Villejuif, France.
| | - J-B Schaff
- Département de chirurgie plastique, Gustave-Roussy, 114, rue Edouard-Vaillant, 94800 Villejuif, France.
| | - Y Bennis
- Département de chirurgie plastique, Gustave-Roussy, 114, rue Edouard-Vaillant, 94800 Villejuif, France.
| | - C Mazouni
- Département de chirurgie plastique, Gustave-Roussy, 114, rue Edouard-Vaillant, 94800 Villejuif, France.
| | - S Delaloge
- Département d'oncologie médicale, Gustave-Roussy, 114, rue Edouard-Vaillant, 94800 Villejuif, France.
| | - S Rivera
- Département de radiothérapie, Gustave-Roussy, 114, rue Edouard-Vaillant, 94800 Villejuif, France.
| | - F Kolb
- Département de chirurgie plastique, Gustave-Roussy, 114, rue Edouard-Vaillant, 94800 Villejuif, France.
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Sarfati B, Rimareix F, Honart JF, Alkhashnam H, De Frémicourt KT, Conversano A, Struk S, Schaff JB, Bennis Y, Mazouni C, Kolb F, Leymarie N. [Decision algorithm in immediate breast reconstruction]. ANN CHIR PLAST ESTH 2018; 63:585-588. [PMID: 30143370 DOI: 10.1016/j.anplas.2018.07.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2018] [Accepted: 07/12/2018] [Indexed: 11/29/2022]
Abstract
Immediate breast reconstruction showed many advantages in terms of aesthetic and functional results and improvement of quality of life when compared to delayed breast reconstruction. Previous radiotherapy or the use of adjuvant treatments such as radiation therapy, or chemotherapy are no longer a contraindication for immediate breast reconstruction. However, it is important to respect certain rules in order to decrease the risk of complications: the choice of reconstruction technique, the management of the skin envelope according to the breast shape you want to create, the time delay between the first and the second stage of reconstruction depending on a possible adjuvant treatment.
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Affiliation(s)
- B Sarfati
- Service de chirurgie plastique, Gustave-Roussy, 114, rue Édouard-Vaillant, 94800 Villejuif, France.
| | - F Rimareix
- Service de chirurgie plastique, Gustave-Roussy, 114, rue Édouard-Vaillant, 94800 Villejuif, France.
| | - J F Honart
- Service de chirurgie plastique, Gustave-Roussy, 114, rue Édouard-Vaillant, 94800 Villejuif, France.
| | - H Alkhashnam
- Service de chirurgie plastique, Gustave-Roussy, 114, rue Édouard-Vaillant, 94800 Villejuif, France.
| | - K T De Frémicourt
- Service de chirurgie plastique, Gustave-Roussy, 114, rue Édouard-Vaillant, 94800 Villejuif, France.
| | - A Conversano
- Service de chirurgie plastique, Gustave-Roussy, 114, rue Édouard-Vaillant, 94800 Villejuif, France.
| | - S Struk
- Service de chirurgie plastique, Gustave-Roussy, 114, rue Édouard-Vaillant, 94800 Villejuif, France.
| | - J-B Schaff
- Service de chirurgie plastique, Gustave-Roussy, 114, rue Édouard-Vaillant, 94800 Villejuif, France.
| | - Y Bennis
- Service de chirurgie plastique, Gustave-Roussy, 114, rue Édouard-Vaillant, 94800 Villejuif, France.
| | - C Mazouni
- Service de chirurgie plastique, Gustave-Roussy, 114, rue Édouard-Vaillant, 94800 Villejuif, France.
| | - F Kolb
- Service de chirurgie plastique, Gustave-Roussy, 114, rue Édouard-Vaillant, 94800 Villejuif, France.
| | - N Leymarie
- Service de chirurgie plastique, Gustave-Roussy, 114, rue Édouard-Vaillant, 94800 Villejuif, France.
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Struk S, Qassemyar Q, Leymarie N, Honart JF, Alkhashnam H, De Fremicourt K, Conversano A, Schaff JB, Rimareix F, Kolb F, Sarfati B. The ongoing emergence of robotics in plastic and reconstructive surgery. ANN CHIR PLAST ESTH 2018; 63:105-112. [DOI: 10.1016/j.anplas.2018.01.002] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2017] [Accepted: 01/02/2018] [Indexed: 12/25/2022]
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Struk S, Honart JF, Qassemyar Q, Leymarie N, Sarfati B, Alkhashnam H, Mazouni C, Rimareix F, Kolb F. Utilisation du vert d’indocyanine en chirurgie sénologique et reconstruction mammaire. ANN CHIR PLAST ESTH 2018; 63:54-61. [DOI: 10.1016/j.anplas.2017.09.008] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2017] [Accepted: 09/25/2017] [Indexed: 12/21/2022]
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Struk S, Schaff JB, Qassemyar Q. [The sural medial perforator flap: Anatomical bases, surgical technique and indications in head and neck reconstruction]. ANN CHIR PLAST ESTH 2017; 63:117-125. [PMID: 29203066 DOI: 10.1016/j.anplas.2017.11.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2017] [Accepted: 11/08/2017] [Indexed: 11/25/2022]
Abstract
INTRODUCTION The medial sural artery perforator (MSAP) flap is defined as a thin cutaneo-adipose perforator flap harvested on the medial aspect of the leg. The aims of this study were to describe the anatomical basis as well as the surgical technique and discuss the indications in head and neck reconstructive surgery. MATERIAL AND METHODS We harvested 10 MSAP flap on 5 fresh cadavers. For each case, the number and the location of the perforators were recorded. For each flap, the length of pedicle, the diameter of source vessels and the thickness of the flap were studied. Finally, we performed a clinical application of a MSAP flap. RESULTS A total of 23 perforators with a diameter superior than 1mm were dissected on 10 legs. The medial sural artery provided between 1 and 4 musculocutaneous perforators. Perforators were located in average at 10.3cm±2cm from the popliteal fossa and at 3.6cm±1cm from the median line of the calf. The mean pedicle length was 12.1cm±2.5cm. At its origin, the source artery diameter was 1.8mm±0.25mm and source veins diameters were 2.45mm±0.9mm in average. There was no complication in our clinical application. DISCUSSION This study confirms the reliability of previous anatomical descriptions of the medial sural artery perforator flap. This flap was reported as thin and particularly adapted for oral cavity reconstruction and for facial or limb resurfacing. Sequelae might be reduced as compared to those of the radial forearm flap with comparable results.
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Affiliation(s)
- S Struk
- Département de chirurgie plastique et reconstructrice, Gustave-Roussy, Cancer Campus Grand Paris, 114, rue Edouard-Vaillant, 94805 Villejuif, France
| | - J-B Schaff
- Département de chirurgie plastique et reconstructrice, Gustave-Roussy, Cancer Campus Grand Paris, 114, rue Edouard-Vaillant, 94805 Villejuif, France
| | - Q Qassemyar
- Service chirurgie plastique, reconstructrice et esthétique, hôpital Tenon, université Pierre-et-Marie-Curie Paris VI, AP-HP, 4, rue de la Chine, 75970 Paris cedex 20, France.
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Struk S, Correia N, Guenane Y, Revol M, Cristofari S. Full-thickness skin grafts for lower leg defects coverage: Interest of postoperative immobilization. ANN CHIR PLAST ESTH 2017; 63:229-233. [PMID: 28986118 DOI: 10.1016/j.anplas.2017.08.003] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2017] [Accepted: 08/22/2017] [Indexed: 01/23/2023]
Abstract
INTRODUCTION Full-thickness skin graft is an effective reconstruction method after excision of skin lesions on the lower limb that are not amenable to primary closure. The randomness of graft take is the major drawback of this procedure. OBJECTIVE The objective of the study was to evaluate the outcome of full-thickness skin grafts (FTSG), used to repair lower leg defects after excision of skin lesions, after a 5-day immobilization period. MATERIAL AND METHODS All consecutive patients who underwent FTSG to cover defects below the knee between November 2011 and January 2016 were retrospective reviewed. Graft take was assessed and defined as good (>90% graft take), moderate (between 50% and 90% graft take), or poor (<50% graft take). RESULTS Seventy patients were included. Median age was 70 years (range, 18-92 years). The median area of the defect was 12cm2. Graft take was good in 64 patients (91.4%), moderate in 3 patients (4.3%), and poor in 3 patients (4.3%) at Day 5. Complications included hematoma (11%), infection (14%) and venous thrombosis (3%). CONCLUSION Full-thickness skin graft is a reliable method to repair defects on the lower leg after removal of skin lesions. A 5-day immobilization period can improve the graft take. The authors have indicated no significant interest with commercial supporters.
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Affiliation(s)
- S Struk
- Université Paris-Diderot, Sorbonne Paris Cité, Paris, France; Hôpital Saint-Louis, AP-HP, 75010 Paris, France.
| | - N Correia
- Chirurgie plastique reconstructrice et esthétique, hôpital Maison-Blanche, CHU de Reims, 45, rue Cognacq-Jay, 51100 Reims, France
| | - Y Guenane
- Université Paris-Diderot, Sorbonne Paris Cité, Paris, France; Hôpital Saint-Louis, AP-HP, 75010 Paris, France
| | - M Revol
- Université Paris-Diderot, Sorbonne Paris Cité, Paris, France; Hôpital Saint-Louis, AP-HP, 75010 Paris, France
| | - S Cristofari
- Université Paris-Diderot, Sorbonne Paris Cité, Paris, France; Hôpital Saint-Louis, AP-HP, 75010 Paris, France
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