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Top Journal Picks July 2017
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Must-read articles chosen by the Southeastern Society of Plastic and Reconstructive Surgeons: July 2017


Vertical Rectus Abdominis Myocutaneous Versus Alternative Flaps for Perineal Repair After Abdominoperineal Excision of the Rectum in the Era of Laparoscopic Surgery.
Johnstone MS. 
Ann Plast Surg. 2017 Jul;79(1):101-106. 

A meta-analysis was conducted of existing studies to compare complication rates of perineal reconstruction using VRAM, gracilis, or gluteal flaps. In the age of laparoscopic and robotic surgery, more reconstructive surgeons are looking to the gluteal or thigh regions for perineal reconstruction, but VRAM appears to be associated with the lowest complications.

DIEP flap for breast reconstruction: Is abdominal fat thickness associated with post-operative complications?
Modarressi A, Müller CT, Montet X, Rüegg EM, Pittet-Cuénod B. 
J Plast Reconstr Aesthet Surg; S1748-6815(17)30174-2: May 2017 

A single center retrospective study of 105 patients who underwent DIEP breast reconstruction shows no increased risk of flap related or donor site complications in patients with elevated BMI or greater abdominal wall thickness.

Refining the extended circumflex scapular flap for neck burn reconstruction: A 30-year experience.
Angrigiani C, Artero G, Sereday C, Khouri RK Jr, French ZP. 
J Plast Reconstr Aesthet Surg. S1748-6815(17)30225-5, Jun e 2017 

An update of a landmark 1994 paper, the patients report a 30-year, 150 patient experience using the extended circumflex scapular flap for microsurgical reconstruction of neck burn scars. Long term range of motion and patient satisfaction were excellent.



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