Undiagnosed fracture in a common foot variant: the biphalangeal little toeWarren Matthew Rozen
Department of Anatomy, The University of Melbourne, Parkville, Victoria, Australia
Eur J Morphol 42:233-5. 2005
..A review of 102 human skeletal feet at the Department of Anatomy, University of Melbourne, was performed to evaluate the frequency of the biphalangeal little toe variant, revealing an incidence of 26%...
- Role of re-operative sentinel lymph node biopsy in locally recurrent breast cancer
Warren Matthew Rozen
Breast J 13:629-30. 2007
- The "limited rectus sheath incisions" technique for DIEP flaps using preoperative CT angiography
Warren M Rozen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy and Cell Biology, The University of Melbourne, Parkville, Vic, Australia
Microsurgery 29:525-8. 2009
..This approach may reduce damage to the anterior rectus sheath, and may contribute to improving donor site morbidity. (c) 2009 Wiley-Liss, Inc. Microsurgery, 2009...
- The arterialized saphenous venous flow-through flap with dual venous drainage
Warren M Rozen
Department of Plastic and Reconstructive Surgery, Dandenong Hospital, Southern Health, David St, Dandenong, 3175, Victoria Australia Department of Surgery, Faculty of Medicine, Monash University, Clayton 3168, Victoria Australia
Microsurgery 32:281-8. 2012
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- Mapping the vascular anatomy of free transplanted soft tissue flaps with computed tomographic angiography
Warren M Rozen
Department of Anatomy and Cell Biology, Room E533, Jack Brockhoff Reconstructive Plastic Surgery Research Unit, The University of Melbourne, Parkville, Vic, 3050, Australia
Surg Radiol Anat 34:301-4. 2012
..The current study aimed to explore whether vascular anatomy was able to highlight CTA within transferred flaps...
- The effect of radiotherapy on implant-based breast reconstruction in the setting of skin-sparing mastectomy: clinical series and review of complications
Kenneth Hughes
Department of Plastic, Wound, and Burn Surgery, University of Kansas Medical Center, Kansas City, KC, USA
Anticancer Res 32:553-7. 2012
..This study examined the effect of radiation on implant-based breast reconstruction in patients who had skin-sparing or conventional mastectomies in terms of complication, reoperation, and capsular contracture rates...
- Post-mastectomy breast reconstruction: a history in evolution
Warren M Rozen
Department of Anatomy and Cell Biology, Jack Brockhoff Reconstructive Plastic Surgery Research Unit, University of Melbourne, Victoria 3050, Australia
Clin Breast Cancer 9:145-54. 2009
..The development of minimally invasive techniques for implant placement and flap harvest, such as endoscopy, continue to evolve, and research in tissue engineering offers a vision for a future without the need for a donor site...
- The effect of anterior abdominal wall scars on the vascular anatomy of the abdominal wall: A cadaveric and clinical study with clinical implications
Warren M Rozen
Department of Anatomy and Cell Biology, Jack Brockhoff Reconstructive Plastic Surgery Research Unit, The University of Melbourne, Parkville, Victoria, Australia
Clin Anat 22:815-22. 2009
..CTA was useful in identifying and delineating these changes, and may be used as a preoperative tool in this role...
- The perforator angiosome: a new concept in the design of deep inferior epigastric artery perforator flaps for breast reconstruction
Warren M Rozen
Department of Anatomy and Cell Biology, The University of Melbourne, Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Parkville, Victoria, 3050, Australia
Microsurgery 30:1-7. 2010
..As such, a new model for abdominal wall perfusion has become necessary. The concept of a "perforator angiosome" is thus explored...
- Macrovascular arteriovenous shunts (MAS): a newly identified structure in the abdominal wall with implications for thermoregulation and free tissue transfer
Warren M Rozen
Department of Anatomy and Cell Biology, The University of Melbourne, Parkville, Victoria, Australia
J Plast Reconstr Aesthet Surg 63:1294-9. 2010
..The potential clinical implications and therapeutic possibilities in a range of medical and surgical conditions are described...
- The unfavorable anatomy of vastus lateralis motor nerves: a cause of donor-site morbidity after anterolateral thigh flap harvest
Warren M Rozen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy and Cell Biology, University of Melbourne, Parkville, Victoria, Australia
Plast Reconstr Surg 123:1505-9. 2009
..No anatomical studies have yet described the relationship of these motor nerves to the vascular pedicle of the anterolateral thigh flap...
- Current state of the art in perforator flap imaging with computed tomographic angiography
Warren Matthew Rozen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy and Cell Biology, The University of Melbourne, Parkville, Vic, Australia
Surg Radiol Anat 31:631-9. 2009
..As such, a standardized protocol for the use of CTA prior to perforator flap surgery is provided, which has been shown to be successful prior to a range of perforator flap operations...
- The absent inferior epigastric artery: a unique anomaly and implications for deep inferior epigastric artery perforator flaps
Warren M Rozen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy and Cell Biology, The University of Melbourne, Parkville, Victoria, Australia
J Reconstr Microsurg 25:289-93. 2009
..Preoperative CTA in this setting helped us identify this anomaly and aided surgical planning. The incidence of this anomaly was subsequently reviewed in 150 consecutive CTA scans performed at our institution...
- Image-guided, stereotactic perforator flap surgery: a prospective comparison of current techniques and review of the literature
W M Rozen
Department of Anatomy and Cell Biology, Jack Brockhoff Reconstructive Plastic Surgery Research Unit, The University of Melbourne, Parkville, VIC 3050, Australia
Surg Radiol Anat 31:401-8. 2009
..The current study comprises an evaluation of the current techniques available for this purpose...
- Planning and optimising DIEP flaps with virtual surgery: the Navarra experience
Warren Matthew Rozen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy and Cell Biology, The University of Melbourne, Grattan Street, Parkville 3050, Victoria, Australia
J Plast Reconstr Aesthet Surg 63:289-97. 2010
..The techniques described herein permit the radiologist and the surgeon to perform virtual surgery together, preoperatively...
- Improving outcomes in autologous breast reconstruction
W M Rozen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy and Cell Biology, The University of Melbourne, Room E533, Grattan St, Parkville, Vic, 3050, Australia
Aesthetic Plast Surg 33:327-35. 2009
..Computed tomography angiography (CTA) is currently the gold standard but evolving techniques such as magnetic resonance angiography (MRA) and image-guided stereotaxy are rapidly contributing to improved outcomes...
- Advances in the pre-operative planning of deep inferior epigastric artery perforator flaps: magnetic resonance angiography
Warren M Rozen
Department of Anatomy and Cell Biology, Jack Brockhoff Reconstructive Plastic Surgery Research Unit, University of Melbourne, Parkville, Victoria, Australia
Microsurgery 29:119-23. 2009
..As such, while MRA does have a role in the imaging of DIEA perforators, CTA is still the preferred modality. On the basis of these findings, a larger study into the role for MRA in this setting is warranted...
- The venous anatomy of the anterior abdominal wall: an anatomical and clinical study
Warren M Rozen
Department of Anatomy and Cell Biology, University of Melbourne, Grattan Street, Parkville, 3050 Victoria, Australia
Plast Reconstr Surg 124:848-53. 2009
..Previous anatomical studies have focused on cadaveric anatomy or excisional specimens. The current study uses in vivo computed tomographic angiography to evaluate this anatomy, in combination with a cadaveric radiographic study...
- The efficacy of postoperative monitoring: a single surgeon comparison of clinical monitoring and the implantable Doppler probe in 547 consecutive free flaps
Warren M Rozen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy, University of Melbourne, Parkville 3050, Victoria, Australia
Microsurgery 30:105-10. 2010
..There is little evidence that any technique offers any advantage over clinical monitoring alone...
- Modifying techniques in deep inferior epigastric artery perforator flap harvest with the use of preoperative imaging
Warren M Rozen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Room E533, Department of Anatomy and Cell Biology, The University of Melbourne, Grattan St, Parkville, Victoria 3050, Australia
ANZ J Surg 79:598-603. 2009
..Abdominal wall closure can be improved based on the abdominal contour seen with imaging. Preoperative planning can aid patient selection, plan all aspects of the operative technique, reduce operating time and improve operative outcomes...
- Images in plastic surgery: the anatomy of macrovascular arteriovenous shunts and implications for abdominal wall free flaps
Warren M Rozen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy and Cell Biology, The University of Melbourne, Victoria, Australia
Ann Plast Surg 67:99-100. 2011
..We present images in vivo, ex vivo, and histologically to highlight their anatomic features...
- Computed tomographic angiography: clinical applications
Warren M Rozen
The Taylor Laboratory, Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy and Cell Biology, The University of Melbourne, Grattan Street, Parkville, Victoria 3050, Australia
Clin Plast Surg 38:229-39. 2011
..CTA has a range of clinical applications in autologous breast reconstruction, and can aid operative planning and improve outcomes...
- The importance of the superficial venous anatomy of the abdominal wall in planning a superficial inferior epigastric artery (SIEA) flap: case report and clinical study
Warren M Rozen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Room E533, Department of Anatomy and Cell Biology, The University of Melbourne, Parkville, Vic, Australia
Microsurgery 31:454-7. 2011
..These findings highlight the considerable variation in the number of SIEV trunks as well as their source of regional drainage, and show the importance of consideration of such variation...
- Why there are two rows of deep inferior epigastric artery perforators despite variability in the number of deep inferior epigastric artery trunks: An anatomical and embryological argument
Warren M Rozen
Department of Anatomy and Cell Biology, University of Melbourne, Parkville, Victoria, Australia
Clin Anat 24:786-8. 2011
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- Sutured attachment of the implantable Doppler probe cuff for large or complex pedicles in free tissue transfer
Warren M Rozen
Department of Plastic and Reconstructive Surgery, Geelong Hospital, Bellerine Street, Victoria, Australia
J Reconstr Microsurg 27:99-102. 2011
..There are a range of techniques for attachment of the implantable Doppler probe, and each contributes to the range of options for cuff attachment in difficult cases, with each technique worthwhile in particular settings...
- Imaging the posterior interosseous artery with computed tomographic angiography: report of a rare anomaly and implications for hand reconstruction
Warren M Rozen
Department of Anatomy and Cell Biology, The University of Melbourne, Parkville, Victoria, Australia
Ann Plast Surg 65:300-1. 2010
..A unique case is described where the posterior interosseous artery was completely absent throughout its course, and in which preoperative imaging was able to potentiate a good outcome...
- Dominance between angiosome and perforator territories: a new anatomical model for the design of perforator flaps
Warren M Rozen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy and Cell Biology, The University of Melbourne, Victoria, Australia
J Reconstr Microsurg 26:539-45. 2010
..This concept of perforator or angiosome dominance is an important factor in the design of perforator flaps...
- Venous coupler for free-flap anastomosis: outcomes of 1,000 cases
Warren M Rozen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy and Cell Biology, The University of Melbourne, Grattan St, Parkville, Victoria, Australia
Anticancer Res 30:1293-4. 2010
..01. This was without any increase in complication rates. These findings support the use of these devices and suggest an increasing role for modern devices in microvascular surgery...
- Superior and inferior gluteal artery perforators: In-vivo anatomical study and planning for breast reconstruction
Warren M Rozen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Room E533, Department of Anatomy and Cell Biology, The University of Melbourne, Parkville, Victoria 3050, Australia
J Plast Reconstr Aesthet Surg 64:217-25. 2011
..We thus undertook an anatomical study with the use of CTA, the largest such study in the literature, and present a clinical series utilising CTA to plan GAP flaps...
- The variability of the Superficial Inferior Epigastric Artery (SIEA) and its angiosome: A clinical anatomical study
Warren M Rozen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy and Cell Biology, The University of Melbourne, Parkville, Victoria 3050, Australia
Microsurgery 30:386-91. 2010
..While previous anatomical studies have been limited in number and study design, the use of preoperative imaging has enabled the analysis of this vasculature in large numbers and greater anatomical detail...
- Evaluating anatomical research in surgery: a prospective comparison of cadaveric and living anatomical studies of the abdominal wall
Warren M Rozen
Reconstructive Plastic Surgery Research Unit, Room E533, Department of Anatomy and Cell Biology, The University of Melbourne, Grattan St, Parkville, VIC 3050, Australia
ANZ J Surg 79:913-7. 2009
..In particular, our understanding of vascular anatomy has been based upon cadaveric studies, in which vascular tone and flow do not match the living situation...
- The branching pattern of the deep inferior epigastric artery revisited in-vivo: a new classification based on CT angiography
Warren M Rozen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy and Cell Biology, The University of Melbourne, Victoria, Australia
Clin Anat 23:87-92. 2010
..04). As such, a new modification to the classification system for the branching pattern of the DIEA is presented based on imaging findings...
- Avoiding denervation of rectus abdominis in DIEP flap harvest II: an intraoperative assessment of the nerves to rectus
Warren M Rozen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy and Cell Biology, University of Melbourne, Parkville, Victoria, Australia
Plast Reconstr Surg 122:1321-5. 2008
..Using intraoperative nerve stimulation, the current study describes the motor distribution of individual nerves supplying the rectus abdominis, providing a guide to nerve dissection during DIEP flap harvest...
- Anatomical variations in the harvest of anterolateral thigh flap perforators: a cadaveric and clinical study
Warren M Rozen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy and Cell Biology, The University of Melbourne, Victoria, Australia
Microsurgery 29:16-23. 2009
..The variability of this anatomy has not been adequately explored previously...
- The accuracy of computed tomographic angiography for mapping the perforators of the deep inferior epigastric artery: a blinded, prospective cohort study
Warren M Rozen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, University of Melbourne, Parkville, Victoria, Australia
Plast Reconstr Surg 122:1003-9. 2008
..Computed tomographic angiography has been increasingly described as a preferred imaging modality; however, its formal evaluation has not been described in a clinical setting...
- Preoperative imaging for DIEA perforator flaps: a comparative study of computed tomographic angiography and Doppler ultrasound
Warren M Rozen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, University of Melbourne, Parkville, Victoria, Australia
Plast Reconstr Surg 121:9-16. 2008
..This is the first study to formally compare preoperative Doppler ultrasound with computed tomographic angiography for imaging the DIEA...
- A tale of two colleges: do specialist trainees receive adequate hospital-based training?
Warren M Rozen
Department of Surgery, Royal Melbourne Hospital, Grattan St, Parkville, Melbourne, VIC 3050, Australia
Aust Health Rev 31:362-7. 2007
..A review of trainee satisfaction with current levels of hospital-based training was performed, both to reflect the thoughts of trainees themselves and to highlight specific areas requiring improvement...
- Reviewing the vascular supply of the anterior abdominal wall: redefining anatomy for increasingly refined surgery
W M Rozen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy and Cell Biology, University of Melbourne, Parkville, Victoria, Australia
Clin Anat 21:89-98. 2008
..The current review comprises an appraisal of both the anatomical and clinical literature, with a view to highlighting the key anatomical features of the abdominal wall vasculature as related to reconstructive flaps...
- The cutaneous course of deep inferior epigastric perforators: implications for flap thinning
W M Rozen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, The University of Melbourne, Parkville, Victoria, Australia
J Plast Reconstr Aesthet Surg 62:986-90. 2009
..Thinning may disrupt the blood supply to the flap and compromise viability, however adequate guidelines for thinning are lacking from the literature...
- Establishing the case for CT angiography in the preoperative imaging of abdominal wall perforators
W M Rozen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, The University of Melbourne, Parkville, Vic, Australia
Microsurgery 28:306-13. 2008
..This is particularly the case in the setting of comorbidities or previous abdominal surgery...
- Spontaneous regression of low-grade gliomas in pediatric patients without neurofibromatosis
Warren Matthew Rozen
Department of Neurosurgery, Royal Melbourne Hospital, Parkville, Vic, Australia
Pediatr Neurosurg 44:324-8. 2008
..In individual cases however, the natural history can be variable, and rarely spontaneous regression has been described. This paper describes factors associated with spontaneous regression...
- Refining the course of the thoracolumbar nerves: a new understanding of the innervation of the anterior abdominal wall
W M Rozen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy and Cell Biology, The University of Melbourne, Parkville, Victoria, Australia
Clin Anat 21:325-33. 2008
..An understanding of this anatomy may contribute to explaining clinical outcomes and preventing complications, following TAP blocks for anesthesia and DIEA perforator flaps for breast reconstruction...
- Angiosarcoma arising in an unirradiated breast with subsequent pituitary metastasis
Warren M Rozen
Department of Surgery, Royal Melbourne Hospital, Parkville, Victoria, Australia
Clin Breast Cancer 7:811-3. 2007
..Angiosarcoma is a rare occurrence after breast conservative surgery. Postoperative lymphoedema can impede early diagnosis. The disease can display unique metastatic potential...
- Developments in perforator imaging for the anterolateral thigh flap: CT angiography and CT-guided stereotaxy
W M Rozen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy and Cell Biology, The University of Melbourne, Parkville, Victoria, Australia
Microsurgery 28:227-32. 2008
..Perforators are not always present, vary in size and intramuscular course, and have variable cutaneous courses and supply. As such, preoperative imaging has become favored...
- The DIEA branching pattern and its relationship to perforators: the importance of preoperative computed tomographic angiography for DIEA perforator flaps
Warren M Rozen
Jack Brockhoff Plastic and Reconstructive Surgery Research Unit, University of Melbourne, Parkville, Victoria, Australia
Plast Reconstr Surg 121:367-73. 2008
..The authors sought to correlate the DIEA branching pattern to the location and course of perforators as a preoperative planning tool for perforator flaps...
- An improved alternative to vacuum-assisted closure (VAC) as a negative pressure dressing in lower limb split skin grafting: a clinical trial
Warren Matthew Rozen
Department of Surgery, Royal Melbourne Hospital, Parkville, Victoria, Australia
J Plast Reconstr Aesthet Surg 61:334-7. 2008
..We describe an alternative method of negative pressure dressing, which we have found to be a safe and successful alternative in the setting of lower limb split skin grafts...
- The management of papillary breast lesions on core biopsy: the contentious issues
Warren M Rozen
Department of Surgery, Royal Melbourne Hospital, Victoria, Australia
Clin Breast Cancer 7:644-6. 2007
..This unique case highlights that core biopsy specimens are unable to effectively exclude adjacent in situ carcinoma and suggests that papillary lesions diagnosed on core needle biopsy require excisional biopsy...
- Defining the role for autologous breast reconstruction after mastectomy: social and oncologic implications
Warren Matthew Rozen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy and Cell Biology, The University of Melbourne, Parkville, Victoria, Australia
Clin Breast Cancer 8:134-42. 2008
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- Emerging epidemic in Australia: abdominal stab wounds. Twenty-four months at a major trauma centre
Warren Matthew Rozen
Department of Surgery, Trauma Unit, Royal Melbourne Hospital, Parkville, Victoria, Australia
Emerg Med Australas 19:262-8. 2007
..Management protocols for abdominal stab wounds are still contentious. The current study quantifies the increase in stab wounds at the Royal Melbourne Hospital over a 24 month period and analyses the management modalities used...
- Postgraduate obstetrics and gynaecology experience: the role for early exposure
Warren Matthew Rozen
Department of Surgery, Royal Melbourne Hospital, Parkville, Australia
Aust N Z J Obstet Gynaecol 46:538-40. 2006
..A cross-sectional analysis of junior doctors was performed to assess residents' views on the suitability of an O & G rotation for career decision-making and for achieving sufficient clinical experience...
- Fasciitis ossificans with a radial neuropathy: a benign differential diagnosis for soft tissue sarcoma
W M Rozen
Department of Surgery, The Royal Melbourne Hospital, University of Melbourne, Grattan Street, Parkville, Victoria 3050, Australia
J Clin Neurosci 14:391-4. 2007
..The presence of severe pain and tenderness suggested an inflammatory process. Fasciitis ossificans is a rare form of heterotopic bone formation, commonly presenting with signs of local inflammation or pain...
- Avoiding denervation of rectus abdominis in DIEP flap harvest: the importance of medial row perforators
Warren M Rozen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy and Cell Biology, University of Melbourne, Parkville, Victoria, Australia
Plast Reconstr Surg 122:710-6. 2008
..This study describes the relationship between the nerves supplying rectus abdominis and perforators, based on a thorough cadaveric study and review of the literature...
- The accuracy of computed tomographic angiography for mapping the perforators of the DIEA: a cadaveric study
Warren M Rozen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Radiology, Royal Melbourne Hospital, Parkville, Victoria, Australia
Plast Reconstr Surg 122:363-9. 2008
..A cadaveric study was undertaken to evaluate the accuracy of computed tomographic angiography for perforator mapping...
- Stereotactic image-guided navigation in the preoperative imaging of perforators for DIEP flap breast reconstruction
W M Rozen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy and Cell Biology, The University of Melbourne, Parkville, Victoria, Australia
Microsurgery 28:417-23. 2008
..With no additional scanning required, the method described in this paper allows the combined use of both methods for preoperative planning...
- Improving the utility and reliability of the deep circumflex iliac artery perforator flap: The use of preoperative planning with ct angiography
Jeannette W C Ting
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy and Cell Biology, The University of Melbourne, Parkville, Victoria, Australia
Microsurgery 31:603-9. 2011
..Conclusion: With preoperative CTA planning, the DCIA perforator flap is a versatile and feasible flap for reconstruction of the mandible and extremities. © 2011 Wiley Periodicals, Inc. Microsurgery, 2011...
- Predictors of blood transfusion in deep inferior epigastric artery perforator flap breast reconstruction
Jeannette Ting
Department of Anatomy and Cell Biology, Jack Brockhoff Reconstructive Plastic Surgery Research Unit, The University of Melbourne, Victoria, Australia
J Reconstr Microsurg 27:233-8. 2011
..With risk factors for increased transfusion requirements identified in the current study, high-risk patients can be predicted preoperatively...
- Does the preoperative imaging of perforators with CT angiography improve operative outcomes in breast reconstruction?
Warren M Rozen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, The University of Melbourne, Parkville, Victoria, Australia
Microsurgery 28:516-23. 2008
..Despite the potential for improvements in operative outcome, any benefits are yet to be established...
- The in vivo anatomy of the deep circumflex iliac artery perforators: defining the role for the DCIA perforator flap
Jeannette W C Ting
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy and Cell Biology, The University of Melbourne, Parkville, Vic, Australia
Microsurgery 29:326-9. 2009
..The current study has demonstrated the utility of preoperative CTA for identifying DCIA perforators, and for selecting patients who may be suitable for a DCIA perforator flap given the variable perforator anatomy...
- Perforator dilatation induced by body weight gain is not reversed by subsequent weight loss: implications for perforator flaps
Ramin Shayan
Department of Anatomy and Cell Biology, Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Royal Melbourne Hospital and University of Melbourne, Parkville, Victoria, Australia
Plast Reconstr Surg 122:1765-72. 2008
..Body weight gain is usually associated with increasing cutaneous perforator size. The question remains whether body weight loss causes a diminution in the size of these perforators...
- Preoperative imaging for DIEA perforator flaps: a comparative study of computed tomographic angiography and doppler ultrasound
Warren M Rozen
Jack Brockhoff Plastic and Reconstructive Surgery Research Unit, University of Melbourne, Parkville, Victoria 3052, Australia
Plast Reconstr Surg 121:1-8. 2008
..This is the first study to formally compare preoperative Doppler ultrasound with computed tomographic angiography for imaging the DIEA...
- The pudendal thigh flap for vaginal reconstruction: optimising flap survival
Nicole L Y Tham
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Room E533, Department of Anatomy and Cell Biology, University of Melbourne, Grattan Street, Parkville, 3050 Victoria, Australia
J Plast Reconstr Aesthet Surg 63:826-31. 2010
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- Modern adjuncts and technologies in microsurgery: an historical and evidence-based review
George F Pratt
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Room E533, Department of Anatomy and Cell Biology, The University of Melbourne, Grattan St, Parkville, Victoria 3050, Australia
Microsurgery 30:657-66. 2010
..The purpose of this review was to establish and quantify the evidence for each technique...
- Preserving the neurovascular supply in the Hall-Findlay superomedial pedicle breast reduction: an anatomical study
Cara Michelle le Roux
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Room E533, Department of Anatomy and Cell Biology, The University of Melbourne, Grattan St, Parkville, VIC 3050, Australia
J Plast Reconstr Aesthet Surg 63:655-62. 2010
..An understanding of the anatomy of the neurovascular pedicle of the NAC is paramount in avoiding these complications...
- Surgical correction and reconstruction of the nipple-areola complex: current review of techniques
Mark A Boccola
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy, University of Melbourne, Victoria, Australia
J Reconstr Microsurg 26:589-600. 2010
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- A unique deep inferior epigastric artery perforator and implications for a muscle and fascia sparing vertical rectus abdominis myocutaneous flap: a case report
Ajay J Iyengar
Department of Surgical Oncology, Peter MacCallum Cancer Centre, East Melbourne, Victoria, Australia
Microsurgery 31:413-6. 2011
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- A new preoperative imaging modality for free flaps in breast reconstruction: computed tomographic angiography
Warren M Rozen
Jack Brockhoff Plastic and Reconstructive Surgery Research Unit, University of Melbourne, Parkville, Victoria, Australia
Plast Reconstr Surg 122:38e-40e. 2008
- Abdominal wall CT angiography: a detailed account of a newly established preoperative imaging technique
Timothy J Phillips
Department of Radiology, The Royal Melbourne Hospital, Grattan Street, Parkville, Melbourne, Victoria 3050, Australia
Radiology 249:32-44. 2008
..This detailed description will allow other radiologists and surgeons interested in free DIEP flap surgery to incorporate this useful tool into their practice...
- Early survival of a compromised fasciocutaneous flap without pedicle revision: monitoring with photoplethysmography
Daniel Chubb
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy, University of Melbourne, Parkville, Victoria, Australia
Microsurgery 30:462-5. 2010
..With complete flap survival despite the lack of pedicle revision, the roles for close monitoring with clinical assessment and PPG, and delaying debridement are discussed...
- The efficacy of clinical assessment in the postoperative monitoring of free flaps: a review of 1140 consecutive cases
Daniel Chubb
Jack Brockhoff Reconstructive Plastic Surgery Research Unit and the Department of Anatomy, University of Melbourne, Parkville, Victoria, Australia
Plast Reconstr Surg 125:1157-66. 2010
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- The lumbar artery perforators: a cadaveric and clinical anatomical study
Birgitte J Kiil
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy and Cell Biology, University of Melbourne, Parkville, Victoria, Australia
Plast Reconstr Surg 123:1229-38. 2009
..Similarly, defects of this region can require recipient vessels that may be difficult to identify. Although lumbar artery perforators have been described, the reliability of perforators in this region remains questionable...
- Neurovascular anatomy of sartorius muscle flaps: implications for local transposition and facial reanimation
Aaron Buckland
Jack Brockhoff Plastic and Reconstructive Surgery Research Unit, University of Melbourne, Parkville, Victoria, Australia
Plast Reconstr Surg 123:44-54. 2009
..However, a paucity of description of the neurovascular anatomy of the sartorius has contributed to its infrequent use in these roles...
- Preventing postoperative haematomas in microvascular reconstruction of the head and neck: lessons learnt from 126 consecutive cases
Elan D Kaplan
Plastic and Reconstructive Surgery Unit, Royal Melbourne Hospital, Melbourne, Victoria, Australia
ANZ J Surg 78:383-8. 2008
..A retrospective analysis of both donor- and recipient-site wound haematoma was carried out to identify causative factors and the effect on patient outcome...
- Sentinel lymph node biopsy for squamous cell carcinoma of the extremities: case report and review of the literature
Yang Yang Liu
Department of Plastic and Reconstructive Surgery, Geelong Hospital, Victoria, Australia
Anticancer Res 31:1443-6. 2011
..One such technique is the use of sentinel lymph node biopsy (SLNB), however its role for SCC of the extremities has not been explored...
- Surgical options for reconstruction of the extensor mechanism of the knee after limb-sparing sarcoma surgery: an evidence-based review
Edmund W Ek
Department of Plastic and Reconstructive Surgery, Western Hospital, Gordon St, Footscray, VIC 3011, Australia
Arch Orthop Trauma Surg 131:487-95. 2011
..An evidence-based literature review assessing the available reconstructive options has not been undertaken...
- The superficial venous drainage of the breast: a clinical study and implications for breast reduction surgery
Niamh Corduff
Aesthetic Breast Surgery Centre, 7 74 Gheringhap Street, Geelong 3220, Victoria, Australia
J Plast Reconstr Aesthet Surg 63:809-13. 2010
..Developments in infrared photography have enabled the use of this noninvasive technique to evaluate the venous architecture of the breast...
- Raising perforator flaps for breast reconstruction: the intramuscular anatomy of the deep inferior epigastric artery
Warren M Rozen
Jack Brockhoff Plastic and Reconstructive Research Unit, University of Melbourne, Parkville, Victoria 3052, Australia
Plast Reconstr Surg 120:1443-9. 2007
..Despite this, published descriptions of the DIEA in the literature describe a "direct" course through rectus abdominis. This study interprets these clinical findings by analyzing the intramuscular course of the perforators...
- Free deep circumflex iliac artery vascularised bone flap for reconstruction of the distal radius: planning with CT angiography
Jeannette W C Ting
Department of Anatomy and Cell Biology, Jack Brockhoff Reconstructive Plastic Surgery Research Unit, University of Melbourne, Victoria, Australia
Microsurgery 30:163-7. 2010
..This unique application of the free DCIA bone flap was potentiated by CTA, achieving complete healing and good functional outcomes...
- A three-dimensional analysis of the lymphatics of a bilateral breast specimen: a human cadaveric study
Wei Ren Pan
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy and Cell Biology, The University of Melbourne, Parkville, Victoria 3050, Australia
Clin Breast Cancer 9:86-91. 2009
..The use of improved preservation techniques with computed tomographic lymphangiography (CT; CTL) has now allowed this analysis to be undertaken...
- The arterial supply of the patellar tendon: anatomical study with clinical implications for knee surgery
Jack Pang
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy and Cell Biology, University of Melbourne, Parkville, Victoria, Australia
Clin Anat 22:371-6. 2009
..The pedicles supplying the PT are endangered during procedures where Hoffa's fat pad is removed including certain techniques of PT harvest and total knee arthroplasty...
- Inferior gluteal artery myocutaneous island transposition flap reconstruction of irradiated perineal defects
Mark A Boccola
Department of Plastic and Reconstructive Surgery, Western Hospital, Gordon St, Footscray, 3011 Victoria, Australia
J Plast Reconstr Aesthet Surg 63:1169-75. 2010
..We present our technique of inferior gluteal artery myocutaneous (IGAM) transposition flaps for reconstruction after extended abdomino-perineal excision (APE) for anorectal cancer...
- The arterial anatomy of the Achilles tendon: anatomical study and clinical implications
Tony M Chen
Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy and Cell Biology, The University of Melbourne, Parkville, Victoria, Australia
Clin Anat 22:377-85. 2009
....
- Synchronous carcinoma and lymphoma of the breast
Namrata Sadanand Anavekar
Department of Surgery, Royal Melbourne Hospital, Parkville, Victoria, Australia
Clin Breast Cancer 8:281-4. 2008
..As such, there are no clear guidelines on the optimal management of such synchronous tumors. Herein, the diagnostic and management issues are explored...
- Spontaneous involution of two sinus pericranii - a unique case and review of the literature
Warren Matthew Rozen
Department of Surgery, Royal Melbourne Hospital, Parkville, Victoria, Australia
J Clin Neurosci 15:833-5. 2008
..The clinical, diagnostic and management options are discussed...
- Computed tomography in the management of cervical lymph node pathology
Wei-Ren Pan
J Plast Reconstr Aesthet Surg 61:1244-5. 2008
