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Roche launches LightCycler Nano real-time PCR system in the U.S.

September 09, 2017

"The idea was to see if we could do this without adding too much time to the surgery or making it too difficult, and that proved to be the case," says Rosson.

Surgeons in the U.S. performed about 93,000 breast reconstructions during 2010, according to the American Society of Plastic Surgeons. Most of these surgeries involved the use of artificial implants, but in about 20 percent of cases, surgeons rebuilt breasts using flaps of tissue cut from patients' upper backs or abdomens.

In the most common of these patients' own-tissue procedures, muscle is removed from the donor site along with skin and fat. But most patients prefer to keep their abdominal or upper back muscles intact, and a new procedure, known as a DIEP (deep inferior epigastric perforator) flap, spares the muscle while using only the abdominal skin and fat. In 2010, U.S. plastic surgeons performed about 5,000 DIEP flaps. Effectively the procedure gives patients a "tummy tuck" and uses the excised tissue to reconstruct a breast. "The new breast has a nice shape and it's soft and supple and feels natural," says Rosson. "More and more plastic surgeons are doing the DIEP flap surgery because of its advantages."

The end-to-side anastomosis simply adds a further advantage to the DIEP flap surgery, by keeping the internal mammary artery available in case of future bypass surgery needs. The artery is normally used for the most important bypass done in such procedures. "It works better for longer, compared with the saphenous veins (taken from the leg) that are normally a cardiac surgeon's second choices," says Rosson.

Source: Plastic & Reconstructive Surgery