The British journal of surgery
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Prepectoral implant-based breast reconstruction with acellular dermal matrix has become an increasingly popular option for selected patients. There are no randomized data to demonstrate short- or long-term outcomes. Cohort studies to date have demonstrated safety, but risk factors for complications are unknown. ⋯ Prepectoral implant-based breast reconstruction has acceptable medium-term results but careful patient selection is advised.
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Attempts to improve limb preservation for transplantation using ex vivo perfusion have yielded promising results. However, metabolic acidosis, aberrant perfusate biochemistry and significant perfusion-induced oedema are reported universally. Optimizing perfusion protocols is therefore essential for maintaining tissue health. ⋯ Normothermic perfusion resulted in superior graft preservation and less reperfusion injury compared with the current static cold storage protocol.