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Acta Chirurgiae Plasticae

Jan Mešt'ák
No abstract text is available yet for this article.
2015: Acta Chirurgiae Plasticae
Alena Schmoranzová
No abstract text is available yet for this article.
2015: Acta Chirurgiae Plasticae
Marija Trop
No abstract text is available yet for this article.
2015: Acta Chirurgiae Plasticae
L Streit, T Mrázek, J Veselý
Osseous reconstruction of the thumb following traumatic bone loss can be approached through a variety of techniques. The use of a silicone spacer with secondary bone grafting is a valid therapeutic option. In case of combined injuries, simultaneous immediate reconstruction of missing soft tissues over the spacer by well-vascularised skin cover is essential. Dorsoradial forearm flap has recently been described as distally based cutaneous pedicled flap on the dorsoradial artery, a constant branch of the radial artery...
2015: Acta Chirurgiae Plasticae
Bohumil Zálesák
No abstract text is available yet for this article.
2015: Acta Chirurgiae Plasticae
Aleš Fibír
No abstract text is available yet for this article.
2015: Acta Chirurgiae Plasticae
P Hyza, G A G Lombardo, T Kubek, Z Jelinkova, J Vesely, R Perrotta
The deep inferior epigastric artery perforator (DIEAp) flap is becoming a widely used method of autologous breast reconstruction. Despite the huge use of the DIEAp flap in reconstructive field, an evidenced based approach in perforator selection has not yet been developed. Unfortunately there is no clear evidence about the relation between the number and dimension of the perforator vessel and the prediction of flap survival in a living model. An old technique like the vascular delay could be extremely useful as a lifeboat procedure when the vascularization of the flap after the dissection is inadequate...
2015: Acta Chirurgiae Plasticae
Molitor M, Meš'ták O, Popelka P, Vítová L, Matejovská J, Kalinová L, Hromádková V, Mešt'ák J
Non-compliance with the production process and use of non-certified materials du- ring production of PIP implants opened an extensive debate regarding regulation and control mechanisms during their production, but the question of health safety of breast implants in general was also reopened. Production of breast implants is subject to various control mechanisms in each country and it is necessary to unify and coordinate such mechanisms. PIP implants were on the market for more than 15 years and in this period the production process and used materials were being changed purposely and without control, which resulted in production of implants with poor quality capsule filled with non-certified silicon gel...
2015: Acta Chirurgiae Plasticae
P Hyza, L Streit, Z Dvorak, G A G Lombardo, T Mrazek, J Vesely
BACKGROUND: Replantation is a complicated procedure in avulsion injuries in majority of the cases. When replantation of an avulsed thumb is not feasible, it is mandatory to find an appropriate reconstruction choice as soon as possible due to the importance of the thumb function in the dynamics of the handgrip. MATERIALS AND METHODS: Three patients with skin avulsion injury underwent immediate reconstruction by twisted lateral arm flap in our department since 2004...
2015: Acta Chirurgiae Plasticae
G A G Lombardo, P Hyza, A Stivala, S Tamburino, J Vesely, R E Perrotta
The rat's femoral artery is definitely the most frequently used model in microsurgical training for its easy dissection. Our model, consisting in the creation of several anastomoses in a row, helps the novice surgeon to assess his microsurgical level and to improve his capacity. Indeed, this leads to an amplification of the trainee surgeon's mistakes, which add up to each other as the anastomoses are performed. We propose a simple method to evaluate the surgeon microsurgical skills during the training.
2015: Acta Chirurgiae Plasticae
P Hyza, L Streit, E D V M Gopfert, Z Dvorak, I Stupka, D Schwarz, T Kubek, G A G Lombardo
BACKGROUND: The effect of magnesium sulphate on mechanically provoked vasospasm of the flap pedicle on porcine model was not studied yet. Positive effect of magnesium sulphate on vasospasm was proved in previous studies on rat. METHODS: The bilateral pedicled flaps based on the caudal superficial epigastric arteries were raised on 8 pigs. Flaps on the right side were the treatment group; flaps on the left side were the control group. The vasospasm was provoked by the tension applied on the pedicle in the axial direction using 160g weight...
2015: Acta Chirurgiae Plasticae
J Měšťák, O Cerná, L Kalinová, O Měšťák, A Krajcová
Authors report a case of unexpected postoperative bleeding after an aesthetic rhinoplasty that was due to previously undiagnosed asymptomatic haemophilia.
2014: Acta Chirurgiae Plasticae
L Streit, Z Dvořák, O Novák, S Stiborová, J Veselý
Replantation of amputated fingertip is a technical challenge to the microsurgeons. The success rate depends directly on the availability and the size of preserved vessels and on the degree of their damage. In distal digital amputations, veins are usually not easily recovered or even absent, and thus high number of replantation procedures fails because of the venous congestion. The use of medicinal leeches is a treatment option for venous congestion of replanted fingers. A case report of a 4-year-old patient after fingertip replantation without venous anastomosis when temporary venous drainage was provided by an application of medicinal leeches is reported together with literature review...
2014: Acta Chirurgiae Plasticae
M Tvrdek, J Kozák
The authors present a case report of a patient with anophthalmia in whom retroauriculo-temporal flap (Washio flap) was used for reconstruction of eyelids. This flap, which is mostly used for reconstructions of nasal defects, was not used in this way according to available literature.
2014: Acta Chirurgiae Plasticae
M Molitor, O Měšťák, L Kalinová, A Krajcová, J Měšťák
Breast implants are medical devices used for augmentation of the breast, to reconstruct the breast after mastectomy and to correct breast asymmetry. The breast prostheses are likely the most frequently used medical implants. The evolution of modern silicone breast implants was not straightforward and is characterised with a lot of medical, forensic and public attention. Currently it is sufficiently established that implants are safe and can be used for breast reconstruction and aesthetic augmentation. Prosthesis can rupture and produce local symptoms but there is no evidence that silicone breast implants can be of any health hazards for the patients...
2014: Acta Chirurgiae Plasticae
P Lengyel, E Frišman, J Babík, J Orság, M Baran, J Gajdoš
BACKGROUND: There were totally 2320 patients during the period 2004-2013 hospitalised in our workplace with thermal injury, 87 of which were electric burns (3.75%). RESULTS: The majority of electric burns occurred to men 67 cases (76.74%), then to children - 18 cases (20.94%) and the rest to women - 2 cases (2.32%). The mechanism of injury to the group of men was direct contact with the source of current (54.5%), electric arc injury (37.9%), ignition of clothes and subsequently flame (6...
2014: Acta Chirurgiae Plasticae
P Hýža, L Streit, D Schwarz, T Kubek, H E Gilboe, J Veselý
BACKGROUND: An experimental model for testing vasodilating drugs on vasospasm caused by standardized traumatisation of a pedicle has not been described yet. The aim of this study was to develop such model and to compare the effects of different types of surgical manipulations that can provoke vasospasm during flap dissection. MATERIAL AND METHODS: The pedicled groin flap was dissected in 185 male Wistar rats under standardised conditions. The blood perfusion curves of the flap were obtained using the Laser Doppler flow-meter...
2014: Acta Chirurgiae Plasticae
I Němec
Closure of a nasal tip defect has specific characteristics with regards to the shape, colour, thickness and texture of skin. During the reconstruction it is necessary to observe aesthetic and functional characteristics to achieve an optimal result. There are several methods for closure of a defect in this area. One of the possible techniques is usage of a local flap. In the selection of an optimal procedure it is suitable to consider the aesthetic subunits in the nose. Usage of the V-Y flap is beneficial compared to a rotation flap or a transposition flap, which are associated with significant scaring and deformities, such as a dog-ear...
2013: Acta Chirurgiae Plasticae
P Bukovčan, J Koller
BACKGROUND: The aim of this paper is to ascertain the number of patients with a burn injury sustained during an epileptic seizure treated in our facility, to identify the characteristics of these types of injuries and to suggest preventive measures, which could reduce the frequency and morbidity of such injuries. PATIENTS AND METHODS: We performed a retrospective study, identifying all patients admitted with burns sustained during an epileptic seizure within a period of six years...
2013: Acta Chirurgiae Plasticae
J Bayer, M Duskova, P Horyna, M Haas, K Schwarzmannová
BACKGROUND: Nasal tip is one of the most frequent areas affected by basocellular carcinoma. The treatment must avoid any postsurgical deformity, as the nasal tip is the main part of the facial triangle. Most of these patients are elderly and polymorbid. The surgeon must find a compromise between the cosmetic effect and an acceptable stress for the patient. METHODS: There were five methods of nasal tip reconstruction used on a group of fifty elderly patients with various medical comorbidities: skin graft, bilobed flap, dorsal nasal flap, forehead flap and interpolation nasolabial flap...
2013: Acta Chirurgiae Plasticae
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