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Journal of Plastic Surgery and Hand Surgery

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https://www.readbyqxmd.com/read/29022421/characterization-of-two-distinct-lipomas-a-comparative-analysis-from-surgical-perspective
#1
Hak Chang, Seong Oh Park, Ung Sik Jin, Ki Yong Hong
BACKGROUND: Lipomas are common benign soft tissue tumors that are well-circumscribed and encapsulated. However, adipose masses that are not demarcated from the surrounding fat are often encountered. Two distinct types of lipomas were analyzed from surgical perspective. METHODS: Thirty patients were enrolled after lipoma excision and diagnosed with either encapsulated (n = 20) or non-encapsulated lipoma (n = 10). Comparison of clinical variables, histologic analyses and characterization of the lipoma adipose-derived stem cells (ASCs) between the two lipomas were performed...
October 12, 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/28885132/no-long-term-risk-of-wrist-osteoarthritis-due-to-subchondral-haematomas-in-distal-radial-fractures
#2
Ante Mrkonjic, Mats Geijer, Tommy Lindau, Magnus Tägil
OBJECTIVE: The objective of this study of distal radius fractures was to determine if a subchondral haematoma in an unfractured compartment predicts secondary osteoarthritis. METHODS: In 1995-1997, 41 patients, 22 women, a median age of 41 years (20-57 years) with a displaced distal radius fracture underwent diagnostic wrist arthroscopy in addition to the fracture treatment. In 12 patients (7/12 women), subchondral haematomas were identified in a joint compartment not involved in the fracture...
September 8, 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/28880703/the-association-between-surgical-complications-and-the-possum-score-in-head-and-neck-reconstruction-a-retrospective-single-center-study
#3
Yohjiroh Makino, Katsuhiro Ishida, Keita Kishi, Hiroki Kodama, Takeshi Miyawaki
The Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity (POSSUM) is widely used to predict surgical complications affecting various organs. However, there are few reports about objective evaluation methods for head and neck surgery. In this study, we retrospectively examined the association between POSSUM score and actual surgical complications of head and neck reconstruction surgery. In total, 711 patients who underwent head and neck reconstruction after cancer extirpation between January 2007 and January 2015 were studied...
September 7, 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/28876176/gynecomastia-histological-appearance-in-different-age-groups
#4
Alba Fricke, Gabriele M Lehner, G Björn Stark, Vincenzo Penna
OBJECTIVE: Gynecomastia is a common finding in the male population which is mostly idiopathic. The aim of our study was to analyze the histological differences in young and old patient groups and its association with recurrence rates. METHODS: Three hundred and five gynecomastia patients (555 breasts) undergoing surgical treatment from 1997 to 2015 were divided into four groups: Group 1: 13-17 years, Group 2: 18-30 years, Group 3: 31-49 years and Group 4: 50-83 years...
September 6, 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/28868941/do-rhomboid-flaps-provide-more-elongation-than-z-plasty-flaps-an-experimental-study
#5
Serdar Altun, Fatih Çakır, Mehmet Öztan, Mehmet İhsan Okur, Ali Bal
BACKGROUND AND AIM: A Z-plasty flap is one of the most widely used geometric relaxation methods to release contracture bands. A rhomboid flap is a lesser used geometric relaxation method than a Z-plasty flap. This study aimed to determine the length and rate of elongation provided by rhomboid and Z-plasty flaps. METHODS: Bilateral contracture bands were created in the inguinal skins of rats. A rhomboid flap was planned for the right side of the inguinal region, and a single Z-plasty flap was planned for the left side...
September 4, 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/28857656/diaphragm-reconstruction-combined-with-thoraco-abdominal-wall-reconstruction-after-tumor-resection
#6
Hiroaki Kuwahara, Juho Salo, Erkki Tukiainen
BACKGROUND: Thoraco-abdominal wall resection including diaphragm resection results in a challenging surgical defect. Various methods have been used for diaphragm reconstruction. The aim of this study was to describe our methods of diaphragm and thoraco-abdominal wall reconstruction after combined resection of these anatomical structures. METHODS: Twenty-one patients underwent diaphragm resection at our institution between 1997 and 2015. We used a mesh or direct closure for diaphragm defect and a mesh for chest wall stabilization...
August 31, 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/28854828/laser-assisted-indocyanine-green-angiography-in-implant-based-immediate-breast-reconstruction-a-retrospective-study
#7
Niels Hammer-Hansen, Alexander Andersen Juhl, Tine Engberg Damsgaard
OBJECTIVE: Necrosis in implant-based immediate breast reconstruction is a feared complication. Accurate evaluation of mastectomy skin flaps per-operatively is necessary to decrease this risk. The present study is the first in Scandinavia to review the effects of perioperative evaluation with laser-assisted indocyanine green fluorescence angiography (LA-ICGA). METHOD: A retrospective review was performed using data from the electronic patient record at the Department of Plastic and Breast Surgery at Aarhus University Hospital in Denmark on all patients who underwent implant-based skin-sparing immediate breast reconstruction with ADM in the time period March 2012 to October 2015...
August 30, 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/28277071/chemical-component-separation-a-systematic-review-and-meta-analysis-of-botulinum-toxin-for-management-of-ventral-hernia
#8
Jason M Weissler, Michael A Lanni, Michael G Tecce, Martin J Carney, Valeriy Shubinets, John P Fischer
BACKGROUND: Ventral hernia represents a surgical challenge plagued by high morbidity and recurrence rates. Primary closure of challenging hernias is often prohibited by severe lateral retraction and tension of the abdominal wall musculature. Botulinum toxin injections have recently been identified as a potential pre-operative means to counteract abdominal wall tension, reduce hernia size, and facilitate fascial closure during hernia repair. This systematic review and meta-analysis reviews outcomes associated with botulinum toxin injections in the setting of ventral hernia, and demonstrates an opportunity to leverage this mainstream aesthetic product for use in abdominal wall reconstruction...
October 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/28151027/end-to-end-versus-end-to-side-anastomoses-in-free-flap-reconstruction-single-centre-experiences
#9
Paul I Heidekrueger, Milomir Ninkovic, Albrecht Heine-Geldern, Frank Herter, P Niclas Broer
BACKGROUND: The choice of microsurgical anastomotic technique, end-to-end (ETE) or end-to-side (ETS), is a relevant point in free tissue transfer. The decision-making process of choosing ETE or ETS technique depends on several clinical and perioperative factors. This study evaluates the outcomes of microvascular procedures in a large single centre patient series, focusing on ETE vs ETS arterial anastomoses. MATERIALS AND METHODS: Between January 2009 and June 2015, 838 patients underwent free flap surgery for reconstruction after trauma, infection, or malignancies...
October 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/28150520/an-anatomical-study-on-the-availability-of-contralateral-recipient-vessels-in-hemi-mandibular-reconstruction-with-vascularised-free-fibula-transfer
#10
Shogo Kasai, Tomohisa Nagasao, Yoshiaki Sakamoto, Yusuke Shimizu, Nobuaki Imanishi, Kazuo Kishi
BACKGROUND: In mandibular reconstruction with vascularised free fibula transfer, there are situations where the neck on the operated site lacks recipient vessels for vascular anastomosis due to previous radiological/surgical interventions. METHODS: The present study aims to clarify the availability of neck vessels on the contralateral side in such situations. Experimental surgery was conducted on 20 fresh cadavers (six males and 14 females). After the left half of the mandible was removed, free vascularised fibula of equivalent length was transferred to fill the defect...
October 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/28122466/blood-loss-and-duration-of-surgery-are-independent-risk-factors-for-complications-after-breast-reconstruction
#11
Andri Thorarinsson, Victoria Fröjd, Lars Kölby, Albert Modin, Richard Lewin, Anna Elander, Hans Mark
BACKGROUND: Complications after breast reconstructive surgery are common, and they can be caused by a wide range of factors. The aim of the present study was to identify independent perioperative risk factors for postoperative complications after breast reconstruction. METHODS: A retrospective study was performed of 623 consecutive breast cancer patients who had undergone deep inferior epigastric perforator (DIEP) flap, latissimus dorsi (LD) flap, lateral thoracodorsal flap (LTDF), or tissue expander with secondary implant (EXP)...
October 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/28084146/lip-carcinoma-clinical-presentation-surgical-treatment-and-outcome-a-series-of-108-cases-from-denmark
#12
Rasmus N Kristensen, Peter Stemann Andersen, Jørgen Lock-Andersen
OBJECTIVE: Lip carcinomas are among the most common malignant tumours of the head and neck region but reports on the course and outcome of this disease are mainly based on Mediterranean, South American, and Oceanian populations. The aim of the study was to describe the treatment and outcome of patients with lip carcinoma at a Danish department of plastic surgery. METHOD: We conducted a single institution retrospective cohort study including patients with primary cancer of the lips including squamous cell (SCC), basal cell (BCC), and basosquamous carcinomas (BSC) in a 5-year period...
October 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/28084138/intraoperative-vasopressors-and-thrombotic-complications-in-free-flap-breast-reconstruction
#13
Jonas A Nelson, John P Fischer, Ritwik Grover, Priscilla Nelson, Alex Au, Joseph M Serletti, Liza C Wu
OBJECTIVE: The purpose of this study was to critically examine intraoperative vasopressor usage as it relates to free flap perfusion and its effect on perioperative complications in autologous breast reconstruction. METHODS: A retrospective cohort study was performed involving all free autologous breast reconstructions at a single institution over a 5 year period. Data collection focused on perioperative care, specifically fluid administration, urine output (UOP), use of vasopressors, and case duration...
October 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/28084137/preservation-of-deep-layer-fat-of-lateral-zones-prevents-postoperative-seroma-after-tram-flap-harvesting-for-breast-reconstruction-a-retrospective-study
#14
Tomohisa Nagasao, Motoki Tamai, Tadaaki Moromomi, Takanori Miki, Tetsukuni Kogure, Yusuke Hamamoto, Hiroo Kudo, Yoshio Tanaka
OBJECTIVE: The present study elucidates whether or not preserving fat tissues deeper than the Scarpa's fascia in zone 3 and zone 4 reduces postoperative fluid collection after harvesting the transverse rectus-abdominis muscle (TRAM) flap. METHODS: Thirty-one patients for whom breast reconstruction with free TRAM flaps had been performed were included in the study. Fat tissues deeper than the Scarpa's fascia in zone 3 and zone 4 were addressed in two ways. With 17 patients, these tissues were preserved on the abdominal wall; with 14 patients, these fat tissues were harvested as part of the TRAM flap...
October 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/28084113/risk-factors-leading-to-mucoperiosteal-flap-necrosis-after-primary-palatoplasty-in-patents-with-cleft-palate
#15
Percy Rossell-Perry, Olga Figallo-Hudtwalcker, Roberto Vargas-Chanduvi, Yvette Calderon-Ayvar, Carolina Romero-Narvaez
BACKGROUND: Few studies have been published reporting risk factors for flap necrosis after primary palatoplasty in patients with cleft palate. This complication is rare, and the event is a disaster for both the patient and the surgeon. This study was performed to explore the associations between different risk factors and the development of flap necrosis after primary palatoplasty in patients with cleft palate. METHODS: This is a case-control study. A 20 years retrospective analysis (1994-2015) of patients with nonsyndromic cleft palate was identified from medical records and screening day registries)...
October 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/27957868/impact-of-smoking-and-preoperative-electrophysiology-on-outcome-after-open-carpal-tunnel-release
#16
Erik Dahlin, Malin Zimmerman, Anders Björkman, Niels O B Thomsen, Gert S Andersson, Lars B Dahlin
BACKGROUND: The aim was to evaluate the influence of smoking and preoperative electrophysiology on the outcome of open carpal tunnel release. METHODS: This retrospective observational study evaluated the outcome in 493 patients (531 hands) primary operated for carpal tunnel syndrome. Data were collected from medical records, health evaluations, and QuickDASH questionnaires before surgery and 1 year after. RESULTS: Smokers had a higher QuickDASH score preoperatively as well as postoperatively, but the change in total score did not differ...
October 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/27928936/reconstruction-of-gluteal-deformities-a-systematic-review-and-experience-of-four-cases
#17
Mathias Tremp, Pietro Giovanni di Summa, Carlo M Oranges, Dirk J Schaefer, Daniel Felix Kalbermatten
BACKGROUND: The reconstruction of gluteal deformities remains a major challenge. The aim of this article is to provide a systematic review of the literature concerned, and to present a case series with representative defects from various zones. METHODS: A review of the literature was performed using PubMed, EMBASE, and The Cochrane Library, in accordance with the PRISMA statement. Quality of evidence was rated according to GRADE. Patients with various buttock deformities were included and, depending on the defect, the reconstructive techniques applied consisted of lipoinjection, local fasciocutaneous flap, or pedicled gracilis muscle flap...
October 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/27921449/reduction-mammaplasty-with-the-modified-round-block-technique-in-chinese-patients-and-its-anatomy-study
#18
Wei Ding, Yinjia Ding, Hua Jiang
BACKGROUND: Although reduction mammaplasty is one of the most common procedures in plastic surgery, it is associated with some serious complications, especially in cases of severe hypertrophy or advanced ptosis, including necrosis of the nipple and areola, absence of normal sensation of the nipple-areolar complex, and loss of lactational function for future nursing. A thorough understanding of the breast anatomy is vital for successful reduction mammaplasty. This article describes the blood supply and innervation of the breasts, and introduces a modified round block technique for reduction mammaplasty based on this anatomy...
October 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/27921443/platelet-rich-plasma-versus-corticosteroid-injections-for-carpal-tunnel-syndrome
#19
Hakan Uzun, Ozan Bitik, Öznur Uzun, Umut Sinan Ersoy, Erdem Aktaş
BACKGROUND: Platelet-rich plasma therapy has the potential to promote peripheral nerve regeneration through the autologous supply of growth factors. Therefore, this study aimed to compare the effects of platelet-rich plasma injections with the effects of corticosteroid injections in the treatment of carpal tunnel syndrome. METHODS: In total, 40 patients with mild carpal tunnel syndrome were equally divided into two groups. Nerve conduction studies were carried out, and the Boston Carpal Tunnel Questionnaire was administered to both groups before treatment...
October 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/27917687/a-long-term-20-years-follow-up-after-arthroscopically-assisted-repair-of-the-tfcc
#20
Endre Soreide, Torstein Husby, Jan Ragnar Haugstvedt
OBJECTIVE: The present study aimed to assess long-term functional outcome for patients after arthroscopic assisted suture for peripheral tears of the triangular fibrocartilage complex (TFCC). METHODS: Eleven patients, 26 (15-59) years old at time of surgery, 48 (35-78) years old at time of follow-up, were available for this 20-year follow-up. Subjective and objective outcomes, such as range of motion, grip strength, patients' satisfaction, pain, and Mayo Modified Wrist Score, were assessed, as well as asking the question if the patients would have had the surgery done again, knowing the outcome, based on a clinical examination and patient reported questionnaires...
October 2017: Journal of Plastic Surgery and Hand Surgery
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