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Plastis Surgery

Kagami Miyaji, Shohei Miyazaki, Keiichi Itatani, Norihiko Oka, Tadashi Kitamura, Tetsuya Horai
OBJECTIVES: A novel surgical strategy using haemodynamic analyses based on virtual operations with computational simulations has been introduced for complicated pulmonary stenosis. We evaluated the efficacy of this strategy. METHODS: Six patients were enrolled. Before surgery, the optimal pulmonary arteries were constructed based on computational fluid dynamics using 3-dimensional computed tomography. Energy loss (EL, mW) and wall shear stress (WSS, Pa) were calculated...
December 6, 2018: Interactive Cardiovascular and Thoracic Surgery
Dogan Yildirim, Turgut Donmez, Halim Ozcevik, Mikail Cakir, Suleyman Demiryas, Okan Murat Akturk
Introduction: Endoscopic hernia repair integrates the advantages of tension-free preperitoneal mesh support of the groin with the advantages of minimally invasive surgery procedures. Aim: To compare outcomes between slit mesh (SM) and nonslit mesh (NSM) placement in laparoscopic totally extraperitoneal (TEP) inguinal hernia repair. Material and methods: This is a retrospective study of 353 patients who underwent TEP inguinal hernia repair between January 2010 and December 2011...
December 2018: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
Yuxin Guo, Maria Cui-Ying Pang, Constance Ee-Hoon Teo, Jack Kian Chng
BACKGROUND: Surgical management of advanced head and neck tumours involving the carotid artery remains controversial with compromised survival outcomes and heightened risks of morbidity and mortality. CASE: We describe a case of a 74-year-old lady with previous T1N0M0 left tongue squamous cell carcinoma (SCC), who developed a left nodal recurrence encasing the left external carotid artery from the carotid bifurcation. She underwent an extended left radical neck dissection with carotid artery patch plasty and remains well to date, 10-months post-surgery...
November 27, 2018: Annals of Vascular Surgery
Masanori Nakamura, Takeshi Uzuka, Hiroshi Sato, Mayo Kondo, Junichi Sakata, Fumihiro Kodama, Daisuke Murai, Hiroshi Komatsu, Takao Makino, Tetsuro Kohya
OBJECTIVES: We investigated the hypothesis that early surgery for infective endocarditis (IE) attenuates the rate of death or embolic events and does not increase the rate of relapse or postoperative valvular dysfunction (PVD) at 6 months. METHODS: 21 consecutive patients who underwent surgical treatment of IE were prospectively included. We assessed 6-month postoperative clinical outcomes by comparing early surgery (Group E, surgery within 72 h) and conventional treatment (Group C)...
November 27, 2018: General Thoracic and Cardiovascular Surgery
Seiji Komatsu, Akira Shinaoka, Yoshihiro Kimata
Pterygium colli is a congenital deformity associated with malformation syndromes. Various surgical procedures have been reported, but these procedures have advantages and disadvantages. The modified posterolateral approach has been reported as a new surgical procedure for pterygium colli. However, there has been no confirmatory report. In this study, a case of pterygium colli that was treated with the modified posterolateral approach was reported.An 11-year-old girl with Turner syndrome was referred with chief complaints of web neck deformity and an abnormal hairline...
November 15, 2018: Journal of Craniofacial Surgery
Deepak Gautam, Rajesh Malhotra
BACKGROUND: Despite significant pain relief following total hip arthroplasty (THA) in patients with ankylosing spondylitis, a small subset of patients presenting with extra-articular extension contracture of hips remains unsatisfied. METHODS: We retrospectively evaluated the patients with ankylosing spondylitis who underwent simultaneous bilateral THA and had extensor tightness of both hips preoperatively. They were managed with modified Z-plasty of iliotibial band...
August 29, 2018: Journal of Arthroplasty
Yasuhiro Chikaishi, Hiroki Matsumiya, Masatoshi Kanayama, Akihiro Taira, Yusuke Nabe, Shinji Shinohara, Taiji Kuwata, Masaru Takenaka, Soichi Oka, Ayako Hirai, Koji Kuroda, Naoko Imanishi, Yoshinobu Ichiki, Yosuke Nishimura, Fumihiro Tanaka
Introduction: Patients with undiagnosed anterior mediastinal tumors commonly undergo surgery for diagnosis and treatment. However, determining the optimal therapeutic strategy is difficult for tumors with substantial invasion, such as lesions touching the aortic arch (AA). Case presentation: A 76-year-old man of Asian descent presented to our hospital because chest computed tomography (CT) revealed an anterior mediastinal tumor. This tumor surrounded the left subclavian vein and touched the AA...
November 2018: Annals of Medicine and Surgery
Roberto Brusati, Maria Costanza Meazzini, Angela Rezzonico, Federico Biglioli, Giovanna Garattini, Valeria Marinella Augusta Battista, Luca Autelitano
The aim of this paper was to assess growth, speech, and aesthetic results at the completion of growth in patients with unilateral cleft lip and palate treated with the 2 stages Milan surgical protocol.Craniofacial growth was evaluated with cephalometric analysis and a theoretical need for orthognathic surgery.Nasolabial appearance was qualitatively assessed using the Asher McDade Aesthetic Index.Speech was assessed using the Gos.Sp.Ass '98 modified for Italian language scoring system.Burden of care was recorded in terms of number of secondary surgical procedures...
November 2018: Journal of Craniofacial Surgery
L Felli, A G Capello, S Lovisolo, F Chiarlone, M Alessio-Mazzola
Patellar instability is the pathologic condition where the patella is prone to recurrent lateral dislocation. The clinical results on large series of patients and long-term outcome of Goldthwait techniques have not been described in the literature. The aim of this systematic review is: (1) to analyze and summarize the available literature focused on Goldthwait procedure in the treatment of recurrent patellar dislocation and (2) to evaluate the clinical and functional outcomes of patients treated with this surgical procedure...
October 1, 2018: Musculoskeletal Surgery
S Cristofari, B Bertrand, S Leuzzi, K Rem, J Rausky, M Revol, M Atlan, A Stivala
In primary male to female (MTF) sex reassignment surgery (SRS), the most frequent postoperative functional complications using the penoscrotal skin technique remain neovaginal stenosis, urinary meatal stenosis and secondary revision surgery. We aimed to retrospectively analyze postoperative functional and anatomical complications, as well as secondary procedures required after MTF SRS by penile skin inversion. All patients operated on for MTF SRS, using the inverted technique, from June 2006 to July 2016, were retrospectively reviewed...
September 27, 2018: Annales de Chirurgie Plastique et Esthétique
Yuqing Yan, Yu Wang, Jin Yang, Hao Wu, Lifeng Zhang, Zhiyu Peng, Chuan Guo, Qingquan Kong
BACKGROUND: Highly upmigrated herniation can be difficult to remove using percutaneous endoscopic lumbar discectomy (PELD) and the conventional transforaminal approach. Although many surgeons have constantly explored new techniques and approaches, we still lack a more effective, convenient, and economical technique to treat highly upmigrated herniation. We have described a novel approach, the transforaminal isthmus plasty approach, for PELD to treat highly upmigrated disc herniation. CASE DESCRIPTION: A 72-year-old man with L3-L4 highly upmigrated disc herniation, who had experienced no relief after a long period of conservative treatment, underwent PELD through the transforaminal isthmus plasty approach...
December 2018: World Neurosurgery
Takatoshi Yotsuyanagi, Ken Yamashita, Makoto Yamauchi, Asuka Sugai, Shinji Kato, Ayako Gonda, Arisa Kita, Ayaka Kitada
Various techniques for correcting whistling deformities that occurred after primary surgery for cleft lip have been reported. These techniques are mainly intended to correct the lack of volume of the red lip. However, irregularity of the dry-wet lip junction (mucocutaneous junction) in the red lip has rarely been mentioned. If the wet lip is located in an exposed area, not only is the aesthetic appearance poor but also uncomfortable complications such as a crusted or bleeding lip repeatedly occur under a dry condition...
December 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Yuhui Shi, Zhigang Tian, Lifan Zhu, Jincai Zeng, Rong Liu, Jianxin Zhou
Clinical efficacy of meniscal plasty and total meniscectomy under arthroscopy in treating middle-aged and elderly patients with meniscus injury were explored. One hundred and fifteen elderly patients with meniscal injuries treated in the First Peoples Hospital of Wujiang District Suzhou from May 2012 to October 2014 were retrospectively analyzed. They were randomly divided into meniscal plasty group (experimental group) and total meniscectomy group (control group). Length of stay, operation time and VAS between the two groups were compared...
October 2018: Experimental and Therapeutic Medicine
Theodor Tirilomis, Dieter Zenker, Tomislav Stojanovic, Stella Malliarou, Friedrich A Schoendube
Objective: Carotid artery stenosis in patients undergoing open-heart surgery may increase risk and deteriorate outcome. The aim of the study was the analysis of risks and outcome after simultaneous carotid and cardiac surgery. Methods: We retrospectively reviewed the medical records of 100 consecutive patients who underwent simultaneous carotid surgery and open-heart surgery during a 5-year period (from 2006 to 2010). Seventy patients were male and 30 female; the mean age was 70...
2018: International Journal of Vascular Medicine
Naoya Yoshida, Takahiko Akiyama, Koichi Kinoshita, Yohei Nagai, Yoshifumi Baba, Takatsugu Ishimoto, Kazuto Harada, Ryuma Tokunaga, Keisuke Kosumi, Hideo Baba
Anastomotic stricture is often observed after esophagectomy. Surgical treatment is considered for refractory stricture to conservative treatments. However, it is not established what type of surgery is safe and effective. In this report, we present a novel approach, percutaneous transluminal plasty, for refractory anastomotic stricture reconstructed via the subcutaneous route in esophagectomy. We believe that the effectiveness and safety of this technique is considerably good and can become a good alternative for refractory stricture after esophagectomy...
October 2018: Esophagus: Official Journal of the Japan Esophageal Society
Won Jae Lee, Taek Min Nam, Kyung-Il Jo, Je Young Yeon, Seung-Chyul Hong, Jong-Soo Kim
OBJECTIVE: Chronic subdural hematoma (CSDH) is a rare complication of unruptured intracranial aneurysm (UIA) clipping surgery. To prevent postoperative CSDH by reducing subdural fluid collection, we applied the modified arachnoid plasty (MAP) during the UIA clipping surgery to seal the dissected arachnoid plane. METHODS: This retrospective study included 286 patients enrolled from July 2012 to May 2015. We performed arachnoid plasty in all patients, with MAP used after June 17, 2014...
November 2018: Journal of Korean Neurosurgical Society
Graham C Schenck, Jamie L Perry, Lakshmi Kollara, David P Kuehn
Changes to the velum and velopharyngeal muscles following Furlow double-opposing Z-plasty in a 7-year-old female with submucous cleft palate and velopharyngeal dysfunction (VPD) were evaluated. Perceptual, instrumental (ie, nasometry and aerodynamic pressure flow), and research magnetic resonance imaging analyses were used during pre- and postsurgical time points at a university research clinic. Continuous positive airway pressure (CPAP) therapy was trialed following a failed surgery for residual VPD in the patient...
July 26, 2018: Cleft Palate-craniofacial Journal
Haihua Chen, Wei Pan, Jufang Zhang, Hanxiao Cheng, Qian Tan
This study was aimed to explore the effect of W-plasty combined Botox-A injection in improving appearance of scar.According to the inclusive and exclusive criteria, patients received W-plasty combined Botox-A injection (study group) or traditional (control group) scar repairment were enrolled in this study. After surgery, a follow-up ranged from 1 to 2 years was conducted. The effectiveness of surgery was assessed by visual analogue scale (VAS).A total of 38 patients were enrolled in this study, including 21 cases in the study group and 17 cases in the control group...
July 2018: Medicine (Baltimore)
Mamoru Munakata, Yuichi Ono
A 67-year-old woman was referred to our hospital with a diagnosis of aortic stenosis. As she had concurrent breast cancer, resection of the left breast was 1st performed. She then suffered from infection of the breast wound followed by infective endocarditis. She underwent aortic valve replacement(AVR) with a patch plasty of the perivalvular abscess in the mitral-aortic intervalvular fibrosa (MAIVF). Four months after the AVR, severe aortic regurgitation occurred due to a pseudoaneurysm in the MAIVF and re-AVR was performed...
June 2018: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Shao-Cheng Liu, Shyi-Gen Chen, Chih-Hung Wang, Bor-Rong Huang
In a retrospective chart review, we evaluated the surgical and hearing results of a single-stage procedure consisting of a canal-wall-up attico-mastoidectomy, mastoid cavity obliteration, scutum plasty, and ossiculoplasty. A total of 77 patients treated between March 2003 and January 2011 with postoperative follow-up of at least 60 months were enrolled. Preoperative and postoperative pure-tone average (PTA) and air-bone gap (ABG) were assessed and compared 1 and 5 years after surgery. At the final follow-up, the tympanic membrane was intact in 71 (92...
June 2018: Ear, Nose, & Throat Journal
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