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https://www.readbyqxmd.com/read/29441338/evaluation-of-intradermal-absorbable-and-mattress-sutures-to-close-pilonidal-sinus-wounds-with-limberg-flap-a-prospective-randomized-comparative-study
#1
Kenan Çetin, Hasan Ediz Sikar, Aytaç Emre Kocaoğlu, Muhammet Fikri Kündeş, Mehmet Karahan, Levent Kaptanoğlu
Purpose: We aimed to compare skin closure techniques, standard (intermittent mattress) and continuous subcuticular sutures, following Limberg flap procedure. Methods: From July 2013 to July 2015, 92 patients with sacrococcygeal pilonidal disease were prospectively randomized into 2 groups consisting of 46 patients for both. Patients underwent sinus excision and closure with Limberg flap; continuous subcuticular suture was used in subcuticular group (SG) and intermittent mattress sutures were used in mattress group (MG) for skin closure...
February 2018: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/29433876/autogenous-hepatic-tissue-transplantation-into-the-omentum-in-a-novel-ectopic-liver-regeneration-murine-model
#2
Francisco Igor Macedo, Joseph J Eid, Milessa Decker, Barry Herschman, Edsa Negussie, Vijay K Mittal
BACKGROUND: Liver regeneration involves hyperplasia and hypertrophy of hepatic cells. The capacity of macroscopic liver tissue to regenerate in ectopic sites is unknown. We aim to develop a novel in vivo model of ectopic liver survivability and regeneration and assess its functionality. METHODS: Adult male Sprague-Dawley rats (n = 23) were divided into four groups: (1) single-stage (SS) group, wedge liver resection was performed, and the parenchyma was directly implanted into the omentum; (2) double-stage (DS) group, omentum pedicle was transposed over the left hepatic lobe followed by wedge liver resection along with omental flap; (3) Biogel + DS group, rats received intraperitoneal injection of inert polymer particles prior to DS; (4) Biogel + DS + portal vein ligation (PVL) group, Biogel + DS rats underwent subsequent PVL...
March 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29433146/reconstruction-of-tragus-and-external-auditory-meatus-using-remnant-auricle-during-microtia-reconstruction
#3
Gao-Feng Li, Yi-Gao Hu, Wei Ding, Jun Tan, Xin Chen, Tao Luo, Bo Zhang, Xiao-Jia Liu
This article investigates an effective method with which to reconstruct the tragus and external auditory meatus for microtia reconstruction. The external ear was reconstructed using a delayed postauricular skin flap in patients with congenital microtia. After the first stage of delaying the postauricular skin flap and the second stage of otoplasty with ear framework fabricated from autogenous rib cartilage draping with the delayed skin flap, the third stage involved tragus and external auditory meatus canaloplasty...
February 12, 2018: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29429844/study-of-surgical-treatment-for-elderly-patients-with-head-and-neck-cancer
#4
Y Wu, B Zhang, Z Huang, Y Ruan, Z Huang
The aim of this study was to evaluate the clinical results of surgery for head and neck cancer (HNC) in elderly patients and to determine whether surgery for elderly HNC patients is safe and what types of surgery result in the most favourable outcomes for this age group. The cases of 637 elderly patients who were diagnosed with HNC and underwent surgical treatment were studied retrospectively. Patient demographic characteristics and treatment data were extracted from the appropriate patient records and analysed...
February 8, 2018: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29427442/nose-resurfacing-with-free-fasciocutaneous-flaps-in-burns-patients
#5
Cheng-I Yen, Jui-Yung Yang, Chun-Shin Chang, Jung-Ju Huang, Chih-Wei Wu, Hung-Chang Chen, Shih-Yi Yang, Shu-Yin Chang, Shiow-Shuh Chuang, Yen-Chang Hsiao
BACKGROUND: Nasal reconstruction after burn injury can be challenging due to limited availability of local flaps. We present our experience of free flap reconstruction for full-thickness nasal defect after severe facial burn injury. METHODS: Between August 1998 and September 2015, six patients underwent nasal reconstruction with seven free flaps after burn injury. Among them, flame burn occurred in two patients, chemical burn in two, explosive burn in one, and contact thermal burn in one patient...
February 10, 2018: Microsurgery
https://www.readbyqxmd.com/read/29420386/neurofibroma-of-the-nasal-ala-pediatric-nasal-reconstruction
#6
Oswaldo J Gómez, Mónica Bernal, Diana Carolina Martínez
Benign tumors of the nasal cavity originating from a peripheral nerve sheath are rare. The authors present a case of a 3-month-old boy with a mass in the left nasal vestibule. The surgical resection was complicated by full-thickness necrosis of more than 50% of the nasal ala. The tumor was diagnosed histopathologically as a neurofibroma with glial heterotopia. The details of the nasal reconstruction with a paramedian forehead flap in 3 stages and postoperative results are provided with satisfactory cosmetic and functional results...
February 7, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29419689/surgical-reconstruction-of-the-fascia-lata-and-posterior-tibial-artery-perforator-flap-to-treat-children-with-simultaneous-injury-to-the-achilles-tendon-and-heel-skin
#7
Chu-Zhao Lin, Xue Xia, Hu Wang, Dong-Xin Liu
Children with simultaneous injury to the Achilles tendon and heel skin remain a challenge for clinicians. The purpose of this study is to evaluate a combined surgical procedure involving use of the fascia lata to reconstruct the Achilles tendon, and the posterior tibial artery perforator flap to cover the accompanying heel skin injury.Between February 2010 and February 2013, 8 children (3 females and 5 males) between 3 and 12 years of age, with a median age of 7.5 years, were hospitalized in the First Affiliated Hospital of Shantou University Medical College...
February 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29419592/refinements-in-elevation-of-the-reconstructed-auricle-the-zigzag-incision
#8
So-Eun Han, Yeseul Eom, Kap Sung Oh
OBJECTIVE: Auricular elevation with superficial temporal fascia and skin graft is widely used in microtia reconstruction using costal cartilage. However, in some patients, there has been occurrence of contraction of skin graft, which led to insufficient projection of the elevated auricle and diminished auriculocephalic angle with unfavorable long-term results. In this article, the authors introduce their multiple triangular flaps with zigzag incision to maintain stable projection and natural retroauricular sulcus appearance in auricular reconstruction patients...
February 6, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29406342/the-medial-sural-artery-perforator-flap-the-first-choice-for-soft-tissue-reconstruction-about-the-knee
#9
Barbara M Ling, Reto Wettstein, Daniel Staub, Dirk J Schaefer, Daniel F Kalbermatten
BACKGROUND: The gastrocnemius muscle flap may be considered the first choice in many cases of soft-tissue reconstruction about the knee. Limited arc of rotation and reach of the flap as well as unsightly muscle bulk are major disadvantages and were the impetus to look for a local alternative. The aim of this study is to present a consecutive series of patients with a reconstruction about the knee involving the medial sural artery perforator flap (MSAPF). METHODS: A consecutive series of 17 cases of defect reconstructions about the knee using the MSAPF is described, with an emphasis on early postoperative complications...
February 7, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29399802/stem-cells-enhance-reperfusion-following-ischemia-validation-using-laser-speckle-imaging-in-predicting-tissue-repair
#10
Ya Hui Tang, R Will Thompson, Cherie-Ann Nathan, Jonathan Steven Alexander, Timothy Lian
OBJECTIVES: The lack of real-time assessment of vascular perfusion changes remains a major weakness in assessing the efficacy of bone marrow stromal cells (BMSC) therapeutic ischemia reperfusion (I/R) injury. This study provides for the first time the real-time in vivo perfusion monitoring in I/R mice with BMSC therapy. STUDY DESIGN: Animal model. METHODS: Surgically created cutaneous flaps perfused by the inferior epigastric vessels were subjected to 3...
February 5, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29396099/a-new-local-muscle-flap-for-elbow-coverage-the-medial-triceps-brachii-flap-anatomy-surgical-technique-and-preliminary-outcomes
#11
Anaïs Delgove, Romain Weigert, Vincent Casoli
BACKGROUND: The medial triceps brachii is vascularized by the middle collateral artery and the arterial circle of the elbow. This vascularization allows a distal pedicled use to cover soft tissue defects of the elbow. We report our experience using this flap to cover traumatic and postsurgical wounds. METHODS: Patients who underwent a pedicled medial triceps brachii flap procedure between 2008 and 2015 were included. Data concerning characteristics of the patients, wound size, surgical technique, and complications were retrospectively reviewed...
January 29, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29394973/distally-based-medial-hemisoleus-flap-reliable-option-for-distal-tibial-wounds
#12
Muhammad Jibran Rabbani, Ata Ul Haq, Ahsan Riaz, Moazzam Nazeer Tarar, Farrukh Aslam
OBJECTIVE: To determine the success (flap survival as a whole without necrosis or dehiscence up to two months as judged clinically) of distally based medial hemisoleus muscle flap for the coverage of distal tibial defects. STUDY DESIGN: Case series. PLACE AND DURATION OF STUDY: Jinnah Burn and Reconstructive Surgery Centre, AIMC, Lahore, from July 2014 to July 2017. METHODOLOGY: Patients with middle and distal third tibial defects were enrolled and stratified according to the site of the wound in middle or distal third of tibia...
February 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/29394972/extended-islanded-reverse-sural-artery-flap-for-staged-reconstruction-of-foot-defects-proximal-to-toes
#13
Muhammad Amin Yousaf, Zain Ul Abidin, Kamran Khalid, Ata Ul Haq, Farrukh Aslam Khalid, Faraz Ahmad Tarar, Muhammad Umar Asif, Moazzam Nazeer Tarar
Obective:To assess the outcome of extended delayed reverse sural artery flap for reconstruction of foot defects proximal to toes in terms of flap survival, complication and extended area. STUDY DESIGN: Case series. PLACE AND DURATION OF STUDY: Jinnah Burn and Reconstructive Surgery Centre, Lahore, from February 2015 to April 2017. METHODOLOGY: Cases who underwent delayed sural artery flap were inducted. Preoperative hand-held doppler was done to confirm the location of perforator...
February 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/29394859/-applicability-of-pedicled-coronoid-process-and-temporal-muscle-fascial-combined-pcptm-flap-for-reconstruction-of-orbital-floor-defect-following-hemi-maxillectomy-for-advanced-maxillary-cancer-a-report-of-two-cases
#14
Masaaki Karino, Takahiro Kanno, Ichiro Kaneko, Taichi Ide, Aya Yoshino, Joji Sekine
We usually perform surgery for resectable oral and maxillofacial carcinomas. Following complete cancer resection, reconstruction of soft and hard tissues using various types of local flaps and/or vascularized free flaps is usually performed. The maxilla is composed of various anatomical structures. In particular, reconstruction of the orbit is one of the most important and challenging procedures for prevention of functional and esthetic complications. Here we report 2 cases of orbital floor defect reconstruction following advanced maxillary cancer resection using a pedicled coronoid process and temporal muscle (fascial)combined(PCPTM)flap...
November 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29394532/-a-case-of-breast-cancer-with-local-recurrence-in-the-reconstructed-breast-tissue
#15
Gen Tsujio, Shinichiro Kashiwagi, Takaharu Hatano, Yuka Asano, Wataru Goto, Koji Takada, Satoru Noda, Tsutomu Takashima, Naoyoshi Onoda, Hisashi Motomura, Kosei Hirakawa, Masaichi Ohira
The rate of local recurrence after mastectomy is reportedly similar to that of one-stage reconstruction. Most recurrences are in the skin or chest wall, while recurrence in the reconstructed breast is rare and the causes are uncertain. We report a case of a 42-year-old female who underwent partial mastectomy for left breast cancer with cT4aN0M1(PUL), cStage IV after endocrine therapy 3 years ago. Histopathological diagnosis was solid-tubular carcinoma. She had been treated with only endocrine therapy but diagnosed with local recurrence in the left breast...
November 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29391696/studies-on-reconstruction-of-large-skin-defects-following-mammary-tumor-excision-in-dogs
#16
Sabarish Babu Malli Sadhasivan, Mohamed Shafiuzama, Mala Shammi, Ganne Venkata Sudhakar Rao, Nitin J D Souza, Hemalatha Senthilnayagam, Ravi Sundar George, P Manoj Prabhakar
Aim: The main objective of the study was to describe the use of skin fold advancement flaps (SFAFs) and other reconstructive techniques for closure of large skin defects following mammary tumor excision in dogs. Materials and Methods: Twelve dogs underwent reconstruction of large ventral skin defects following mammary tumor excision with wide margins. Skin fold flaps (flank fold flap and elbow fold flap) were elevated from the flank and elbow region, respectively, and transposed and sutured onto the large ventral skin defect following mastectomy in all the dogs...
December 2017: Veterinary World
https://www.readbyqxmd.com/read/29389704/versatility-of-the-medial-femoral-condyle-flap-for-extremity-reconstruction-and-identification-of-risk-factors-for-nonunion-delayed-time-to-union-and-complications
#17
Nikolas H Kazmers, Stephanie Thibaudeau, Patrick Gerety, Alex G Lambi, Lawrence Scott Levin
BACKGROUND: The medial femoral condyle (MFC) flap has become a popular choice for treatment of small bony defects. We aim to describe outcomes after MFC flap treatment of upper and lower extremity osseous defects and test the null hypothesis that no factors influence risks for nonunion, increased time to union, and complications. METHODS: A retrospective chart review was performed on all patients undergoing MFC free vascularized bone flaps by the senior author between May 2010 and March 2016...
January 31, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29389701/evaluation-of-modifications-to-tissue-expander-breast-reconstruction-a-quality-improvement-assessment-within-a-private-practice
#18
Henry Wilson, Adam Varnadore
BACKGROUND: As technology advances, surgical practice evolves over time. The author assesses a new approach to implant-based breast reconstruction and the impact of two changes implemented over several years. METHODS: A series of tissue-expander reconstructions performed early in the author's experience were retrospectively compared with a similar number of cases prospectively performed. Demographics, perioperative characteristics, and postoperative outcomes were assessed...
January 31, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29388789/controlled-palatal-harvest-technique-for-harvesting-a-palatal-subepithelial-connective-tissue-graft
#19
Neel B Bhatavadekar, Amit S Gharpure
Subepithelial connective tissue grafts (SCTGs) have been extensively used to augment soft-tissue volume on dental implants and natural teeth. The authors present a technique called the controlled palatal harvest (CPH) to obtain SCTGs. CPH provides an alternative to the trap-door and single-incision techniques currently utilized. The objective of this article is to describe this harvesting technique for SCTGs. A case report is presented in which the CPH technique was successfully used to obtain a SCTG. Contrary to current techniques where the SCTG is usually taken from the palatal (bone) side, this technique involves the dissection of a thick split-thickness flap in which the graft is harvested from the raised flap...
February 2018: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/29384865/postoperative-outcomes-of-breast-reconstruction-after-mastectomy-a-retrospective-study
#20
Qinghong Qin, Qixing Tan, Bin Lian, Qinguo Mo, Zhen Huang, Changyuan Wei
Breast reconstruction after mastectomy plays an active role in improving the quality-of-life (QoL) and alleviating the psychological trauma of breast cancer patients, and has become an indispensable part of the comprehensive treatment in breast cancer. However, compared with mastectomy alone, breast reconstruction also increase operative complications. The surgical, oncological outcomes, and cosmetic effect of breast reconstruction remains to be evaluated. Data for patients with breast cancer who underwent breast reconstruction after mastectomy from February 2009 to November 2015 in our hospital were retrospectively analyzed, with a median follow-up time of 44 months...
February 2018: Medicine (Baltimore)
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