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Skin cosmesis

Seyed S Pairawan, Derek Cody, Hahns Kim, M Katherine Hughes, Naveenraj Solomon, Maheswari Senthil, Carlos Garberoglio, Sharon Lum
Nipple-sparing mastectomy (NSM) offers improved cosmesis for women undergoing mastectomy; however, there is increased risk for complications with this technique. We sought to determine if standard anatomic measurements could be used to predict complications of NSM. We performed a retrospective review of NSM for which anthropometric measurements of sternal notch to nipple distance, base width, and inframammary fold to nipple distance were available, and compared outcomes by anatomic measurements. We identified 102 cases of NSM with measurements available for study performed in 55 patients...
October 2016: American Surgeon
Waeel Ossama Hamouda, Mohammed Aladdin, Sarah Abdulaziz Al-Muammar, Danya Mohammed Khalid Gari
BACKGROUND: Microscopic lumbar discectomy is a common, minimally invasive surgery. A transverse skin incision has sound theoretical cosmetic advantages in comparison to the classic vertical incision. OBJECTIVES: the study aimed to compare transverse and vertical skin incisions for microscopic discectomy regarding cosmetic outcome, postoperative pain and the provided surgical cutaneous inlet. MATERIALS & METHODS: Eighty-six patients were randomly enrolled prospectively in the study, divided among a vertical incision group (V group) and a transverse incision group (T group)...
October 21, 2016: World Neurosurgery
Zhenglin Chi, Peng Yang, Dajiang Song, Zan Li, Liang Tang, Weiyang Gao, Yonghuan Song, Tingang Chu
INTRODUCTION: To investigate the results of resurfacing completely degloved digits using bilobed innervated radial artery superficial palmar branch (RASPB) perforator flap in a spiral fashion. METHODS: A detailed anatomic study on 30 adult fresh frozen cadavers preinjected with silicone rubber compound to demarcate arterial anatomy documented locations, numbers, and diameters of arteries and skin perforators with surrounding nerves. The flap-raising procedure was performed using four fresh cadaver specimen...
October 21, 2016: Surgical and Radiologic Anatomy: SRA
Yaling Vicky Koh, Poh Wee Tan, Shaik Ahmad Buhari, Philip Iau, Ching Wan Chan, Liang Shen, Sing Huang Tan, Johann I-Hsiung Tang
INTRODUCTION: Accelerated partial breast irradiation (APBI) using the multicatheter method has excellent cosmesis and low rates of long-term toxicity. However, there are few studies looking at the feasibility of this procedure and the outcomes in an Asian population. This study aims to look at outcomes at our hospital. METHODS: We identified 121 patients treated with APBI at our center between 2008 and 2014. The median follow-up for our patient group was 30 months (range 3...
2016: OncoTargets and Therapy
James X Wu, Steven L Lee, Daniel A DeUgarte
INTRODUCTION: Compared to operative fascial closure, nonoperative flap and/or skin-closure repair for gastroschisis has several potential advantages: avoidance of anesthesia, decreased pain, and improved cosmesis. Disadvantages include a higher risk of hernia. We hypothesized that routine nonoperative closure results in cost savings versus conventional management in uncomplicated gastroschisis. METHODS: A decision tree was constructed to compare three different strategies for the management of uncomplicated gastroschisis: nonoperative closure, primary closure, and routine silo...
September 2016: Journal of Surgical Research
O J Nelson, J Ward, A L Forde, N Ojeh
Keloids are characterised by scar tissue overgrowth on the skin beyond the borders of the original wound following an abnormal wound healing process and tend not to regress. These disfiguring scars can cause pain, itching and inflammation for the patient leading to an emotional and psychological impact and a sub-standard quality of life. A variety of treatments using surgical and non-surgical approaches exists that have been reported to be beneficial. However, no one treatment currently stands out as the most optimal due to a number of factors including different keloid subtypes...
March 10, 2016: West Indian Medical Journal
Satoshi Takayama, Takeshi Yamamoto, Chiduru Tsuchiya, Hideo Noguchi, Junko Sato, Yoshinori Ishii
BACKGROUND: Steri-Strips (3M, Two Harbors, MN, USA) have recently been employed for skin closures after orthopedic surgeries. Here we compare the performance of Steri-Strips and skin staples for wound closure after primary total knee arthroplasties (TKAs). METHODS: A total of 76 consecutive osteoarthritic knees (71 patients) that underwent a primary TKA at our facility were included in this study. Thirty-eight knees received Steri-Strips for wound closure and were evaluated prospectively...
September 6, 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
Pankaj Mishra, Simon Rajendran, Maria Asimakidou, Imran Mushtaq
INTRODUCTION: Primary epispadias is a rare congenital malformation involving the urogenital system. In patients with epispadias, bladder closure enhances bladder growth and continence. METHODS: Several steps were carried out to bring the bladder neck to the midline and allow tension-free bladder neck reconstruction and recreation of the natural angulation of urethra. The urethral plate and penile shaft were dissected and the corpora cavernosa separated, and then the bladder neck repair was performed...
August 2016: Journal of Pediatric Urology
Francesca Arcadipane, Pierfrancesco Franco, Chiara De Colle, Nadia Rondi, Jacopo Di Muzio, Emanuela Pelle, Stefania Martini, Ada Ala, Mario Airoldi, Michela Donadio, Corrado De Sanctis, Isabella Castellano, Riccardo Ragona, Umberto Ricardi
The aim of this study was to evaluate local control, survival and toxicity profile of a consecutive cohort of early-stage breast cancer (EBC) patients treated with adjuvant hypofractionated radiotherapy (HF) with no boost delivered to the lumpectomy cavity, after breast-conserving surgery (BCS). Between 2005 and 2015, a total of 493 women affected with EBC were treated with HF (46 Gy/20 fractions or 40.05 Gy/15 fractions) to the whole breast without boost to tumor bed, because of age and/or favorable tumor characteristics...
October 2016: Medical Oncology
Dexter Weeks, Morton L Kasdan, Bradon J Wilhelmi
BACKGROUND: The hands are commonly affected in severe thermal burn injuries. Resulting contractures lead to significant loss of function. Burn contracture release and skin grafting are necessary to restore hand function. We report a case in which surgical reconstruction of a volar hand burn was performed with full-thickness skin grafting. The patient had a 40-year follow-up to assess the function and cosmesis of the repaired hand. METHODS: We report a case in which a 15-month-old boy presented after receiving third-degree burns to the left volar hand, including the flexural aspects of the index, long, and ring fingers by placing it on a hot kitchen stove burner...
2016: Eplasty
Tamer Soror, György Kovács, Ádám Kovács, Nina Seibold, Corinna Melchert, Kristin Baumann, Eike Wenzel, Suzana Stojanovic-Rundic
PURPOSE: Subjective scoring is the most widely used approach in reporting the cosmetic outcome after breast-conservative therapy. This work introduces an objective system to document the breast cosmetic changes using nonstandardized photographs without scale calibration. METHODS AND MATERIALS: Two hundred twenty-eight photographs of 114 breast cancer patients were analyzed. Baseline photographs were taken after breast-conservation surgery and before partial breast irradiation...
September 2016: Brachytherapy
Gautam G Lalani, Amir A Schricker, Jonathan Salcedo, Shrinivas Hebsur, Jonathan Hsu, Gregory Feld, Ulrika Birgersdotter-Green
BACKGROUND: The purpose of this study was to compare a unique zip-type adjustable coaptive tape-based skin closure device to traditional subcuticular sutures in three domains: time, cosmesis, and wound closure-related outcomes in cardiac implantable electronic device (CIED) procedures. METHODS: A total of 40 patients were enrolled in a prospective randomized controlled trial to assess time to wound closure, as well as cosmesis and wound closure-related outcomes...
October 2016: Pacing and Clinical Electrophysiology: PACE
Brigid E Hickey, Margot Lehman, Daniel P Francis, Adrienne M See
BACKGROUND: Breast-conserving therapy for women with breast cancer consists of local excision of the tumour (achieving clear margins) followed by radiotherapy (RT). RT is given to sterilize tumour cells that may remain after surgery to decrease the risk of local tumour recurrence. Most true recurrences occur in the same quadrant as the original tumour. Whole breast radiotherapy (WBRT) may not protect against the development of a new primary cancer developing in other quadrants of the breast...
2016: Cochrane Database of Systematic Reviews
Mutsushi Yamasaki, Toshitaka Shin, Ryuta Sato, Kenichi Hirai, Tomoko Kan, Hiroyuki Fujinami, Kenichi Mori, Yasuhiro Sumino, Takeo Nomura, Fuminori Sato, Hitoshi Masuda, Junji Yonese, Hiromitsu Mimata
INTRODUCTION: We previously reported cases of laparoendoscopic single-site nephrectomy performed through an umbilical or pararectal incision. To improve cosmesis and operability, we performed three Pfannenstiel laparoendoscopic reduced-port nephrectomies. MATERIALS AND SURGICAL TECHNIQUE: In the first case, a GelPOINT access was placed through a 2-cm umbilical incision, and two additional 3-mm trocars were inserted. The specimen was extracted through a 4-cm Pfannenstiel incision...
August 2016: Asian Journal of Endoscopic Surgery
Ahmed M Hishmi, Konrad R Koch, Mario Matthaei, Edwin Bölke, Claus Cursiefen, Ludwig M Heindl
BACKGROUND: Tarsoconjunctival flap advancement, or the Hughes procedure, is among the techniques of choice for reconstructing full-thickness lower eyelid defects so as to restore normal anatomy and function with the best possible cosmetic outcome. The purpose of this study is to report the outcome of a series of patients treated with a modified Hughes procedure following malignant tumor removal. METHODS: This retrospective study included 45 consecutive cases of modified Hughes procedures performed between January 2013 and October 2015...
2016: European Journal of Medical Research
K Tae, Y B Ji, C M Song, E S Sung, J H Chung, S H Lee, H J Park
The aim of this study was to evaluate the technical feasibility and safety of robot-assisted modified radical neck dissection (MRND) for head and neck cancer patients with a clinically node-positive neck. The cases of 10 head and neck cancer patients who underwent unilateral therapeutic robot-assisted MRND by post-auricular facelift approach were analyzed. The robot-assisted MRND was completed successfully in all patients without any conversion to conventional neck dissection. The mean number of lymph nodes removed was 36...
June 1, 2016: International Journal of Oral and Maxillofacial Surgery
Zi-Chun Gu, Hua Li, Dathan Hamann, Fawei Xu
Cosmesis is paramount in the reconstruction of small nasal defects. Yotsuyanagi et al have previously described nasal aesthetic subunits in patients of Asian descent and their implications for reconstruction of large nasal defects, including forehead flap and Z-plasty. The impact of Asian skin types and aesthetic subunits on reconstruction planning of small nasal defects has not been rigorously explored. The aim of this article is to present a novel method for repairing small nose defects in patients of Asian descent using V-Y advancement flap designed using Yotsuyanagi nasal subunit aesthetic principles...
June 2016: Facial Plastic Surgery: FPS
Olusola Obayomi-Davies, Thomas P Kole, Bridget Oppong, Sonali Rudra, Erini V Makariou, Lloyd D Campbell, Hozaifa M Anjum, Sean P Collins, Keith Unger, Shawna Willey, Eleni Tousimis, Brian T Collins
PURPOSE: The efficacy of accelerated partial breast irradiation (APBI) utilizing brachytherapy or conventional external beam radiation has been studied in early-stage breast cancer treated with breast-conserving surgery. Data regarding stereotactic treatment approaches are emerging. The CyberKnife linear accelerator enables excellent dose conformality to target structures while adjusting for target and patient motion. We report our institutional experience on the technical feasibility and rationale for stereotactic accelerated partial breast irradiation (SAPBI) delivery using the CyberKnife radiosurgery system...
2016: Frontiers in Oncology
Daniel George Hamilton, Rebecca Bale, Claire Jones, Emma Fitzgerald, Richard Khor, Kellie Knight, Jason Wasiak
The purpose of this systematic review was to summarise the evidence from studies investigating the integration of tumour bed boosts into whole breast irradiation for patients with Stage 0-III breast cancer, with a focus on its impact on acute and late toxicities. A comprehensive systematic electronic search through the Ovid MEDLINE, EMBASE and PubMed databases from January 2000 to January 2015 was conducted. Studies were considered eligible if they investigated the efficacy of hypo- or normofractionated whole breast irradiation with the inclusion of a daily concurrent boost...
June 2016: Breast: Official Journal of the European Society of Mastology
Erica C Dun, Christina Ackerman, Abigail Cutler, Nisha A Lakhi
Epidermal inclusion cysts are a late complication of female genital circumcision, which is a practice that affects 125 million women primarily from Africa and the Middle East. A 30-year-old woman, gravida 4, para 1, presented to our clinic with an 8-year history of a slowly enlarging periclitoral mass. The patient had undergone female genital circumcision at the age of 5 years. We describe and video-illustrate the surgical technique of excising the 8-cm epidermal inclusion cyst. Using this technique, the entire cyst was resected intact, excess vulvar skin removed, and defect repaired...
June 2016: American Journal of Obstetrics and Gynecology
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