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https://www.readbyqxmd.com/read/27871962/penile-implant-review-of-a-no-touch-technique
#1
REVIEW
J Francois Eid
INTRODUCTION: Over 25% of the more than 725,000 cases of nosocomial infection in the United States are related to an implantable device. Despite the standard typical strategies available, infection rates for breast implants, cerebrospinal shunts, and penile implants remain unacceptably high. This paper will review use of a "no-touch" technique in varied surgical procedures from orthopedic fracture repair, cerebrospinal fluid shunt placement, and breast reconstruction/augmentation to penile prosthesis implantation...
July 2016: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/27866670/-shift-the-skin-paddle-in-an-additional-incision-improves-the-result-study-of-a-series-of-82-breast-reconstructions-by-latissimus-dorsi-flap-and-prosthesis-implantation-at-10-years
#2
S Chiriac, C Dissaux, C Bruant-Rodier, Z Djerada, F Bodin, C François
: The position of the skin paddle on the breast area is a fundamental element for the breast reconstructions by latissimus dorsi flap and prosthesis implantation. Should, as Millard advocated, to recreate the initial defect and include it in the mastectomy scar or is it better in an additional incision as have others authors. This study compares the long-term morphological results of these two attitudes, with or without additional incision. PATIENTS AND METHODS: Eighty-two breast reconstructions by latissimus dorsi flap and prosthesis implantation, with a mean follow-up of 9...
November 17, 2016: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/27861385/novel-technique-for-laparoscopic-harvesting-of-latissimus-dorsi-flap-with-prosthesis-implantation-for-breast-reconstruction-a-preliminary-study-with-2-case-reports
#3
Shuman Xu, Peng Tang, Xianchun Chen, Xi Yang, Qinwen Pan, Yu Gui, Li Chen
BACKGROUD: An important drawback of the traditional technique for harvesting latissimus dorsi (LD) myocutaneous flap is a long, posterior donor-site incision. Current techniques involve endoscopic or robotic harvesting via a combined approach of open and closed surgery, which necessitates an open axillary incision and the use of special retractors. In this paper, we introduce a fully enclosed laparoscopic technique for harvesting LD flap (LDF) using only 3 small trocar ports. This technique eliminates the need for axillary and donor-site incisions and specialized retractors and considerably reduces the incision size...
November 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27833290/free-gracilis-flap-for-chest-wall-reconstruction-in-male-patient-with-poland-syndrome-after-implant-failure
#4
Mario Cherubino, Francesca Maggiulli, Igor Pellegatta, Luigi Valdatta
Poland's syndrome (PS) is a congenital monolateral deformity that may involve breast, chest wall, and upper limb with different degrees of clinical expressions. In some cases, the problem is mainly cosmetic, and the reconstruction should be performed to achieve minimal scarring and donor site morbidity. The authors describe a case report of a male patient with PS who developed a severe capsular contraction after 25 years implant reconstruction, who was treated after explantation using free gracilis flap (FGF)...
May 2016: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/27783425/the-laparoscopically-harvested-omentum-as-a-free-flap-for-autologous-breast-reconstruction
#5
Tert C van Alphen, Maarten R Fechner, Jeroen M Smit, Gerrit D Slooter, Coralien L Broekhuysen
BACKGROUND: In autologous breast reconstruction, abdominal based flaps are by far the most common choice from the wide range of free flaps available. In selected cases, a laparoscopically harvested omental free flap (LHOFF) can be used. Patient satisfaction has not been reported until now. In this article, we report our experience using LHOFF in breast reconstruction including our technique, patient satisfaction, and donor/recipient site complications. PATIENTS AND METHODS: Between 2007 and 2014, six patients underwent autologous breast reconstruction with LHOFF...
October 26, 2016: Microsurgery
https://www.readbyqxmd.com/read/27782982/surgeon-controlled-study-and-meta-analysis-comparing-flexhd-and-alloderm-in-immediate-breast-reconstruction-outcomes
#6
Nikhil Sobti, Eric C Liao
BACKGROUND: The use of acellular dermal matrix has facilitated immediate prosthesis-based breast reconstruction. However, few studies directly compare surgical outcomes following acellular dermal matrix-based reconstruction with two of the most commonly available materials, AlloDerm and FlexHD. Those studies that are available often do not adequately control for the surgeon as a variable. The authors hypothesize that complication rates will not differ significantly between AlloDerm and FlexHD when practice and surgeon variables are properly controlled...
November 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27766402/management-of-implant-exposure-in-one-stage-breast-reconstruction-using-titanium-coated-polypropylene-mesh-sub-mammary-intercostal-perforator-flap
#7
Michele Antonio De Riggi, Nicola Rocco, Giulio Gherardini, Emanuela Esposito, Massimiliano D'Aiuto
INTRODUCTION: One-stage implant-based breast reconstruction using titanium-coated polypropylene mesh is a novel approach widely used in Europe. Complication rates in breast reconstruction with the use of titanium-coated meshes seem to be comparable to those in patients with implant-based breast reconstruction alone. However, the use of synthetic meshes in implant-based breast reconstructive surgery leads to new clinical scenarios with the need for the breast surgeon to face new complications...
December 2016: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/27685903/acceptable-adverse-outcomes-after-delayed-breast-reconstruction-using-abdominal-advancement-flap-a-15-year-experience
#8
Olivera Kosovac, Nada Santrac, Ivan Markovic, Dusica Gavrilovic, Aleksandar Martinovic, Marko Jevric, Igor Spurnic, Radan Dzodic
PURPOSE: To evaluate the adverse outcomes after delayed breast reconstruction (DBR) by abdominal advancement flap (AAF) and permanent prosthesis in patients treated with mastectomy due to unilateral breast carcinoma, as well as to determine which factors are predictive for their occurrence. METHODS: The study included 155 patients operated at the Institute for Oncology and Radiology of Serbia from 1996 to 2010. All patients had total mastectomy and axillary lymph node dissection, followed by specific oncological treatment...
July 2016: Journal of B.U.ON.: Official Journal of the Balkan Union of Oncology
https://www.readbyqxmd.com/read/27672716/one-stage-placement-of-permanent-implant-compared-to-two-stage-tissue-expander-reconstruction
#9
Wendy K Y Ng, Amy Chesney, Forough Farrokhyar, Nicole Hodgson, Arianna Dal Cin
With the advent of the skin sparing mastectomy, immediate breast reconstruction with placement of the definitive prosthesis at the time of mastectomy is possible. The question remains: does single-stage prosthetic reconstruction result in greater numbers of complications or rates of re-operation, compared to two-stage tissue expander reconstruction? A retrospective cohort study of a single centre?s experience with these techniques was carried out. From 2004 to 2012, 54 cases of immediate breast reconstruction with implant were identified, and 108 cases of immediate breast reconstruction using a tissue expander were identified...
September 27, 2016: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/27644573/reduction-mammaplasty-and-mastopexy-for-the-contralateral-breast-after-reconstruction-surgery-following-cancer-resection-a-report-of-3-cases
#10
Keisuke Kashiwagi, Yoshiro Abe, Soshi Ishida, Kazuhide Mineda, Yutaro Yamashita, Yutaka Fukunaga, Sho Yoshimoto, Ryosuke Yamato, Tatsuya Tsuda, Ichiro Hashimoto
BACKGROUND: Breast reconstruction generally involves autologous tissue transplantation and placement of a mammary prosthesis. When the patient's breasts are extremely large and ptotic, breast reconstruction often results in significantly asymmetrical appearance. However, a good aesthetic outcome after reconstruction surgery following cancer resection is an important quality-of-life factor. We evaluated the efficacy of touch-up surgery, either reduction mammaplasty or mastopexy, performed on the contralateral breast for symmetrization...
2016: Journal of Medical Investigation: JMI
https://www.readbyqxmd.com/read/27544296/general-anesthesia-in-patients-with-syndrome-of-poland
#11
J Díaz-Crespo, Y Vázquez-Mambrilla, F García-Herrera
The increased use of surgery as a treatment or as an alternative for improvement means that we have a larger number of patients in the operating theatre, including those who suffer from rare diseases. Poland Syndrome is a rare congenital disease associated with muscle development. These patients may have a broad spectrum of abnormalities, which include thoracic anomalies, which can alter the ventilatory management at the level of the airway; the possible onset of malignant hyperthermia. This leads the anaesthetist to take certain preventive measures...
August 17, 2016: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/27540822/the-effect-of-skin-expansion-on-acellular-dermis-in-an-experimental-model
#12
Tuba Güçlü Karadağ, Ali Mübin Aral, Serhan Tuncer, Ayşe Şencan, Çiğdem Elmas
OBJECTIVE: Although acellular dermis is widely used in prosthesis-based breast reconstruction, there is no study evaluating its expandability and histological, ultra-structural related changes. The purpose of this study is to determine whether acellular dermis could be expanded and whether the histological changes occurring in the skin with tissue expansion is different from normal when acellular dermis is used. METHODS: Twenty-two male Wistar rats were used in this study...
August 19, 2016: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/27536488/multidisciplinary-oncoplastic-approach-reduces-infection-in-chest-wall-resection-and-reconstruction-for-malignant-chest-wall-tumors
#13
Haitham H Khalil, Marco N Malahias, Balapathiran Balasubramanian, Madava G Djearaman, Babu Naidu, Melvin F Grainger, Maninder Kalkat
BACKGROUND: Management of complex thoracic defects post tumor extipiration is challenging because of the nature of pathology, the radical approach, and the insertion of prosthetic material required for biomechanical stability. Wound complications pose a significant problem that can have detrimental effect on patient outcome. The authors outline an institutional experience of a multidisciplinary thoracic oncoplastic approach to improve outcomes. METHODS: Prospectively collected data from 71 consecutive patients treated with chest wall resection and reconstruction were analyzed (2009-2015)...
July 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27508316/stealthy-role-of-size-driven-stresses-in-biomechanics-of-breast-implants-capsular-contracture
#14
Massimiliano Fraldi, Luca Esposito, Arsenio Cutolo, Angelo Rosario Carotenuto, Ciro Adamo, Guido Molea
Breast Capsular Contracture (BCC) is one of the adverse complications occurring with greater incidence in breast augmentation surgical procedures. Its formation can be interpreted as the conclusive result of the physiological process known as response to a foreign body. From a biochemical standpoint, the formation of the peri-prosthetic capsule is certainly a multifactorial process: many hypotheses concerning its etiology have been suggested in the literature and a number of related pharmacological protocols have been consequently proposed to clinically treat this pathology with the aim to prevent further complications and avoid future re-interventions...
December 2016: Journal of the Mechanical Behavior of Biomedical Materials
https://www.readbyqxmd.com/read/27422257/a-new-method-of-salvaging-breast-reconstruction-after-breast-implant-using-negative-pressure-wound-therapy-and-instillation
#15
Ju Yong Cheong, David Goltsman, Sanjay Warrier
: Breast implant infections and their associated inflammatory response can have severe consequences, such as the loss of the prosthesis and cavity, or extensive scarring. Negative pressure wound therapy has been indicated for the management of implant infections. This report describes situations where negative pressure wound therapy was used in conjunction with instillation therapy to treat breast implant infections. The findings showed that the application of these techniques accelerated the treatment of the infections and, most importantly, maintained the breast cavity for future reconstruction...
October 2016: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/27294034/current-status-of-breast-reconstruction-in-china-an-experience-of-951-breast-reconstructions-from-a-single-institute
#16
Nai-Si Huang, Chen-Lian Quan, Lin-Xiao-Xi Ma, Jing Si, Jia-Jian Chen, Ben-Long Yang, Xiao-Yan Huang, Guang-Yu Liu, Zhen-Zhou Shen, Zhi-Min Shao, Jiong Wu
BACKGROUND: Since mastectomy remained the primary strategy for treating breast cancer in China, post-mastectomy reconstruction is of great importance in the Chinese population. The current study aimed to assess the current status of breast reconstruction in China. METHODS: We reviewed all patients who received breast reconstruction from August 2000 to July 2015 in the Department of Breast Surgery in our institute. Patients' baseline characteristics, reconstruction strategy, final pathology and loco-regional recurrence (LRR) information were collected...
June 2016: Gland Surgery
https://www.readbyqxmd.com/read/27257588/management-of-the-exposed-and-or-infected-breast-prosthesis-a-proposal-for-a-standardized-approach
#17
Elisa Antoniazzi, Riccardo Villani, Erich Fabbri, Veronica Vietti Michelina, Giorgio D'Angelo, Valeria Summo, Riccardo Cipriani, Paolo Giovanni Morselli, Daniele Fasano
No abstract text is available yet for this article.
March 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27251750/management-of-breast-deformity-after-removal-of-injectable-polyacrylamide-hydrogel-retrospective-study-of-200-cases-for-7%C3%A2-years
#18
Baoguo Chen, Huifeng Song
BACKGROUND: Polyacrylamide hydrogel (PAAG), once used as an injection for breast augmentation, has been banned in the medical field for cosmetic purposes for more than 10 years in China. But a large number of breasts have characteristic deformities due to the gel's feature of erosion. Our aim is to explore a retrospective study on PAAG's long-term effects on women, ensuing breast deformity and the strategy for breast plasticity after removing the gel in our center from 2007 to 2014. METHODS: From 2007 to 2014, 200 patients, whose breasts were injected with PAAG, underwent the operation to remove the injectable material...
August 2016: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/27219260/implant-based-breast-reconstruction-using-a-polyester-mesh-surgimesh-pet-a-retrospective-single-center-study
#19
Ilaria Baldelli, Gaia Cardoni, Simonetta Franchelli, Piero Fregatti, Daniele Friedman, Marianna Pesce, Erica Ponte, Gregorio Santori, Pierluigi Santi
BACKGROUND: Although the introduction of acellular dermal matrices is considered one of the most important advancements in alloplastic breast reconstruction, costs and local policy limit their use in Italy. The purpose of this study was to assess short-term outcomes following Surgimesh-PET-based breast reconstruction. METHODS: A single-center, retrospective, case-control study was performed from January 1, 2012, to December 31, 2013, by enrolling 206 breast reconstructions performed in 196 patients after oncologic (n = 200) or prophylactic (n = 6) mastectomy...
June 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27108833/severe-fat-embolism-in-perioperative-abdominal-liposuction-and-fat-grafting
#20
Rodrigo de Lima E Souza, Bruno Tavares Apgaua, João Daniel Milhomens, Francisco Tadeu Motta Albuquerque, Luiz Antônio Carneiro, Márcio Henrique Mendes, Tiago Carvalho Garcia, Clerisson Paiva, Felipe Ladeia, Deiler Célio Jeunon
BACKGROUND AND OBJECTIVES: Fat embolism syndrome may occur in patients suffering from multiple trauma (long bone fractures) or plastic surgery (liposuction), compromising the circulatory, respiratory and/or central nervous systems. This report shows the evolution of severe fat embolism syndrome after liposuction and fat grafting. CASE REPORT: SSS, 42 years old, ASA 1, no risk factors for thrombosis, candidate for abdominal liposuction and breast implant prosthesis...
May 2016: Brazilian Journal of Anesthesiology
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