1,720,988 research outputs found
Accessory slip of the palmaris longus muscle. Ann Plast Surg. 1995 Dec;35(6):657-9. PubMed PMID: 8748352.
No full textLymphatic fluid fistula: an extremely rare complication of posterior lumbar transpedicular screw fixation. Case report. J Neurosurg Spine.
No full textLong-term result of bilateral pectoralis major muscle advancement flap in median sternotomy wound infections
No full textClinical Application of Autologous Three-cellular Cultured Skin Substitutes Based on Esterified Hyaluronic Acid Scaffold: Our Experience
No full textBackground: The aim of this work was to present our experience in the use of autologous three-cellular cultured skin substitutes (CSS). This method represents a surgical alternative in the treatment of a variety of pathologies, including burns, ulcers, giant nevi and tumors. Patients and Methods: CSS were obtained from full-thickness skin biopsies collected after enrolment of II patients in a clinical trial protocol approved by the local Institutional Review Boards of the 'La Sapienza' University of Rome and registered in clinicaltrials.gov (ID: NCT00718978). CSS consisted of a structure made by a pluristratified epithelial cell surface with melanocytes (ratio 1120) and a basement of fibroblasts kept together by an esterified hyaluronic acid scaffold that can be surgically manipulated and is gradually reabsorbed after implantation and substituted by the host connectival stroma. Results: At the time of withdrawal of medication, the graft take was comparable to that of autografts, whereas in the follow-lip visits, loss of the epithelial layer varied markedly (from 5 to 70%) while fibroblast cellular component growth prevailed. In one patient, there was complete dermal-epidermal construct survival. Conclusion: Given the anatomical complexity, of the skin, we still have a long way to go before we are able to recreate all the cellular and structural characteristics of this organ. Results are, however, gradually improving, as is demonstrated by a successful graft, which was histologically shown to have a three-dimensional structure that maintained its conformation in vivo (epithelium, basement membrane, dermis, subcutis) in one patient. The take of melanocytes improved the final esthetic outcome
Clinical Application of Autologous Three-cellular Cultured Skin Substitutes Based on Esterified Hyaluronic Acid Scaffold: Our Experience
No full textBackground: The aim of this work was to present our experience in the use of autologous three-cellular cultured skin substitutes (CSS). This method represents a surgical alternative in the treatment of a variety of pathologies, including burns, ulcers, giant nevi and tumors. Patients and Methods: CSS were obtained from full-thickness skin biopsies collected after enrolment of II patients in a clinical trial protocol approved by the local Institutional Review Boards of the 'La Sapienza' University of Rome and registered in clinicaltrials.gov (ID: NCT00718978). CSS consisted of a structure made by a pluristratified epithelial cell surface with melanocytes (ratio 1120) and a basement of fibroblasts kept together by an esterified hyaluronic acid scaffold that can be surgically manipulated and is gradually reabsorbed after implantation and substituted by the host connectival stroma. Results: At the time of withdrawal of medication, the graft take was comparable to that of autografts, whereas in the follow-lip visits, loss of the epithelial layer varied markedly (from 5 to 70%) while fibroblast cellular component growth prevailed. In one patient, there was complete dermal-epidermal construct survival. Conclusion: Given the anatomical complexity, of the skin, we still have a long way to go before we are able to recreate all the cellular and structural characteristics of this organ. Results are, however, gradually improving, as is demonstrated by a successful graft, which was histologically shown to have a three-dimensional structure that maintained its conformation in vivo (epithelium, basement membrane, dermis, subcutis) in one patient. The take of melanocytes improved the final esthetic outcome
The Use of the Veress Needle to Drain Mammary Periprosthetic Fluid
No full textBackground: The most common early complications associated with mammary implants are seroma and haematoma formation, and acute infection. The aspiration of fluid around the prosthesis can help to diagnose and correctly treat these complications. The use of a needle with a sharp tip can damage the implant. We present our experience in removing periprosthetic fluid using the atraumatic Veress needle. Patients and Methods: Twelve patients with breast implants presented with a progressive monolateral breast enlargement. Ultrasound examination revealed the collection of fluid around the implants. Ultrasound-guided percutaneous needle aspiration of the fluid was performed using the Veress needle. Results: No complications Were reported. None of the implants was found to be damaged at the ultrasound assessment. Conclusion: Our proposed use of the Veress needle is similar to the use for which it was designed. Indeed, we used the device to remove some fluid from a real cavity. This procedure proved to be effective and safe
Comparison of surgical methods in catastrophic antiphospholipid syndrome (CAPS)
Full text linkAntiphospholipid syndrome (APS) is an autoimmune condition characterized by vascular thromboses and/or pregnancy morbidity in the presence of antiphospholipid antibodies. The variant “catastrophic” (CAPS) is defined as a potential life-threatening disease, characterized by multiple small vessel thromboses that can lead to multiple organ failure. Surgery is between precipitating factors in CAPS International Registry, but it’s still unclear the relationship between surgery and syndrome.
The present study reports two surgical procedures, performed on two patients with APS admitted with diagnosis of loss of substance of the lower limb needing of reconstructive treatment. We compared and analyzed aggressive and minimally invasive surgery
Antibiotic therapy of transaxillary augmentation mammoplasty.
No full textBackground: Capsular contracture is the most
common complication and the main cause of dissatisfaction
after augmentation mammoplasty, for both the patient and
the plastic surgeon. The formation of fibrous tissue around
the prosthesis alters the form or the consistency of the
implant, thus modifying the breast shape, its contour and its
softness. The initial satisfaction with the achieved aesthetical
result is then transformed into great dissatisfaction, due to
the presence of a shapeless and undesired mass. Patients and
Methods: The following study considered data collected
between 1998 and 2007. Sixty-seven female patients (aged
between 35 and 53 years) who suffered from mammary
hypotrophy and had undergone submuscular augmentation
mammoplasty were enrolled. All the implanted prostheses
were round and texturized, with a volume of 250 cm3 to 450
cm3. The patients underwent pre-, intra- and postoperative
antibiotic therapy in order to prevent clinical and subclinical
infection of the implants. Results: The follow-up ranged from
a period of two to nine years. All patients were examined
during the first antibiotic administration and again
subsequently, after 1, 3, 6 and 12 months, to evaluate the
results in terms of capsular contracture. Of all patients, 90%
presented a degree I Baker’s classification, the remaining
10% a degree II. Not one of the patients treated showed
grade III or IV capsular contracture nor was there any need
to remove the prosthesis during the examination period.
Conclusion: It is clear that a main role in capsular
contracture is played by the infectious process, with the
activation of specific inflammatory cells. Interfering with the
infectious process can prevent fibrotic reaction evolving into
capsular contracture. Although the process causing capsular
contracture is multifactorial, our study showed a favourable
response can be achieved when using antibiotic therapy
associated with the transaxillary approach
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