1,721,083 research outputs found
Introduction to "Propeller Flaps"
Full text linkThe editors of this issue of Seminars in Plastic Surgery dedicated to propeller flaps met in 2009 at the "1st Tokyo Meeting on Perforator and Propeller Flaps." On that occasion, as part of the advisory panel of the meeting, they contributed to the definition and classification of these flaps. Since then, several evolutions and new applications of propeller flaps appeared in the literature. In 2019, the editors met again in Bologna, Italy, where they decided to collect the experiences from prominent authors in propeller flap surgery and provide them to the readers in this monographic dedicated publication
A web site service for plastic surgeons: New ideas for patients' records
No full textDigital databases are being used more every day in the medical field. Electronic tools to store patients’ general information and dis- eases are often developed by professional soft- ware programmers and not by medical opera- tors. The result is a very well-structured product that is too difficult to use and that lacks sufficient detail because of the lack of medical knowledge. Better software could be created by a medical doctor with appropriate knowledge in programming. The experience of one of the authors (Battistoni) in informat- ics and plastic surgery led to the development of a database software program specific for the aesthetic surgeon. A Web-based patient archive was developed to allow the surgeon to access a patient database at any place and at any time
Can the surgical tourniquet be used in patients with sickle cell disease or trait? A review of the literature.
Full text linkIntroduction: In patients with sickle cell disease, circulatory stasis, acidosis, and hypoxemia induce red cell deoxygenation and consequent sickling. Tourniquets are an important adjunct in limb surgery to obtain a bloodless field. Many local and systemic effects, due to the inflation and deflation of the tourniquet, can develop. These effects may have severe consequences if comorbidities are present. The use of a tourniquet in sickle cell patients is controversial because it may provoke vaso-occlusive complications.
Areas covered: We reviewed the literature to detect reports of the use of tourniquet in sickle cell disease or sickle trait. We found only three case reports and five case series, three of which controlled, none randomized, on the complications of tourniquet.
Expert commentary: From what we could find in the literature and contrary to what is suggested by most guidelines it appears that complications are rare. However, caution must be applied and the risk/ benefit ratio carefully considered
Effect of the two-wall-stitch mistake upon patency of rat femoral vein anastomosis: Preliminary observations
No full textAnastomotic patency is believed to be the most important factor in microvascular surgery. The two-wall stitch is a technical error commonly considered to cause thrombosis of the anastomosis, especially on the venous side. In order to demonstrate the real effect on vein patency of the two-wall stitch, the authors performed a standardized mistake after correct microanastomosis on the femoral vein of 15 rats, with one stitch passing through the whole thickness of the two walls of the vein. Traditional correct anastomoses on the contralateral side were used as controls. Patency was assessed at 5, 20, and 60 min and at 24 h by the milking test, and by direct section of the vessel at 24 h. The results showed no statistically significant difference between the two techniques. Histological examination confirmed the clinical judgment about the vessel’s patency, and ultrastructural microscopy evidenced only mild signs of endothelial activation. In conclusion, this study indicates that the occasional two-wall stitch does not necessarily increase the risk of venous occlusion in anastomoses of the rat femoral vein
Reply: long-term efficacy and safety of polyacrylamide hydrogel injection in the treatment of human immunodeficiency virus-related facial lipoatrophy.
No full textNo abstract availabl
Novel Fasciocutaneous Flaps for the Reconstruction of Complicated Lower Extremity Wounds
No full textSummary: Reconstruction of the leg is particularly challenging espe- cially when the defect involves its lower third. The options for lower leg reconstruction are very few because of the lack of local soft tissue available for transfer. Novel fasciocutaneous flaps nourished by perfo- rator vessels have been developed and are increasingly used as a valuable local alternative to the local flaps, with their high complication rates, and to the microsurgical flaps, with their more difficult and specialized technique. They provide local tissue, replacing like with like, but they harvest it from a distant, undamaged, region of the leg, which means healthy and well-vascularized tissue. They do not need microsurgical facilities and skills, which may not be available every- where. However, it is vital that the vessels are handled with great care and meticulous attention to detail in their preparation for the rotation. The known anatomic exiting sites of the perforator from the fascial plane will guide the planning of the flap, aided by the Doppler ultrasound and an exploratory incision. the surgical technique of perforator flaps harvesting and flap design, complications and solutions will be discussed here. Fasciocutaneous perforator flaps can be used as an elegant alternative to other local or free flaps to treat the loss of tissues of the leg, once risk, benefits and expected results are understood
A web site service for plastic surgeons: New ideas for patients' records
No full textDigital databases are being used more every day in the medical field. Electronic tools to store patients’ general information and dis- eases are often developed by professional soft- ware programmers and not by medical opera- tors. The result is a very well-structured product that is too difficult to use and that lacks sufficient detail because of the lack of medical knowledge. Better software could be created by a medical doctor with appropriate knowledge in programming. The experience of one of the authors (Battistoni) in informat- ics and plastic surgery led to the development of a database software program specific for the aesthetic surgeon. A Web-based patient archive was developed to allow the surgeon to access a patient database at any place and at any time
Novel Fasciocutaneous Flaps for the Reconstruction of Complicated Lower Extremity Wounds
No full textSummary: Reconstruction of the leg is particularly challenging espe- cially when the defect involves its lower third. The options for lower leg reconstruction are very few because of the lack of local soft tissue available for transfer. Novel fasciocutaneous flaps nourished by perfo- rator vessels have been developed and are increasingly used as a valuable local alternative to the local flaps, with their high complication rates, and to the microsurgical flaps, with their more difficult and specialized technique. They provide local tissue, replacing like with like, but they harvest it from a distant, undamaged, region of the leg, which means healthy and well-vascularized tissue. They do not need microsurgical facilities and skills, which may not be available every- where. However, it is vital that the vessels are handled with great care and meticulous attention to detail in their preparation for the rotation. The known anatomic exiting sites of the perforator from the fascial plane will guide the planning of the flap, aided by the Doppler ultrasound and an exploratory incision. the surgical technique of perforator flaps harvesting and flap design, complications and solutions will be discussed here. Fasciocutaneous perforator flaps can be used as an elegant alternative to other local or free flaps to treat the loss of tissues of the leg, once risk, benefits and expected results are understood
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