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A transposition outer rhomboid flap over an inner deepithelialized flap for covering subcutaneous devices [17]
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Evaluation of the efficacy of polydeoxyribonucleotides (PDRN) in the healing process of autologous skin grafts donor sites: a pilot study
No full textThe medial sural artery perforators: anatomic basis for a surgical plan
No full textWe performed an anatomic study on 20 fresh lower limbs. Resin was injected in the popliteal artery. Medial sural artery perforator flaps were sculptured according to anatomic markings. On average, length of flaps was 12.9 cm, width was 7.9 cm; all 38 perforators were musculocutaneous: 1 perforator was always found (on average, 1.9 per flap). All perforators gathered between 7 and 18 cm from the popliteal crease; 34.2% of perforators arose on the midline of the medial head of gastrocnemius muscle; before entering the fascia, the perforator artery diameter was on average 0.5 mm. Two configurations of the intramuscular course of perforators were found. Sixty-six percent of perforators originated from the lateral branch of the medial sural artery, 34% from the medial one. These results improve the anatomic knowledge of the medial posterior calf region and allow us to describe a convenient plan to make flap sculpturing easier
KELOIDS: COMBINED THERAPEUTIC SOLUTIONS
No full textKeloids are, pathological painful scars, prominent and proliferating beyond the original wound shape, which recur after surgical excision. Their aetiology is much debated, and many hypotheses have been put forward. No single known cause exists, but many factors that modify and increase the normal wound-healing process have been considered as probably involved in the genesis of keloids; for this reason many different therapeutic approaches directed towards each of the causing factors are used.
Methods. Considering the different therapeutic strategies and the physiopathological mechanisms they contrast, we found the most promising solution in the association of surgery, postoperative radiotherapy and compressive dressings with silicone gel sheeting.
Results. Seven out of 11 keloids (9 patients) treated in this way did not recur after an observation period of 2 months - 3 years; 1 patient developed a hypertrophic scar 18 months after surgery, that underwent regression after a 3-month treatment with silicone gel sheeting; 3 keloids recurred 3-5 months after their excision.
Conclusion. Considering the results obtained in this limited number of patients, we believe that the association of surgery, radiotherapy and compressive silicone dressings represents a possible combined treatment modality that deserves some consideration, and that needs to be verified on greater populations in further studie
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