Plastic surgery after solid organ transplantations.
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BACKGROUND: More patients receive organ transplantation surgeries due to the advancement in immunosuppressive agents and surgical techniques. Some of those patients may need to undergo plastic or reconstructive surgery. Long-term use of immunosuppressive agents raises some serious problems. Therefore, this study aimed to introduce our experience about the safety and effectiveness of plastic surgeries after solid organ allograft transplantation. METHODS: A retrospective review of 17 transplant recipients who underwent different reconstructive or cosmetic operations was carried out. The subjects included 1 heart transplant, 1 liver transplant and 15 kidney transplant recipients. RESULTS: All patients tolerated the plastic surgery procedures well. Flaps and skin grafts were the main constructive methods. There were no postoperative infections and wound dehiscence. Transferred flaps survived completely. Skin grafts took well. Three of the cosmetic surgery patients were satisfied with the results. CONCLUSIONS: Immunosuppressed organ transplant recipients can successfully undergo major reconstructive and cosmetic surgery when given special attention. (+info)
Why the body matters: uses and abuses of the human body in modern medicine.
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The last fifty years have seen an upsurge in both the number of ethical dilemmas confronting the medical profession and an interest in ethics in both lay and professional circles. The first editor of this journal saw the subject as critical for medical practice, though he did not suppose that the perfect day of medical ethics would ever dawn. Taking the human body as a focus, this editorial surveys three currently controversial areas of medical ethics in Singapore: organ donation, cosmetic medicine and the separation of conjoined twins. As always in ethics, there are no simple answers, but we can get a clearer view of the values involved by recognising that we are embodied persons and so a due respect for the human body has to be a central feature of all medical care. The perfect day of medical ethics still has not dawned, but we have perhaps made some progress over the last half century. (+info)
A new approach for adipose tissue treatment and body contouring using radiofrequency-assisted liposuction.
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Telemedicine and trauma referrals--a plastic surgery pilot project.
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A pilot study of the use of digital images as an adjunct to telephone referral was undertaken. Hand trauma represented the majority of the twenty patients included in the study, and the system was found to be an effective aid to delivering appropriate management. We have found image analysis to be a useful addition to the telephone referral process already in use in our unit, but it is unlikely to replace the need for real time clinical assessment of the patient. (+info)
Custom-made Reduction Mammaplasty.
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BACKGROUND: Macromastia is a health problem that requires the coordination of surgical and medical specialists. Goals of reduction mammaplasty are to alleviate physical, emotional and psychosocial discomforts and to restore a conical-shaped breast, maintaining scars as short as possible. We report our approach for reduction mammaplasty with superior pedicle. MATERIALS AND METHODS: Our method combines advantages of round block with vertical scar, using a dermal flap that is fixed to the new mammary crease. We analyzed skin and glandular resection customizing the mammaplasty. RESULTS: The dermal flap works against the weight of residual tissue, maintaining the crease at the desired position with a natural result. Benefits are an excellent projection, short scar, suitable reshaping and patient satisfaction. CONCLUSION: This technique can be used for mild to severe hypertrophy with various degrees of ptosis. It results in a successful aesthetic outcome with minimal scarring, suitable breast remodeling and natural long-lasting projection. (+info)
The role of reconstructive surgery in the management of war wounds.
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Reconstructive surgery can be used within a framework of management of war wounds by basic principles. It falls into three groups: i. Primary (emergency) reconstruction; performed as part of initial surgery and as a life-saving procedure. ii. Delayed primary (essential) reconstruction; performed at the time of delayed closure. iii. Elective or non-essential reconstruction. All surgeons involved with the early management of war wounds should be prepared to perform primary and delayed primary reconstruction. (+info)
A systematic review of ethical principles in the plastic surgery literature.
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