Tongues of skin and subcutaneous tissue, sometimes including muscle, cut away from the underlying parts but often still attached at one end. They retain their own microvasculature which is also transferred to the new site. They are often used in plastic surgery for filling a defect in a neighboring region.
A mass of tissue that has been cut away from its surrounding areas to be used in TISSUE TRANSPLANTATION.
Endonucleases that remove 5' DNA sequences from a DNA structure called a DNA flap. The DNA flap structure occurs in double-stranded DNA containing a single-stranded break where the 5' portion of the downstream strand is too long and overlaps the 3' end of the upstream strand. Flap endonucleases cleave the downstream strand of the overlap flap structure precisely after the first base-paired nucleotide, creating a ligatable nick.
Procedures used to reconstruct, restore, or improve defective, damaged, or missing structures.
A long flat muscle that extends along the whole length of both sides of the abdomen. It flexes the vertebral column, particularly the lumbar portion; it also tenses the anterior abdominal wall and assists in compressing the abdominal contents. It is frequently the site of hematomas. In reconstructive surgery it is often used for the creation of myocutaneous flaps. (From Gray's Anatomy, 30th American ed, p491)
Surgical reconstruction of the breast including both augmentation and reduction.
Operative procedures performed on the SKIN.
A surgical procedure to correct MYOPIA by CORNEAL STROMA subtraction. It involves the use of a microkeratome to make a lamellar dissection of the CORNEA creating a flap with intact CORNEAL EPITHELIUM. After the flap is lifted, the underlying midstroma is reshaped with an EXCIMER LASER and the flap is returned to its original position.
Inferior and external epigastric arteries arise from external iliac; superficial from femoral; superior from internal thoracic. They supply the abdominal muscles, diaphragm, iliac region, and groin. The inferior epigastric artery is used in coronary artery bypass grafting and myocardial revascularization.
Injuries of tissue other than bone. The concept is usually general and does not customarily refer to internal organs or viscera. It is meaningful with reference to regions or organs where soft tissue (muscle, fat, skin) should be differentiated from bones or bone tissue, as "soft tissue injuries of the hand".
The grafting of skin in humans or animals from one site to another to replace a lost portion of the body surface skin.
CONNECTIVE TISSUE of the anterior compartment of the THIGH that has its origins on the anterior aspect of the iliac crest and anterior superior iliac spine, and its insertion point on the iliotibial tract. It plays a role in medial rotation of the THIGH, steadying the trunk, and in KNEE extension.
The bone of the lower leg lateral to and smaller than the tibia. In proportion to its length, it is the most slender of the long bones.
The removal of foreign material and devitalized or contaminated tissue from or adjacent to a traumatic or infected lesion until surrounding healthy tissue is exposed. (Dorland, 27th ed)
Surgical procedures used to treat disease, injuries, and defects of the oral and maxillofacial region.
A mass of tissue, including skin and muscle, that has been cut away from surrounding areas for transplantation.
The performance of surgical procedures with the aid of a microscope.
Pathologic process consisting of a partial or complete disruption of the layers of a surgical wound.
A plastic surgical operation on the nose, either reconstructive, restorative, or cosmetic. (Dorland, 28th ed)
A double-layered fold of peritoneum that attaches the STOMACH to other organs in the ABDOMINAL CAVITY.
General or unspecified injuries involving the foot.
Layers of connective tissue of variable thickness. The superficial fascia is found immediately below the skin; the deep fascia invests MUSCLES, nerves, and other organs.
The branch of philosophy dealing with the nature of the beautiful. It includes beauty, esthetic experience, esthetic judgment, esthetic aspects of medicine, etc.
The branch of surgery concerned with restoration, reconstruction, or improvement of defective, damaged, or missing structures.
The outer margins of the ABDOMEN, extending from the osteocartilaginous thoracic cage to the PELVIS. Though its major part is muscular, the abdominal wall consists of at least seven layers: the SKIN, subcutaneous fat, deep FASCIA; ABDOMINAL MUSCLES, transversalis fascia, extraperitoneal fat, and the parietal PERITONEUM.
Gas lasers with excited dimers (i.e., excimers) as the active medium. The most commonly used are rare gas monohalides (e.g., argon fluoride, xenon chloride). Their principal emission wavelengths are in the ultraviolet range and depend on the monohalide used (e.g., 193 nm for ArF, 308 nm for Xe Cl). These lasers are operated in pulsed and Q-switched modes and used in photoablative decomposition involving actual removal of tissue. (UMDNS, 2005)
The lamellated connective tissue constituting the thickest layer of the cornea between the Bowman and Descemet membranes.
General or unspecified injuries involving the fingers.
Surgical removal of ribs, allowing the chest wall to move inward and collapse a diseased lung. (Dorland, 28th ed)
The transference between individuals of the entire face or major facial structures. In addition to the skin and cartilaginous tissue (CARTILAGE), it may include muscle and bone as well.
Those customs and ceremonies pertaining to the dead.
General or unspecified injuries to the soft tissue or bony portions of the face.
Patient care procedures performed during the operation that are ancillary to the actual surgery. It includes monitoring, fluid therapy, medication, transfusion, anesthesia, radiography, and laboratory tests.
Methods used to remove unwanted facial and body hair.
Either of a pair of tubular structures formed by DUCTUS DEFERENS; ARTERIES; VEINS; LYMPHATIC VESSELS; and nerves. The spermatic cord extends from the deep inguinal ring through the INGUINAL CANAL to the TESTIS in the SCROTUM.
Edema due to obstruction of lymph vessels or disorders of the lymph nodes.
A cutaneous pouch of skin containing the testicles and spermatic cords.
The twisting of the SPERMATIC CORD due to an anatomical abnormality that left the TESTIS mobile and dangling in the SCROTUM. The initial effect of testicular torsion is obstruction of venous return. Depending on the duration and degree of cord rotation, testicular symptoms range from EDEMA to interrupted arterial flow and testicular pain. If blood flow to testis is absent for 4 to 6 h, SPERMATOGENESIS may be permanently lost.
An international agreement of the World Medical Association which offers guidelines for conducting experiments using human subjects. It was adopted in 1962 and revised by the 18th World Medical Assembly at Helsinki, Finland in 1964. Subsequent revisions were made in 1975, 1983, 1989, and 1996. (From Encyclopedia of Bioethics, rev ed, 1995)
Restoration of integrity to traumatized tissue.
The inferior region of the skull consisting of an internal (cerebral), and an external (basilar) surface.
Neoplasms of the base of the skull specifically, differentiated from neoplasms of unspecified sites or bones of the skull (SKULL NEOPLASMS).
All of the divisions of the natural sciences dealing with the various aspects of the phenomena of life and vital processes. The concept includes anatomy and physiology, biochemistry and biophysics, and the biology of animals, plants, and microorganisms. It should be differentiated from BIOLOGY, one of its subdivisions, concerned specifically with the origin and life processes of living organisms.
A publication issued at stated, more or less regular, intervals.
A frequent complication of drug therapy for microbial infection. It may result from opportunistic colonization following immunosuppression by the primary pathogen and can be influenced by the time interval between infections, microbial physiology, or host resistance. Experimental challenge and in vitro models are sometimes used in virulence and infectivity studies.
A type of stress exerted uniformly in all directions. Its measure is the force exerted per unit area. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)
The external junctural region between the lower part of the abdomen and the thigh.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.

Return of lymphatic function after flap transfer for acute lymphedema. (1/1254)

OBJECTIVE: The goals of this work were to develop animal models of lymphedema and tissue flap transfer, and to observe physiologic changes in lymphatic function that occur in these models over time, both systemically with lymphoscintigraphy (LS) and locally using fluorescence microlymphangiography (FM). SUMMARY BACKGROUND DATA: Although lymphedema has been managed by a combination of medical and surgical approaches, no effective long-term cure exists. Surgical attempts aimed at reconnecting impaired lymphatic channels or bypassing obstructed areas have failed. METHODS: The tails of rats (A groups) and mice (B groups) were used because of their different features. Lymphedema was created by ligation of the lymphatics at the tail base and quantified by diameter measurements there. In the experimental group, rectus abdominis myocutaneous flap was transferred across the ligation. In addition to the ligation (A1 and B1) and ligation + flap (A2 and B2) groups, three control groups were included: sham flap with ligation (B4), sham flap alone (B5), and normal (A3 and B3) animals. Observations were made at weekly time points for lymphatic function and continuity. RESULTS: Lymphedema was successfully created in the mouse ligation groups (B1 and B4) and sustained for the entire length of observation (up to 14 weeks). Lymphatic continuity was restored in those animals with transferred flaps across the ligation site (A2 and B2), as seen both by LS and FM. Sham flaps did not visibly affect lymphatic function nor did they cause any visible swelling in the tail. CONCLUSIONS: Acute lymphedema developing after ligation of tail lymphatics in mice can be prevented by myocutaneous flap transfer. Restored lymphatic continuity and function were demonstrable using lymphoscintigraphy and fluorescence microlymphangiography.  (+info)

Modified Bankart procedure for recurrent anterior dislocation and subluxation of the shoulder in athletes. (2/1254)

Thirty-four athletes (34 shoulders) with recurrent anterior glenohumeral instability were treated with a modified Bankart procedure, using a T-shaped capsular incision in the anterior capsule. The inferior flap was advanced medially and/or superiorly and rigidly fixed at the point of the Bankart lesion by a small cancellous screw and a spike-washer. The superior flap was advanced inferiority and sutured over the inferior flap. Twenty-five athletes (median age: 22) were evaluated over a mean period of follow-up of 65 months. The clinical results were graded, according to Rowe, as 22 (88%) excellent, 3 (12%) good, and none as fair or poor. The mean postoperative range of movement was 92 degrees of external rotation in 90 degrees of abduction. Elevation and internal rotation was symmetrical with the opposite side. Twenty-four patients returned to active sport, 22 at their previous level. This modified Bankart procedure is an effective treatment for athletes with recurrent anterior glenohumeral instability.  (+info)

Breast reconstruction after mastectomy. (3/1254)

This activity is designed for primary care physicians. GOAL: To appreciate the significant advances and current techniques in breast reconstruction after mastectomy and realize the positive physical and emotional benefits to the patient. OBJECTIVES: 1. Understand basic and anatomic principles of breast reconstruction. 2. Discuss the options for breast reconstruction: a) immediate versus delayed; b) autologous tissue versus implant; and c) stages of reconstruction and ancillary procedures. 3. Provide a comprehensive overview of the risks and benefits of, as well as the alternatives to, each approach so primary care physicians can counsel patients effectively.  (+info)

Soft tissue cover for the exposed knee prosthesis. (4/1254)

This study assess the use of muscle flaps to cover exposed knee prostheses and emphasises the need for early plastic surgery consultation. In five of the six patients studied the wound was successfully covered and the knee prosthesis salvaged with a reasonable functional outcome.  (+info)

Postoperative magnetic resonance imaging after acoustic neuroma surgery: influence of packing materials in the drilled internal auditory canal on assessment of residual tumor. (5/1254)

Serial magnetic resonance (MR) images taken after acoustic neuroma surgery were analyzed to evaluate the pattern and timing of postoperative contrast enhancement in 22 patients who underwent acoustic neuroma removal via the suboccipital transmeatal approach. The opened internal auditory canal (IAC) was covered with a muscle piece in nine patients and with fibrin glue in 13. A total of 56 MR imaging examinations were obtained between days 1 and 930 after surgery. MR imaging showed linear enhancement at the IAC within the first 2 days after surgery, and revealed nodular enhancement on day 3 or later in patients with a muscle piece. MR imaging tended to show linear enhancement at the IAC, irrespective of the timing of the examination in the patients with fibrin glue. Postoperative MR imaging on day 3 or later showed the incidence of nodular enhancement in patients with muscle was significantly higher than in patients with fibrin glue. The results illustrate the difficulty in differentiating nodular enhancement on a muscle piece from tumor by a single postoperative MR imaging study. Therefore, fibrin glue is generally advocated as a packing material of the IAC because it rarely shows masslike enhancement on postoperative MR imaging. When a muscle piece is used in patients at high risk for postoperative cerebrospinal fluid leaks, MR imaging should be obtained within the first 2 days after surgery, since benign enhancement of muscle will not occur and obscure the precise extent of tumor resection.  (+info)

Mechanical properties of heel pads reconstructed with flaps. (6/1254)

We compared the mechanical properties of normal and reconstructed heel pads in seven patients. Four had latissimus dorsi flaps and one each an anterior thigh flap, a local dorsalis pedis flap and a sural arterial flap. The thickness of the heel pad was measured under serial incremental loads of 0.5 kg to a maximum of 3 kg and then relaxed sequentially. The load-displacement curve of the heel pad during a loading-unloading cycle was plotted and from this the unloaded heel-pad thickness (UHPT), compressibility index (CI), elastic modulus (Ep), and energy dissipation ratio (EDR) were calculated. The EDR was significantly increased in the reconstructed heels (53.7 +/- 18% v 23.4 +/- 6.5%, p = 0.003) indicating that in them more energy is dissipated as heat. Insufficient functional capacity in the reconstructed heel pad can lead to the development of shock-induced discomfort and ulceration.  (+info)

Labial fat pad grafts (modified Martius graft) in complex perianal fistulas. (7/1254)

Complex perianal fistulas may at times be very difficult to treat. New vascularised tissue can reach the perineum from leg muscles and the omentum. A less well-known source is the labial fat tissue (modified Martius graft) which has a robust posterolateral pedicle and which can be useful as an adjunctive technique for high anterior anal and rectovaginal fistulas. Between November 1993 and July 1997, eight women (age range 18-55 years) underwent modified Martius grafting, six of the eight having a rectovaginal fistula and two a high complex (suprasphincteric) perianal fistula. Anorectal advancement flaps were performed in five patients and three had a transperineal approach with simultaneous anterior sphincter repair because of concurrent anal incontinence. All patients had a defunctioning stoma. The fistula healed in six of the eight patients (75%) and recurred in two patients. The stoma has been closed in five of the eight patients (one patient's fistula has healed but her stoma cannot be closed because of anal incontinence). This is a useful technique when confronted with a difficult anterior fistula in women.  (+info)

Three ventriculoplasty techniques applied to three left-ventricular pseudoaneurysms in the same patient. (8/1254)

A 59-year-old male patient underwent surgery for triple-vessel coronary artery disease and left-ventricular aneurysm in 1994. Four months after coronary artery bypass grafting and classical left-ventricular aneurysmectomy (with Teflon felt strips), a left-ventricular pseudoaneurysm developed due to infection, and this was treated surgically with an autologous glutaraldehyde-treated pericardium patch over which an omental pedicle graft was placed. Two months later, under emergent conditions, re-repair was performed with a diaphragmatic pericardial pedicle graft due to pseudoaneurysm reformation and rupture. A 3rd repair was required in a 3rd episode 8 months later. Sternocostal resection enabled implantation of the left pectoralis major muscle into the ventricular defect. Six months after the last surgical intervention, the patient died of cerebral malignancy. Pseudoaneurysm reformation, however, had not been observed. To our knowledge, our case is the 1st reported in the literature in which there have been 3 or more different operative techniques applied to 3 or more distinct episodes of pseudoaneurysm formation secondary to post-aneurysmectomy infection. We propose that pectoral muscle flaps be strongly considered as a material for re-repair of left-ventricular aneurysms.  (+info)

TY - JOUR. T1 - Vascular endothelial growth factor expression in pig latissimus dorsi myocutaneous flaps after ischemia reperfusion injury. AU - Erdmann, Detlev. AU - Sweis, Ranya. AU - Wong, Michael S.. AU - Niklason, Laura E.. AU - Du Laney, Tracey V.. AU - Levin, L. Scott. AU - Klitzman, Bruce. AU - Olbrich, Kevin C.. PY - 2003/2/1. Y1 - 2003/2/1. N2 - Exogenous administration of vascular endothelial growth factor (VEGF) improves long-term viability of myocutaneous flaps. However, endogenous expression of this substance in flaps following ischemia-reperfusion injury has not been reported previously. Endogenous production of VEGF was measured in myocutaneous pig latissimus dorsi flaps after ischemia-reperfusion injury. Latissimus dorsi myocutaneous flaps (15 × 10 cm) were simultaneously elevated bilaterally in six Yorkshire-type male pigs (25 kg). Before elevation, three flap zones (5 × 10 cm) were marked according to their distance from the vascular pedicle. After isolation of the vascular ...
ABSTRACT: BACKGROUND: The hand is exposed to various types of trauma, the majority of which involve multiple tissues which needs to be repaired in the most perfect way. The distally based radial forearm flap is one of the commonly used flaps for reconstruction of hand defects. AIM OF THE STUDY: The aim is to test the applicability and the versatility of the distally based radial forearm flap in complex soft tissue reconstruction of the hand. METHODS: Nine patients were treated using distally-based radial forearm flaps. There were seven males and two females, mean age was 21 year. Reconstructed sites involved the thumb, the first web, the palm and dorsum of the hand. Neurofasciocutaneous flap was transferred in one case, adipofascial flap in one case, all the remaining flaps were fasciocutaneous island flaps. RESULTS: All the flaps survived completely. There were two donor sites complications, but no major functional disturbances. No patient had symptoms of cold intolerance or other
Equine limb wounds often heal slowly by epithelialization, and large scars are a frequent end result. In some ways, they resemble the wound associated with human tibial injuries. The literature indicates that previous investigators have failed to transfer free skin flaps successfully in the horse. In this paper, we review our experimental work with the deep circumflex iliac flap in the horse. Dissections of 20 cadavers confirmed the anatomical consistency of the flap. Four flaps survived well when elevated as island flaps, but five orthotopic and nine heterotopic free flap transfers all failed. The cause of failure is still unknown, but our experiments suggested that the horse must be highly susceptible to ischemic reperfusion injury.. ...
Nicotinamide enhances skin flap survival.: The effects of nicotinamide in an abdominal island pedicle skin flap were examined. A 7 x 7 cm island pedicle skin fl
OBJECT: The purpose of the paper is to review the results of free latissimus dorsi transfer for scalp and cranium reconstruction in case of large defects with exposed brain tissue, deperiosted cranial bone, and dura that cannot be reconstructed with local flaps or skin grafts. METHODS: Free latissimus dorsi transfer was carried out in an interdisciplinary approach involving neurosurgery and plastic surgery in seven patients with subtotal and total scalp defects (two reconstruction after tumor removal, two reconstructions after longstanding osteitis, 2x tissue break down after irradiation, 1x defect reconstruction after high voltage injury). There were three male and four female patients. The age ranged from 36 to 72 years. Reconstruction was carried out with a muscle flap (1x) or a myo-cutaneous flap (6x) in combination with a split thickness skin mesh (1:1.5) graft, done in a single-stage procedure. In a retrospective clinical study the following criteria were evaluated: 1) flap healing, 2) ...
TY - JOUR. T1 - Venous drainage of the distally based lesser saphenous-sural veno- neuroadipofascial pedicled fasciocutaneous flap. T2 - A radiographic perfusion study. AU - Imanishi, Nobuaki. AU - Nakajima, Hideo. AU - Fukuzumi, Satoshi. AU - Aiso, Sadakazu. PY - 1999/2/1. Y1 - 1999/2/1. N2 - The drainage pathway of the distally based lesser saphenous-sural veno- neuroadipofascial pedicled fasciocutaneous flap using accompanying arteries of the lesser saphenous vein and sural nerve as nutrient vessels of the flap was radiographically investigated using five fresh cadavers. Small long veins existed along the lesser saphenous vein, and they were considered to be concomitant veins of the accompanying arteries of the lesser saphenous veins. They anastomosed with the lesser saphenous vein in some places and played a role in bypassing valves in the lesser saphenous vein.. AB - The drainage pathway of the distally based lesser saphenous-sural veno- neuroadipofascial pedicled fasciocutaneous flap using ...
TY - JOUR. T1 - Pedicled Flaps Versus Free Flaps for Back Reconstruction. AU - Komagoe, Sho. AU - Watanabe, Toshiyuki. AU - Komatsu, Seiji. AU - Kimata, Yoshihiro. PY - 2018/12/1. Y1 - 2018/12/1. N2 - Background Back reconstructions using a flap are relatively rare, and clinical reports on such reconstructions are few. We analyzed whether a pedicled flap or free flap was best for treating back defects and established a simplified algorithm for flap selection. Methods We retrospectively analyzed the cases of 22 patients who underwent flap reconstructions for the back between July 2000 and August 2016. We extracted data on the operative time, defect size, patients height and body weight, and reoperation, and each defect size was calculated as a percentage in relation to the body surface area (BSA). We compared these values between both flap types using univariate analysis. In addition, reconstructions using pedicled flaps were classified as single pedicled flap and combination pedicled flap ...
Synonyms for pedicle flap operation in Free Thesaurus. Antonyms for pedicle flap operation. 83 synonyms for operation: undertaking, process, affair, organization, proceeding, procedure, coordination, oper8n, manoeuvre, campaign, movement, exercise.... What are synonyms for pedicle flap operation?
View details of top reversed radial forearm flap hospitals in Gurgaon. Get guidance from medical experts to select best reversed radial forearm flap hospital in Gurgaon
Expertise, Disease and Conditions: Acne, Baseball Injuries, Bells Palsy, Birthmarks, Blepharoplasty, Bone Tumors, Botulinum Toxin Injections, Cerebrospinal Fluid (CSF) Leaks, Cleft Lip, Cleft Palate, Cosmetic Dermatology, Cosmetic Surgery, Deviated Septum, Endoscopic Frontal Sinus Surgery, Endoscopic Resection of Nasal Tumors, Endoscopic Skull Base Surgery, Esthesioneuroblastoma, Eyelid and Orbital Trauma, Eyelid Malposition, Eyelid Reconstruction, Eyelid Surgery, Facelift, Facial Lesions, Facial Nerve Disorders, Facial Plastic Surgery, Facial Reanimation, Facial Reconstruction, Facial Scar Revision, Facial Surgery, Fibrous Dysplasia, Free Muscle Transfer, Gracillis Muscle Transfer, Hypoglossal Nerve Transfer, Maxillofacial Surgery, Microtia, Microvascular Free Flap Surgery, Microvascular Free Tissue Transfer, Microvascular Surgery, Neck Lift, Nerve Grafting, Nerve Injury, Orbital Trauma, Orbital Tumors, Otolaryngology, Paranasal Sinus Tumors, Parasellar Tumors, Parotid Cancer, Rhinoplasty, ...
Expertise, Disease and Conditions: Acne, Baseball Injuries, Bells Palsy, Birthmarks, Blepharoplasty, Bone Tumors, Botulinum Toxin Injections, Cerebrospinal Fluid (CSF) Leaks, Cleft Lip, Cleft Palate, Cosmetic Dermatology, Cosmetic Surgery, Deviated Septum, Endoscopic Frontal Sinus Surgery, Endoscopic Resection of Nasal Tumors, Endoscopic Skull Base Surgery, Esthesioneuroblastoma, Eyelid and Orbital Trauma, Eyelid Malposition, Eyelid Reconstruction, Eyelid Surgery, Facelift, Facial Lesions, Facial Nerve Disorders, Facial Plastic Surgery, Facial Reanimation, Facial Reconstruction, Facial Scar Revision, Facial Surgery, Fibrous Dysplasia, Free Muscle Transfer, Gracillis Muscle Transfer, Hypoglossal Nerve Transfer, Maxillofacial Surgery, Microtia, Microvascular Free Flap Surgery, Microvascular Free Tissue Transfer, Microvascular Surgery, Neck Lift, Nerve Grafting, Nerve Injury, Orbital Trauma, Orbital Tumors, Otolaryngology, Paranasal Sinus Tumors, Parasellar Tumors, Parotid Cancer, Rhinoplasty, ...
Head Neck. QMP product Functional and oncologic results are similar with no contraindication to the SIPF. Three types of local flaps will be described: rotation, advancement, and transposition flaps. Dedivitis RA (2017) The pectoralis major musculocutaneous flap in head and neck cancer reconstruction lob Surg, 2017 doi: 10.1761/S.100012 Volume 3(2): 3-3 widespread use of microvascular flaps, PMMF is still considered the main reconstructive option for head and neck cancer in many centers. KW - radial forearm free flap. BACKGROUND: Local and locoregional flaps are very useful in reconstruction of head and neck defects. However, the SAI flap has limitations in length and, because it is a rotational flap, is less capable of reconstructing some … Till the 1960s, local or regional flap was used for replacement of head and neck soft tissue. This flap is easy to harvest and versatile. In 2007, under a new publisher, Dr. Jackson published the second edition of … LOCAL FLAPS IN HEAD AND NECK RECONSTRUCTION --
BACKGROUND:Reconstruction of the extensor mechanism after resection of the proximal tibia is challenging, and several methods are available. A medial gastrocnemius flap commonly is used, although it may be associated with an extensor lag. This problem also is encountered, although perhaps to a lesser extent, with other techniques for reconstruction of the extensor apparatus. It is not known how such lag develops with time and how it correlates with functional outcome.QUESTIONS/PURPOSES:We therefore (1) assessed patellar height with time, (2) correlated patellar height with function using the Musculoskeletal Tumor Society (MSTS) score, and (3) correlated patellar height with range of motion (ROM) after medial gastrocnemius flap reconstruction.METHODS:Sixteen patients underwent tumor endoprosthesis implantation and extensor apparatus reconstruction between 1997 and 2009 using a medial gastrocnemius flap after sarcoma resection of the proximal tibia. These patients represented 100% of the ...
Hypothesis and specific aims Intraoperative brachytherapy (IOBT) placed following extirpative surgery for head and neck cancer is able to supply tumoricidal doses of radiation within a limited volume. Both pedicle and microvascular free flaps can provide vascularized tissue to cover the radioactive seeds in an effort to reconstruct the patients anatomy and protect the surgical wound. The aims of this study were, first, to better characterize the overall wound healing complications experienced by patients undergoing reconstruction in the setting of IOBT following tumor ablation, as well as to identify risk factors predicting complications and the need for re-operation. Secondly, we sought to distinguish complication rates between pedicle flap and free flap groups used for resurfacing of IOBT implants to help clarify the ideal reconstructive procedure. We hypothesized that there would be a high but manageable complication rate overall, and that pedicle flaps would experience fewer complications because
Tissue transfer flaps are a method of moving tissue from a donor location to a recipient location. In the case of a free tissue transfer flaps, the blood vessels to the transferred tissues are detached and then re-attached to different arteries & veins at the recipient site. The process of reconstructive surgery using tissue transfer flaps allows for improved results in terms of functionality, aesthetic appearance, and psychological well-being in patients requiring reconstructive surgery after cancer resection or trauma. The process of reconstructive surgery using tissue transfer flaps is not without complications. These complications may include acute arterial or venous occlusion, as well as the development of late complications such as fat necrosis and flap atrophy.. The purpose of this pilot study is to determine if a novel, unique, portable, non-contact optical imaging device developed at the Beckman Laser Institute called Modulated Imaging (MI) can detect changes in a flaps optical ...
A flap procedure uses your own tissue to form the shape of a breast. There are 2 kinds of flap procedures: the TRAM flap and the LD flap.
A flap procedure uses your own tissue to form the shape of a breast. There are 2 kinds of flap procedures: the TRAM flap and the LD flap.
A flap procedure uses your own tissue to form the shape of a breast. There are 2 kinds of flap procedures: the TRAM flap and the LD flap.
A flap procedure uses your own tissue to form the shape of a breast. There are 2 kinds of flap procedures: the TRAM flap and the LD flap.
A flap procedure uses your own tissue to form the shape of a breast. There are 2 kinds of flap procedures: the TRAM flap and the LD flap.
A flap procedure uses your own tissue to form the shape of a breast. There are 2 kinds of flap procedures: the TRAM flap and the LD flap.
Complication after the fat graft(A) A 60-year-old woman, who initially underwent latissimus dorsi myocutaneous flap reconstruction, was noted to have fat necros
Radial forearm flap is the most common type of FTM phalloplasty. The donor site is relatively hairless, provides erogenous sensation, and allows urethral reconstruction in a single stage.
We wish to congratulate Saint-Cyr et al. on their recent publication The Extended Anterolateral Thigh Flap: Anatomical Basis and Clinical Experience.1 From their cadaveric studies, the importance of large-diameter suprafascial linking vessels between angiotomes2 was highlighted. In addition, they reported a series of 12 patients who successfully underwent free extended anterolateral thigh flap reconstructions (without flap necrosis-partial or total). We read the article with great interest, noting the striking resemblance between Figure 1 illustrating their investigative principles and the design of keystone island flaps we use to close groin defects (Fig. 1): a totally serendipitous event. The publication by Saint-Cyr et al. provides the anatomical basis for our keystone island flap design in upper thigh reconstructions. The aim of this letter is to present our clinical verification for their marvellous investigative work.. Keystone island flaps are perforator-based, fasciocutaneous island ...
Copyright © 2018 by the American Society of Plastic Surgeons. Background: Soft-tissue complications often dictate the success of limb salvage and the overall outcome of open fractures. Based on prior work at the R Adams Cowley Shock Trauma Center, the authors hypothesize that wounds larger than 200 cm2 are associated with a greater likelihood of both flap-related reoperation and wound complications among patients requiring soft-tissue reconstruction with a rotational flap or free tissue transfer. Methods: This study was a secondary analysis of Fluid Lavage in Open Wounds trial data that included all patients who received a rotational or free tissue flap transfer for an open fracture. The primary outcome was flap-related reoperation within 12 months of injury. The secondary outcome was wound complication, which included events treated operatively or nonoperatively. Multivariable logistic regression was used to assess the association between wound size and outcomes, adjusting for confounders. Results:
|i|Purpose|/i|. To investigate the surgical outcomes of Viscoat® assisted inverted internal limiting membrane (ILM) flap technique for large macular holes (MHs) associated with high myopia.|i| Design|/i|. Prospective, interventional case series.|i| Methods|/i|. Fifteen eyes of 15 patients with high myopia underwent vitrectomy and Viscoat assisted inverted ILM flap technique to treat MH without RD. Patients were followed up over 6 months. The main outcome measures were MH closure evaluated by optical coherence tomography (OCT) and best-corrected visual acuities (BCVAs).|i| Result|/i|. MH closure was observed in all eyes (100%) following the initial surgery. Type 1 closure was observed in 13 eyes (86.7%); type 2 closure was observed in the remaining 2 eyes (13.3%). Compared to the preoperative baseline, the mean BCVA (logarithm of the minimum angle of resolution) improved significantly at 3 months and 6 months after surgery (|svg xmlns:xlink= xmlns=
Rotation flaps are a type of subdermal plexus flap. Survival of subdermal plexus flaps depends on the deep or subdermal plexus entering the base of the flap, which in turn are supplied by the terminal branches of the direct cutaneous vessels. Subdermal plexus flaps are raised from areas adjacent to the wound and, in the case of rotation flaps, are rotated into the wound defect. ...
Results: Following a 3-reviewer independent screening process, 10 eligible studies (1 randomized-controlled trial, 9 retrospective studies) involving 479 patients (186 flaps, 293 primary closures) met inclusion criteria. Eight studies described rectus abdominus myocutanous (RAM) flaps, 2 studies used gracillis flaps, and one study reported on a mixed cohort of both. Pooled odds ratio forest plots of assessed surgical site occurrences were created from meta-analysis. Total perineal complications were twice as likely to occur with primary closure compared to myocutaneous flap closure (OR= 2.05; p=0.001). Major perineal complications approached statistical significance, being more than twice as likely to occur with primary closure compared to flap closure (OR=2.22; p=0.05). There were no statistical differences between primary and flap closure in regards to minor perineal complications, abdominal wall complications, length of stay, or reoperation rate ...
10. Song, R., Gao, Y., Song, Y., et al.: The forearm flap. Clin. Plast. Surg. 9:21-26, 1982. 11. Soutar, D.S., Scheker, L.R., Tanner, N.S.B., and McGregor, I.A.: The radial forearm flap: A versatile method for intraoral reconstruction. Br. J. Plast. Surg. 36:1, 1983. 12. Soutar, D.S., and McGregor, I.A.: The radial forearm flap in intraoral reconstruction. The experience of 60 consecutive cases. Plast. Reconstr. Surg. 78:1, 1986. 13. Boorman, J.G., and Green, M.F.: A split Chinese forearm flap for simultaneous oral lining and skin cover. Br. J. Plast. Surg. 39:179, 1986. 14. Noeva, G., Brusen, P., and Kohler, L.: Reconstruction of heel and sole defects by free flaps. Plast. Reconstr. Surg. 78:345, 1986. 15. Chang, T., and Hwang, W.: Forearm flap in one-stage reconstruction of the penis. Plast. Reconstr. Surg. 74:251, 1984. 16. Gelberman, R.H., Blasingame, J.P., Fronek, A., and Dimick, M.P.: Forearm arterial injuries. J. Hand Surg. 4:401, 1979. 17. McGregor, A.D.: The free radial forearm flap-The ...
Background: Toe-to-thumb transfer has become the gold standard for thumb reconstruction, but in badly mutilated hands, additional soft tissue coverage may be required or a suitable recipient artery may not be available. There are only 3 case reports describing the successful use of a reverse radial forearm flap for coverage of a soft tissue defect around the thumb as well as providing arterial inflow for a toe transfer, performed either simultaneously or secondarily. Methods: A single surgeons experience of all toe-to-hand transfers performed in conjunction with a reverse radial forearm flap between 1995 and 2014 was reviewed, including patient demographics, type of toe transfer and vascular pedicle, whether immediate or secondary, follow-up, and complications ...
Double bipedicled fasciocutaneous flap for reconstruction of an extensive upper extremity defect: A case report., Martain PJ Loonen, Jessica Konopka
Introduction. Skin flaps necrosis is a matter of great concern to the Plastic Surgeons. In order to reduce the risk of it, many experimental studies have been carried out, specially in the field of oxidative stress and antioxidants. Oxidative stress is a phenomenon that occurs after elevation of ischemic flaps, with excessive production of free radicals and damage to the cells. Antioxidants are substances that reduce or block the deleterious effects of these radicals1, 2. Uric acid is an endogen antioxidant and represents part of the tissues natural defense against oxidative stress. It is an important antioxidant in the serum, representing a final product in the metabolism of the purines and acts as a potent free radical scavenger, inhibiting lipid peroxidation3. Malondialdehyde (MDA) is a product of lipid peroxidation, helpful in studies that deal with oxidative stress, serving as a quantifier of the aggression suffered by the tissues4.This study determined the levels of both uric acid and MDA ...
A flap procecure uses your own tissue to form the shape of a breast. There are two kinds of flap procedures: the TRAM flap and the LD flap.
For MSO members, login to post your job or position you desire. If you have any questions, contact [email protected] The Department of Otolaryngology-Head and Neck Surgery at Boston University School of Medicine (BUSM) and Boston Medical Center (BMC) is seeking candidates for the position of Director of the Division of Head and Neck Surgery. The Division of Head and Neck Surgery at BMC/BUSM is one of the busiest head and neck services in New England with approximately 300 cases and 50 microvascular free flap reconstructions performed annually.. Qualified candidates will be board certified otolaryngologists with fellowship training in advanced head and neck surgical oncology. Candidates should preferably have at least five years of clinical experience and have been involved in developing a Head and Neck service. The director will be responsible for growing the division and overseeing the daily operations of the head and neck service. In addition to being an outstanding clinician, candidates should ...
An extensive traumatic soft tissue defect combined with significant bone loss of proximal phalanx of the thumb requires adequate surgical treatment with bridging the bone defect when the immediate reconstruction of missing soft tissues seems to be an optimal solution.. Except of primarily contaminated wounds, osseous reconstruction may be performed also primarily after adequate debridement. However, in cases with inadequate skin coverage, primary bone grafting is not recommended4. Composite tissue transfers including well-vascularized bone segment as pedicled or free flap have been described1-3. However, the use of early bone transfer may be associated with a relatively higher risk of infection4. We believe that the risk of infectious complications in recipient site with a potential need of bone fragment removal should be considered in relation with the donor site morbidity. From this point of view, removal of the prefabricated spacers has therefore smaller consequences for the patient, because ...
Reconstruction of soft tissue defects in the foot remains a challenge due to its specialized tissue for weightbearing and ambulation. Considering the principle of replacing like with like, adjacent soft tissues would be a best option for a donor site. Although several kinds of reverse-flow island flaps for the lower leg have been well described, intrinsic foot reverse flow flaps have been rarely reported. We describe 3 kinds of reverse-flow intrinsic fasciocutaneous flaps (RIFFs) for foot reconstruction. From September 2012 to August 2015, a retrospective study was done on case notes of all patients who had a RIFF for coverage of soft tissue defects within the foot following trauma or tumor ablation ...
TY - JOUR. T1 - Extent and role of urogastrone in the adaptive response of rat intestine to patching of a surgical defect in the ileum. AU - Saxena, S. K.. AU - Thompson, J. S.. AU - Joshi, S. S.. AU - Sharp, J. G.. PY - 1993. Y1 - 1993. N2 - Crypt cell production rate, morphometric changes and uptake of radiolabeled human urogastrone (125I rhUG) were evaluated in intestinal tissues of the rat at 2, 4, 8, and 12 days following patching of a surgical defect in the ileum with adjacent cecum. The terminal ileum was incised along its antimesenteric border and the margin of the opened ileum was sutured onto the serosal surface of the cecum. At autopsy, the animals were injected intraperitoneally with 1 μg/g body weight of the metaphase arrest agent, vincristine sulfate, and 50 μCI of 125I-rhUG (specific activity 1.7 μCi/μg) to quantify the crypt cell production rate and uptake of radiolabeled urogastrone, respectively. The results indicated that the crypt cell production rate was increased ...
Japanese Tissue Transfer Paisley (Red) Half Sheet - Japanese Tissue Papers - Japanese Tissue Transfer Paisley (Red) Half Sheet from Pottery Supplies Online
Japanese Tissue Transfer Star Flower (Blue) Full Sheet - Japanese Tissue Papers - Japanese Tissue Transfer Star Flower (Blue) Full Sheet from Pottery Supplies Online
Background The prognosis of humeral sarcomas has improved greatly in the past 20 years. As a result, the challenges for orthopedic oncologists include long-term handicap and local morbidity.
Understanding cell behavior inside three-dimensional (3D) microenvironments with controlled spatial patterning of physical and biochemical factors could provide insight into the basic biology of tissue engraftment, vascular anastomosis, and revascularization. A simple layer by layer projection microstereolithography (PμSL) method was utilized to investigate the effects of a nonporous and porous bioinert barrier on myocutaneous flap engraftment and revascularization. A cranial-based, peninsular-shaped myocutaneous flap was surgically created on the dorsum of C57Bl6 mice. Porous (SP) and nonporous (S) silicone implants were tailored to precise flap dimensions and inserted between the flap and recipient bed prior to sutured wound closure. Porous implant myocutaneous flaps became engrafted to the recipient site with complete viability. In contrast, distal cutaneous necrosis and resultant flap dehiscence was evident by day 10 in nonporous implant flap mice. Laser speckle contrast imaging
Comparison of gracilis and rectus abdominis myocutaneous flap neovaginal reconstruction performed during radical pelvic surgery: flap-specific morbidity.
Objectives: The free radial forearm flap has replaced the pedicled pectoralis major myocutaneous flap and it has become the workhorse flap used by many head and neck reconstructive surgeons for soft tissue reconstructions. Cost implications of radial forearm flap reconstruction within the context of the overall health care in a particular system need to be investigated particularly before it is labelled as costly only. Design and Setting: Forty patients who underwent immediate free radial forearm flap reconstruction for oral or oropharyngeal soft tissue defects were matched with patients who underwent pectoralis major myocutaneous flap reconstruction for similar defects. The 2 years of which the overall management costs according to the hospital perspective were calculated were divided into four periods: operative period, the postoperative phase, follow-up during first year and follow-up during second year after discharge. Results: The total costs within the first 2 years were comparable at ...
TY - JOUR. T1 - Use of a mechanical microvascular anastomotic device in head and neck free tissue transfer. AU - Shindo, Maisie L.. AU - Costantino, Peter D.. AU - Nalbone, Vincent P.. AU - Rice, Dale H.. AU - Sinha, Uttam K.. PY - 1996/5. Y1 - 1996/5. N2 - Background: The use of mechanical microvascular anastomotic systems for free tissue transfer has previously been reported. Currently, a commercially available coupling device (3M Healthcare, St Paul, Minn) is widely used for various microvascular free flaps. However, to our knowledge, there are no reports in the literature describing the efficacy of this particular device in regard to free tissue transfer in head and neck reconstruction. Objective: To describe the surgical technique, limitations, and guidelines for application of this system tot vascular anastomosis in head and neck free tissue transfer. Design: The microvascular anastomotic device was used in 79 head and neck free flaps: radial forearm (n=28), rectus abdominis (n=27), fibula ...
TY - JOUR. T1 - Management of massive mastectomy skin flap necrosis following autologous breast reconstruction. AU - Patel, Ketan M.. AU - Hill, Lauren M.. AU - Gatti, Margaret E.. AU - Nahabedian, Maurice Y.. PY - 2012/8/1. Y1 - 2012/8/1. N2 - Background: The optimal management of severe mastectomy skin flap necrosis continues to remain a challenge. Following autologous reconstruction, small or minor areas of ischemia/tissue necrosis can result in multiple office visits, increased expenses due to dressing supplies and nursing care, and revisional operations. The purpose of this study is to describe outcomes of a common management strategy for surgeons when confronted with a patient with extensive mastectomy skin flap necrosis. Methods: Between 1997 and 2010, autologous breast reconstructions were performed in 805 women and 1076 breasts. Of these, 12 patients (15 breasts) were identified who met the criteria for massive skin flap loss (,30%). Patient photographs and wound measurements were used ...
The aim of this study was to evaluate the efficacy of the extended radial forearm free flap in reconstructing complex defects of the nose and anterior skull base in patients in whom traditional regional flaps are unavailable. The article presents the case of a 75-year-old male patient, who underwent five previous surgeries of the nasal pyramid starting in 1982, currently suffering from multi-focal recurrence of squamous cell cancer, infiltrating the anterior skull base. The patient underwent a total rhinectomy and ethmoidectomy. Through the extended radial forearm free flap, the defect was both aesthetically an functionally filled, without any complications. The extended radial forearm free flap represents an excellent alternative in the reconstruction of the anterior skull base and nose when regional flaps are unavailable or refused. It should be included in the armamentarium of the reconstructive surgeon.. ...
Abdominal flaps The abdominal flap for breast reconstruction is the TRAM flap (Transverse Rectus Abdominis Myocutaneous flap) or its technically distinct variants of microvascular perforator flaps like the DIEP/SIEA flaps. In a TRAM procedure, a portion of the abdomen tissue group, including skin, adipose tissues, minor muscles and connective tissues, is taken from the patients abdomen and transplanted onto the breast site. Both TRAM and DIEP/SIEA use the abdominal tissue between the umbilicus and the pubis. The DIEP flap and free-TRAM flap require advanced microsurgical technique and are less common as a result. Both can provide enough tissue to reconstruct large breasts. These procedures are preferred by some breast cancer patients because they result in an abdominoplasty (tummy tuck), and allow the breast to be reconstructed with ones own tissues instead of a foreign implant. TRAM flap procedures may weaken the abdominal wall and torso strength, but are tolerated well in most patients. To ...
In this study, we observed a low recurrence rate (2.72%) for an anchored conjunctival rotation flap technique in primary pterygium surgery. Furthermore, no recurrence was observed during the follow-up period (mean of 17.97 months) when nylon sutures were used.. The recurrence rate after pterygium surgery is related to several factors, such as age, race, the clinical features of the pterygium, surgical experience, suture material, glue material, and the use of adjunctive agents, such as mitomycin C [12-15]. Because standardizing all parameters is implausible, a clear comparison of recurrence rates between studies are difficult. However, it is noteworthy that the recurrence rate for the anchored conjunctival rotation flap technique was relatively low compared to that of primary pterygium excision using conjunctival autograft (4.55~ 20%), which was recently reported for the same area and population [14, 16-18].. The key features of the anchored conjunctival rotation flap technique are as follows. ...
Looking for online definition of pedicle flap in the Medical Dictionary? pedicle flap explanation free. What is pedicle flap? Meaning of pedicle flap medical term. What does pedicle flap mean?
Detailed step by step desription of Pectoralis major myocutaneous pedicle flap for Lateral mandible, mucosa, with or without tongue (smaller than 1/3) located in our module on Mandible
TY - JOUR. T1 - Comparison of hatchet-shaped tensor fascia lata flap and pedicle anterior lateral thigh flap for treatment of trochanteric sores: A retrospective analysis of 48 patients. AU - Li, Chun-Chang. AU - Chang, Shun-Cheng. AU - Fu, Ju-Peng. AU - Tzeng, Yuan-Sheng. AU - Wang, Chih-Hsin. AU - Chen, Tim-Mo. AU - Chen, Shyi-Gen. N1 - 被引用次數:1 Export Date: 21 March 2016 CODEN: APCSD 通訊地址: Chen, S.-G.; Division of Plastic Surgery, Department of Surgery, Tri-Service General Hospital, No. 325, Cheng-Kung Rd, Sec 2, Taipei 114, Taiwan; 電子郵件: [email protected] 參考文獻: Nahai, F., Silverton, J.S., Hill, H.L., The tensor fasciae lata musculocutaneous flap (1978) Ann Plast Surg., 1, pp. 372-379; Paletta, C.E., Freedman, B., Shehadi, S.I., The V-Y tensor fasciae latae musculocutaneous flap (1989) Plast Reconstr Surg., 83, pp. 852-857; Erconen, A.R., Apaydin, I., Emiroglu, M., Island V-Y tensor fasciae latae fasciocutaneous flap for the coverage of trochanteric ...
TY - JOUR. T1 - Antibiotic prophylaxis in patients undergoing head and neck free flap reconstruction. AU - Mitchell, Ryan M.. AU - Mendez, Eduardo. AU - Schmitt, Nicole C.. AU - Bhrany, Amit D.. AU - Futran, Neal D.. PY - 2015/12. Y1 - 2015/12. N2 - IMPORTANCE Evidence supports short courses of perioperative antibiotics for patients receiving minor head and neck procedures. Few studies have addressed antibiotic prophylaxis for patients undergoing free flap reconstruction of head and neck defects. OBJECTIVE To determine ideal antibiotic prophylaxis in patients undergoing head and neck free flap reconstruction. DESIGN, SETTING, AND PARTICIPANTS Retrospective cohort study of 427 adults receiving free flap reconstruction of head and neck defects at 2 affiliated tertiary care academic hospitals between January 1, 2006, and January 28, 2013. EXPOSURES Prophylactic antibiotic type and duration were recorded from patient records. MAIN OUTCOMES AND MEASURES Outcome datawere abstracted from patients ...
An anatomical understanding of the pectoralis muscle and its vasculature is of paramount importance to the surgeon. The muscle originates along the medial aspect of the clavicle, manubrium, sternum, and the cartilages of ribs 2 to 6. The fibers of the pectoralis major muscle form a large triangular muscle which travels obliquely to insert on the greater tubercle of the humerus. The pectoralis muscle functions by providing adduction and internal rotation of the arm.. The pectoralis muscle is a type V muscle according to the Mathis and Nahai classification.2 This means that the muscle has one dominant pedicle and several segmental pedicles. The main arterial supply to the pectoralis muscle is the thoracoacromial artery which is a branch of the second portion of the axillary artery. The pectoralis muscle also receives perfusion from the lateral thoracic artery to supply the lateral aspect of the muscle. Perforating branches from the internal mammary artery supply the medial aspect of the muscle and ...
A latissimus dorsi flap brings skin, fat, and muscle from the back to recreate the breast. Most women do not have sufficient back tissue to create a breast, so this approach often requires the placement of an implant as well.
A right pectoralis major myocutaneous flap was raised and crossed over the midline to cover an exposed clavicle. This again illustrates the versatility of the pectoralis myocutaneous flap.
Patients with high-voltage electrical injuries had very high rates of infection, morbidity, and limb amputation. The results of early and late flap coverage in these patients were prospectively compared. The patients were divided into two groups, early flap group (≤3 weeks) and late flap group (|3 weeks), according to the length of time from injury to wound coverage with flap. Age, sex, demographic data, time taken for flap coverage, time taken for pedicle division, time taken to discharge, wound infection, range of motion in joints, amputation, mortality, and outcome were gathered in a special questionnaire. This study included 55 patients, 31 within the early flap group and 24 within the late flap group. Of the 55 patients, 94.6% were male; mean (SD) of age was 29.04 (10.11) and of TBSA was 13.8 (10.07). Length of stay was significantly longer in the late flap group. The rates of infection and amputation were lower in the early flap group. There was no correlation between the type and the number of
2016 Annual Meeting: Immediate Pedicled Gracilis Flap in Radial Forearm Flap Phalloplasty for Transgender Male Patients to Reduce Urinary Fistula
In the investigators previous study of 51 breast reconstructions (32 patients), we compared three different assessments of vascular perfusion of tissue; clinical judgment, fluorescein dye angiography (FDA) and laser-assisted indocyanine green dye angiography (ICG). Because tissue with poor perfusion becomes necrotic and can compromise the success of breast reconstruction, it is important that tissue with poor perfusion be removed at the time of the reconstructive surgery. However, it is also important to remove the least amount of potentially necrotic tissue as possible so that the breast reconstruction is not compromised by lack of skin. Therefore finding the best way to assess potentially necrotic tissue is a vital clinical question. In the initial study the 3 different assessment methods which were made at the time of surgery were compared to the subsequent development of necrotic tissue.. In the initial study, clinical judgment was the basis for determining the tissue removed because it had ...
Read Superomedially based upper eyelid musculocutaneous flap for closure of medial canthal defects, European Journal of Plastic Surgery on DeepDyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips.
BACKGROUND: Within the field of plastic surgery, free tissue transfer is common practice for knee and lower leg defects. Usually, after such free flap reconstruction, patients undergo a dangling protocol in the postoperative phase. A dangling protocol is designed to gradually subject the free flap to increased venous pressure resulting from gravitational forces. Worldwide there are multiple variations of dangling protocols. However, there is no evidence available in the literature that supports the use of a dangling protocol. METHODS: This is a multicenter randomized controlled trial that includes patients with a free flap lower leg reconstruction. The primary outcome is to assess whether a no-dangling protocol is not inferior to a dangling protocol, in terms of proportion of partial flap loss, 6 months after surgery. Secondary objectives are to identify differences in major and minor complications, length of stay, and costs, and to objectify blood gaseous changes during dangling. Furthermore, ...
2016 Joint Meeting Abstracts: A Novel Experimental Rat Skin Flap Model That Distinguish Between Venous Congestion and Arterial Ischemia: the Reverse U-Shaped Bipedicled Superficial Inferior Epigastric Artery Flap
Introduction: The most commonly used techniques for reconstruction of the upper digestive tract after laryngopharyngectomy are gastric pull-up or microvascular surgery using jejunum or free skin flaps. The pectoralis major myocutaneous flap has proven to be helpful only after limited resection. However, Fabian [Ref. 1] introduced the myocutaneous flap for reconstruction of the anterior and the lateral walls of the hypopharynx, while the prevertebral fascia was covered by a free skin graft. Spriano et al. modified the method by leaving the prevertebral fascia uncovered [Ref. 2]. It was the aim of our study to evaluate the proposal of Spriano et al... Methods: The hypopharyngeal tumors of 4 male patients (42-57 years old) were resected by laryngopharyngectomy, including upper parts of the esophagus. The reconstruction was performed according to the proposal of Spriano et al., leaving the prevertebral fascia uncovered.. Results: All patients recovered quickly. The gastric tube was removed after ...
A new review looks at the types of free tissue transfer used in the reconstruction of lower limb injuries in children. What are the available options?
Introduction: Management of the periprosthetic soft tissues may be a challenge in patients undergoing treatment for an infected total knee arthroplasty (TKA) implant. Particularly in patients who have undergone multiple revision procedures, the compromised soft tissues may progress to complicated soft-tissue defects, which predispose patients to treatment failure or limb loss. Coverage of the soft-tissue defect with a rotational muscle flap may be required in these difficult patient scenarios. This video reports a single institution's experience using rotational muscle flaps for coverage of soft-tissue defects in patients undergoing treatment for an infected TKA implant. Methods: Between 2007 and 2017, rotational flaps were used to manage full-thickness anterior soft-tissue deficiency in 16 patients undergoing treatment for an infected TKA implant. The mean follow-up was 1.88 years (range, 0.1 to 6.1 years). The study group included 7 men and 9 women, with a mean age of 67.2 years (range, 44 to 87
TY - JOUR. T1 - Anterolateral thigh osteomyocutaneous femur (ALTO) flap reconstruction for composite mandible and near total tongue defect utilizing a retrograde intramedullary femoral nail stabilization technique. T2 - Report of a first case. AU - Novinger, Leah J.. AU - Cannady, Steven B.. AU - Wurtz, Lawrence D.. AU - Sim, Michael W.. AU - Moore, Michael G.. AU - Mantravadi, Avinash V.. AU - Shipchandler, Taha Z.. PY - 2020/6. Y1 - 2020/6. N2 - The anterior lateral thigh osteomyocutaneous free flap (ALTO) offers the advantage of reconstructing large bony and soft tissue defects. We report a novel approach for femur stabilization via retrograde intramedullary nail placement in a patient with a near total tongue and large mandibular defect who underwent ALTO reconstruction that saves operating room time and decreases risk of post-operative fracture.. AB - The anterior lateral thigh osteomyocutaneous free flap (ALTO) offers the advantage of reconstructing large bony and soft tissue defects. We ...
What happens during breast reconstruction surgery?. Step 1 - Anesthesia. Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.. Step 2 - Flap techniques reposition a womans own muscle, fat and skin to create or cover the breast mound.. Sometimes a mastectomy or radiation therapy will leave insufficient tissue on the chest wall to cover and support a breast implant. The use of a breast implant for reconstruction almost always requires either a flap technique or tissue expansion.. A TRAM flap uses donor muscle, fat and skin from a womans abdomen to reconstruct the breast. The flap may either remain attached to the original blood supply and be tunneled up through the chest wall, or be completely detached, and formed into a breast mound.. Alternatively, your surgeon may choose the DIEP or SGAP flap techniques which do not use muscle but transport tissue to the ...
The eyelid is divided into two lamellae, the anterior skin-muscle and the posterior tarso conjunctival lamella [3], [5]. The orbicularis muscle is divided into pretarsal, preseptal, and orbital orbicularis depending on the structure immediately posterior to it. Posteriorly, the tarsus is plate of dense connective tissue that occupies the inferior aspect of the upper eyelid [6]. The upper eyelid crease is formed by insertion of the fascial extensions of the levator aponeurosis, through the orbicularis muscle, to the skin. The upper eyelid crease runs parallel to the eyelid margin [5]. There are various types of flaps available in the management of upper eyelid defects, which include sliding flaps, advancement flaps, island flaps, and transposition flaps [3], [4]. The advancement flap is a modality of skin defect closure via mobilization of tissue along a linear direction [7]. In the advancement flap, the surrounding skin is fashioned, raised, and advanced on its own long axis to close the ...
PubMedID: 23255281 | Free flap reconstruction of oral composite defect complicated by intraoperative cardiac arrest: a case report. | Microsurgery | 3/1/2013
A tendency towards implant-based breast reconstruction continues to rise (17). In a study by Yi et al. (18), a total of 1810 breast cancer patients who underwent SSM (n=799, 44.1%) or conventional mastectomy (n=1011, 55.9%) were compared. The local, regional, systemic recurrence rates and DFS between two groups did not differ significantly, so they concluded that SSM is an acceptable option for patients who are candidates for IBR. Furthermore, in their meta-analysis, Lanitis et al. (19) found a 5.7% LR rate in SSM vs. 4% LR in non-SSM. This meta-analysis of 7 observational studies (825 SSM and 2518 non-SSM patients with no significant difference in stage or invasive cancers) also showed comparable survival rates between SSM and non-SSM (8.3% vs. 12.1%; OR= 0.63; 95% CI, 0.43-0.92). Similar to previous studies, our results also showed low LR rate as 1.8% as detected in one case with luminal B tumour after SSM along with systemic recurrence in our series. There was no LR in the NSM group. Recent ...
Free Flap Reconstruction of the Extremities in Patients Who are ≥65 Years Old: A Single-Center Retrospective 1-to-1 Matched Analysis
bone flap - MedHelps bone flap Center for Information, Symptoms, Resources, Treatments and Tools for bone flap. Find bone flap information, treatments for bone flap and bone flap symptoms.
This is Part 5 of a 6-part series focusing on CPT coding of breast procedures. This series will address several of the more confusing topics. Part 5 focuses on the coding of different types of autologous tissue breast reconstruction procedures.
Program Description. Overview: Fellowship training takes place in a high-volume quaternary health care facility and includes head and neck oncologic surgery, transoral laser microsurgery for head and neck cancer, transoral robotic-assisted surgery for head and neck cancer, reconstructive head and neck rehabilitative surgery, including microvascular free flap reconstructive surgery and exposure to multidisciplinary head and neck cancer care.. Fellows participate in all aspects of patient care and are expected to function independently in routine surgical cases including preoperative and postoperative care of patients. In addition to the clinical experience, fellows in the Advanced Head and Neck Oncologic and Reconstructive Surgery Fellowship participate in didactic activities and have an average of 1 day/week of protected time to pursue basic science and translational research in a variety of labs.. Objectives: The Advanced Head and Neck Oncologic and Reconstructive Surgery fellowship at Mayo ...
Zurück zum Zitat Van Koperen PJMDPD, Bemelman WAMDPD, Gerhards MFMDPD, Janssen LWMMDPD, van Tets WFMDPD, van Dalsen ADMD et al (2011) The anal fistula plug treatment compared with the mucosal advancement flap for cryptoglandular high transsphincteric perianal fistula: a double-blinded multicenter randomized trial. Dis Colon Rectum 54(4):387-393 CrossRefPubMed Van Koperen PJMDPD, Bemelman WAMDPD, Gerhards MFMDPD, Janssen LWMMDPD, van Tets WFMDPD, van Dalsen ADMD et al (2011) The anal fistula plug treatment compared with the mucosal advancement flap for cryptoglandular high transsphincteric perianal fistula: a double-blinded multicenter randomized trial. Dis Colon Rectum 54(4):387-393 CrossRefPubMed ...
The radial forearm consists of thin, pliable skin that can be molded in three dimensions and transferred as a sensate flap, making it ideal for most head and neck reconstructions. Loss of tissue resulting from cancer ablation or debridement of infected tissues or secondary to trauma provides the reconstructive surgeon with various challenges.
From DIEP Flap and TUG Flap procedures to lesser-known SHAEP and Stacked Flaps, we offer a range of natural tissue reconstruction and breast sensation restoration options. Whether youre interested in direct-to-implant or expander implant reconstruction, we are experienced in both prepectoral and subpectoral approaches. We perform a wide range of procedures, like conversion to prepectoral implants, flap revision, fat grafting, and surgery on the opposite breast, to improve your breast reconstruction. We offer surgical and non-surgical options, like 3-D tattoo, that allow our surgeons to create a natural appearing nipple as the final touch for your breast reconstruction. We help our patients understand the types of mastectomies available and how genetic information, like BRCA gene mutations, can factor into your decisions. We pioneered a unique and reliable abdominal wall reconstruction procedure to repair TRAM flap related hernias and contour deformities. We offer procedures to help prevent as ...
Introduction/Aim Ischemia Reperfusion injury is a poorly understood entity with wide-ranging clinical implications touching on most fields of clinical medicine. Using skin flap and hind limb models of injury in the mouse we attempt to reduce ischemia reperfusion injury by targeting different parts of the ischemia reperfusion injury pathway. Methods Dorsal lateral thoracic artery island skin flaps (3.5x1.5 cm) were elevated in C57BL/6 mice and rendered ischemic for 10 hours by placing a 7 mm microclamp on the vascular pedicle followed by 7 days of reperfusion. Hind-limb ischemia (was achieved with orthodontic rubber bands applied above the greater trochanter of male C57BL/6 mice using a McGivney Haemorrhoid Ligator. Limbs underwent ischemia for two hours followed by 24 hours reperfusion prior to euthanasia. Animals were treated with intravenous Poloxamer 188 and P8 IgM-binding protein to assess their effect on ischemiareperfusion injury. Results Administration of P188 prior to ischemia gave an ...
Postoperative complications in patients undergoing autologous breast reconstruction should be kept at the lowest possible level. Optimization of autologous breast reconstruction, especially techniques that can identify tissue perfusion and ischemia, will greatly benefit the patients and consequently society. Hence, the aim of this study was to evaluate the complication rates for autologous pedicle flap breast reconstructions, with and without the use of ICG-angiography. A single-institution retrospective review of mastectomy patients was performed. A total of 230 cases who underwent immediate or delayed, unilateral or bilateral pedicle autologous flap breast reconstruction between January 2013 and September 2016 was reviewed. Complication rates in the ICG-angiography and clinical assessment group were evaluated and compared. A total of 191 cases were identified of which 77 were evaluated with ICG-angiography, and 114 were evaluated clinically. There was no significant difference in overall ...
Breast reconstruction following tumor removal with an expander or allo prosthesis (costs for program #137905) ✔ University Hospital Münster ✔ Department of Gynecology and Obstetrics ✔
A 2020 Cochrane Review assessed the effects of NPWT for preventing surgical site infection (SSI). The review authors included ... Skin flaps and grafts. *Management of the open abdomen (laparotomy)[8]. Contents. ... "Decisions about use of NPWT should take into account surgical indication and setting and consider evidence for all outcomes."[ ... "Negative pressure wound therapy for surgical wounds healing by primary closure". The Cochrane Database of Systematic Reviews ...
A New Surgical Procedure for Phallic Reconstruction: Istanbul Flap by Mutaf, Mehmet (Journal of Plastic and Reconstructive ... Flap from the side of the chest[edit]. A relatively new technique involving a flap from the side of the chest under the armpit ... Pubic area flap[edit]. The flap location is around the pelvic bone, usually running across the abdomen under the belly button. ... A flap from the leg or another area where the scar is less noticeable may be combined with free forearm flap to create the ...
Surgical technique - the bilobed flap. The design of the bilobed flap co-ordinates its lobes with the long axis of the nasal ... some management techniques are the Bilobed flap, the Nasolabial flap, the Paramedian forehead flap, and the Septal mucosal flap ... Nasolabial flap. In the 19th century, the surgical techniques of J.F. Dieffenbach (1792-1847) popularized the nasolabial flap ... Surgical technique - the nasolabial flap. The pedicle of the nasolabial flap rests upon the lateral nasal wall, and is ...
A few surgeons offer a procedure known as surgical flap augmentations in which small sections of skin near the lips or inside ... Surgical applications usually require general anesthesia. Restylane, a non-animal, clear gel that is reported to be very close ... Of the 90 patients, four required surgical intervention due to nodules in the lips. Gore-Tex implants. In medical uses, Gore- ... Lip enhancement: surgical Alternatives and Histologic Aspects. Plastic & Reconstructive Surgery. 105(3):1173-1183, March 2000 ...
The surgical procedures include Crown Lengthening, Frenectomy, and Mucogingival flap surgery. Some contraindictions include: ... Full thickness flap involves incision down to bone. Using blunt dissection, the flap is raised from bone. Full thickness flap ... It provides limited mobility of flap and is unsuitable for grafting. Split thickness flap involves sharp cutting of tissues and ... Gingivectomy Apically repositioned flap (APF) surgery Apically repositioned flap (APF) with osseous reduction (osteoplasty/ ...
Although this flap increases surgical access, it is difficult to re-approximate the tissue. An envelope (horizontal) incision ... Two main flap designs used in endodontic surgery are full and limited mucoperiosteal flaps. Full mucoperiosteal flaps involve ... These topical agents should be removed before closing the surgical site. When the flap has been sutured in position, ... This design provides little surgical access to the root surface. Limited mucoperiosteal flaps have a submarginal horizontal or ...
This process shears the flap with minimal damage. Surgical suture List of medical topics Cheese knife Ligature (medicine) ... In this procedure, a triangular partial thickness scleral flap is created using a diamond knife. The scleral flap is then ... The conjunctiva flap can be then secured with 26 10-0 vicryl sutures at either end of the limbus. A single 10-0 vicryl mattress ... The 8-0 nylon suture is taken under the scleral flap. Once this happens, the suture is reversed and the needle is passed ...
A mucoperiosteal flap is raised overlying the cyst and the entire cyst subsequently removed. The defect is completely closed by ... Cysts treatment is limited to surgical removal for the majority of cysts. There are two techniques used to manage cysts with ... Marsupialization-the creation of a window into the wall of a cyst by raising a mucoperiosteal flap and attaching the cyst ... This may be undertaken when cysts are very large, and their removal would leave a significant surgical defect or risk jaw ...
A surgical procedure known as the Eloesser flap is named for him. Known for his work among the poor and indigent, Dr. Eloesser ... In the Spanish Civil War he saw service at Teruel and on the Ebro front with his own Mobile Surgical Hospital. At the end of ... Denlinger, Chadrick E. (2010). "Eloesser Flap Thoracostomy Window". Operative Techniques in Thoracic and Cardiovascular Surgery ...
Ancillary surgical procedure and flaps, in Unger W, Shapiro R et al. Hair Transplantation 5th edition. London Informa ... The surgeon will usually close the wound with 2 layers of sutures or surgical clips. The resultant scar from hairline ... In males with progressive baldness, the surgical scar may become more visible as balding advances. Hair thinning from "shock ... Hairline lowering (alternately, a scalp advancement or forehead reduction) is a surgical technique that allows an individual to ...
5.3 million inpatient specialty surgical hospital (to be called Central Montana Surgical Hospital). (Instead, Poulsen ended up ... "Great Flap in Montana." Modern Healthcare. September 15, 1997. American Bar Association, p. 152-153. Shinkman, Ron. "For the ... "Clinic Buys Surgical Hospital." Great Falls Tribune. January 26, 2006. Shinkman, Ron. "Monopoly Is For the Benefis of None." ... Benefis also said it stood to lose $4 million a year in revenues if Central Montana Surgical Hospital was licensed as a general ...
A keystone flap is achieved by creating a flap below the defect and pulling it superiorly to cover the wound. This can be ... With this method, it is likely that less than 5% of the surgical margin is examined, as each slice of tissue is only 6 ... One often waits a month or more after surgery before starting the Imiquimod or 5-fluorouracil to make sure the surgical wound ... Treatment is typically by surgical removal. This can be by simple excision if the cancer is small; otherwise, Mohs surgery is ...
When the process becomes chronic, wide surgical excision is the procedure of choice. Wounds in the affected area do not heal by ... For example, the axilla with a fully excised defect of 15 × 7 cm can be covered with a thoracodorsal artery perforator flap.[ ... Another option is covering the defect with a perforator flap. With this technique, the (mostly totally excised) defect is ... Axillary hyperhidrosis, apocrine bromhidrosis, hidradenitis suppurativa, and familial benign pemphigus: surgical approach. In: ...
The fibula osteocutaneous flap: Concise review, goal-oriented surgical technique, and tips and tricks. Plast. Reconstr. Surg. ... Reliability of the fibular osteocutaneous flap for mandible reconstruction: Anatomical and surgical confirmation. Plast. ... His initial experience with the fibula free flap for mandible reconstruction was documented in the publication Fibula Free Flap ... 121:320e, 2008 Hidalgo, DA, Fibula free flap: A new method of mandible reconstruction. Plast. Reconstr. Surg. 84:71, 1989. ...
"A new surgical technique for concealed penis using an advanced musculocutaneous scrotal flap". BMC Urology. 15 (1): 54. doi: ... In these cases, the released shaft includes a skin graft or local flaps. The other probability of this mechanism is that, since ... In such cases, the released shaft needs no skin graft or local flaps. For both mechanisms, the preputial skin is inadequately ... "New Surgical Technique for the Treatment of Congenital Concealed Penis". PracticeUpdate. Retrieved 2020-12-16. El Gohary, ...
Surgical options, such as follicle transplants, scalp flaps, and hair loss reduction, are available. These procedures are ... Wigs are an alternative to medical and surgical treatment; some patients wear a wig or hairpiece. They can be used permanently ...
Surgical techniques for cleft palate in dogs include prosthesis, mucosal flaps, and microvascular free flaps. Affected animals ... Movement of the flaps; flap A is moved between B and C. C is rotated slightly while B is pushed down. Pre-operation Post- ... However, combinations of surgical methods and repeated surgeries are often necessary as the child grows. One of the new ... Millard performed the first procedure at a Mobile Army Surgical Hospital (MASH) unit in Korea. Often an incomplete cleft lip ...
By the end of the mission, the team carried out 7 free flaps (microsurgery), 5 sub-mental flaps and a number of facial ... Surgical Treatment of Noma Saleh, Daniel Bernard MB, ChB, BSc; Fourie, Le Roux MD; Mizen, Kelvin D. BDS, MBChB. (2012).The ... Facing Africa surgical work is presented in medical journals and conferences by its medical volunteers not only benefiting the ... The Charity also supports various research and publications about Noma, such as Surgical Treatment of Noma by K.E. Bos and K.W ...
Given the nature of the surgical incisions to the gluteus maximus muscles, the therapeutic management of post-surgical pain (at ... Sozer, S; Agullo, F; Palladino, H (2008). "Autologous augmentation gluteoplasty with a dermal fat flap". Aesthetic Surgery ... The applicable techniques for surgical and correction include the surgical emplacement of gluteal implants; autologous tissue- ... After completing the surgical corrections and the lipoinjection contouring of the pertinent area(s) of the gluteal region, the ...
Following pharyngeal flap surgery, depending on size and position, the flap itself may have an "obturator" or obstructive ... Surgical treatments to modify airway anatomy, known as sleep surgery, are varied and must be tailored to the specific airway ... Turbinectomy is a surgical procedure in which all or some of the turbinate bones are removed to relieve nasal obstruction. ... One of the surgical treatments for velopalatal insufficiency involves tailoring the tissue from the back of the throat and ...
Surgical incision of the perineum and the posterior vaginal wall Fasciotomy -> Surgical procedure where the fascia is cut to ... A bone flap is temporarily removed from the skull to access the brain Cricothyrotomy -> An incision made through the skin and ... Surgical removal or opening of the hymen Hysterotomy -> Incision in the uterus, and is performed during a Caesarean section ... a refractive surgical procedure to correct myopia Sphincterotomy -> Treating mucosal fissures from the anal canal/sphincter ...
In 1834 he published Manuel de medecine operatoire, an influential work on surgical techniques. This book was later translated ... In 1843 Malgaigne, together with Germanicus Mirault designed a flap transposition procedure to close cleft lips. As an advocate ... In 1841 he was founder of the surgical journal, Journal de chirurgie. "Malgaigne's amputation": Subastragalar amputation; an ...
Pharyngeal Flap Surgery The superiorly based or inferiorly based pharyngeal flap surgical procedure offers an alternative to ... A preoperative assessment of such adduction can serve as a surgical guide to how wide a pharyngeal flap must be to be ... Contraindications to pharyngeal flap surgical procedures, thus, include nominal measures of lateral pharyngeal wall adduction. ... With this in mind, pharyngeal flap surgical candidates should undertake a preoperative nasoendoscopic examination by an ...
Asuquo M, Ugare G, Ebughe G, Jibril P.: Marjolin's ulcer: the importance of surgical management of chronic cutaneous ulcers. ... Aesthetic reconstruction of lower leg defects using a new anterolateral lower leg perforator flap. J Plast Reconstr Aesthet ... Smidt LS, Smidt LF, Chedid MB, Bavaresco CS, Chedid MF (October 2005). "Radical surgical treatment for Marjolin ulcer occurring ... Knudsen MA, Biering-Sørensen F.: Development of Marjolin's ulcer following successful surgical treatment of chronic sacral ...
Surgical technique - the bilobed flap. The design of the bilobed flap co-ordinates its lobes with the long axis of the nasal ... some management techniques are the Bilobed flap, the Nasolabial flap, the Paramedian forehead flap, and the Septal mucosal flap ... For such surgical repairs, skin flaps are preferable to skin grafts, because skin flaps generally are the superior remedy for ... Nasolabial flap. In the 19th century, the surgical techniques of J.F. Dieffenbach (1792-1847) popularized the nasolabial flap ...
After surgical interventions, speech therapy is necessary to learn how to control the newly constructed flaps. Posterior ... Two small flaps are made on the left and right side of the entrance to the nasal cavity, attached to the back of the throat. ... This flap remains attached on one side (usually at the top). The other side is attached to (parts of) the soft palate. This ... In the presence of a cleft palate, either of these systems can be helpful in evaluating the need for an appliance or surgical ...
Smith specializes in microsurgical breast reconstruction, including the DIEP flap, TUG flap, SIEA flap, and GAP flap. He was ... His current practice is focused on surgical innovations in breast reconstruction, facial paralysis and lymphedema treatment. ... He has spoken nationally and internationally on breast conservation techniques using perforator flaps and microsurgery for ... reconstruction of congenital defects and the surgical treatment of lymphedema and lipedema. Smith was born in Huntington, NY ...
Machat was also the first refractive surgeon to use the Intralase femtosecond laser for flap creation in March 2003. Machat was ... Jeff Machat MD, FRCSC, DABO is an ophthalmologist in the United States and Canada specializing in surgical vision correction ... CS1 maint: discouraged parameter (link) Emil W. Chynn; Insun Lee; Miten Vasa (April 15, 2003). "Flap striae after LASIK can be ... instrumental in the development of software, techniques and surgical instruments for LASIK and PRK. He is the originator of the ...
Guest Editorial, first issue of Indian Journal of Surgical Oncology. Indian Journal of Surgical Oncology. 2010 Jan; 1(1): 2 ... a technical modification of the Grisotti flap". Indian Journal of Surgery. 69 (4): 160-162. doi:10.1007/s12262-007-0012-6. ISSN ... ASI is South Asia's largest & World's second largest surgical organization that represents the surgical fraternity in India. As ... "Breast Healthcare in India" (PDF). "Indian Journal of Surgical Oncology 1(1):2". Indian Journal of Surgical Oncology. 1 (1): 2 ...
Labra, et al., from Mexico, published a variation of UP3, by adding a uvulopalatal flap, in order to avoid such complications, ... The contributing factors in the variability of success include the pre-surgical size of the tonsils, palate, uvula and tongue ... In 2002, an Atlanta-based surgical team, led by Dr. Jeffrey Prinsell, published results which have approximated those of the ... Uvulopalatopharyngoplasty (also known by the abbreviations UPPP and UP3) is a surgical procedure or sleep surgery used to ...
These cells are held in place by a small piece of soft tissue from the tibia, called a periosteal flap, which is sutured over ... In addition, a safety study showed safety better than surgical alternatives for this cultured cell injection procedure at a 3- ...
Following pharyngeal flap surgery, depending on size and position, the flap itself may have an "obturator" or obstructive ... Barnes L (editor) (2009). Surgical pathology of the head and neck (3rd ed.). New York: Informa healthcare. ISBN 9781420091632. ... Surgical treatments to modify airway anatomy, known as sleep surgery, are varied and must be tailored to the specific airway ... One of the surgical treatments for velopalatal insufficiency involves tailoring the tissue from the back of the throat and ...
In case of progressive or non-healing ulcers, surgical intervention by an ophthalmologist with corneal transplantation may be ... Deep ulcers and descemetoceles may require conjunctival grafts or conjunctival flaps, soft contact lenses, or corneal ...
Vocal fold cysts are treated using a multidisciplinary approach.[15][16] Vocal fold cysts are most responsive when surgical ... then laying the flap back down.[15] This is intended to lead to minimal scarring and improved voice function.[15] However, if ...
... eye by forming a thin hinged flap under which the shape of the cornea is changed by using an excimer laser or other surgical ... A microkeratome is usually used to cut the flap, but a femtosecond laser can also be used to make the flap. ... After thawing, these reshaped flaps were placed under the front flap to correct visual improvement.LASIK is currently the only ... Keratomileusis, from Greek κέρας (kéras: horn) and σμίλευσις (smileusis: carving),[1] or corneal reshaping, is the surgical ...
... complete at least five years of surgical residency training. This is composed of six months of general surgical training and ... Microvascular free flap reconstruction. *Skull base surgery. *Salivary gland cancer. Otology and neurotologyEdit. Main articles ... Surgical oncology Facial cosmetic surgery Ear Middle and inner ear Sinusitis Voice disorders Velopalatine insufficiency Sleep ... In the United Kingdom entrance to otorhinolaryngology higher surgical training is highly competitive and involves a rigorous ...
Surgical options, such as follicle transplants, scalp flaps, and hair loss reduction, are available. These procedures are ... Wigs are an alternative to medical and surgical treatment; some patients wear a wig or hairpiece. They can be used permanently ...
Non-surgical Phase[edit]. The non-surgical phase is the initial phase in the sequence of procedures required for periodontal ... After periodontal treatment, whether it be surgical or non-surgical, maintenance periodontal therapy is essential for a long ... Treatment can consist of either surgical or non surgical treatment depending on severity. After treatment patient compliance is ... surgical therapy, regenerative surgical therapy. After treatment, patient care and regular maintenance check ups are important ...
However, a surgical biopsy is required to find the grade of the tumor. The grade depends on how well the mast cells are ... Brière C (2002). "Use of a reverse saphenous skin flap for the excision of a grade II mast cell tumor on the hind limb of a dog ... Mast Cell Tumor Following Surgical Excision". Clin Cancer Res. 15 (11): 3856-65. doi:10.1158/1078-0432.CCR-08-1860. PMID ... and cellular proliferation indices as prognostic indicators after incomplete surgical excision of cutaneous grade II mast cell ...
For example, surgical treatment of fistulae in Crohn's disease can be effective, but if the Crohn's disease itself is not ... or an endorectal flap procedure (where healthy tissue is pulled over the internal side of the fistula to keep feces or other ... It is important to note that surgical treatment of a fistula without diagnosis or management of the underlying condition, if ... As a radical treatment for portal hypertension, surgical creation of a portacaval fistula produces an anastomosis between the ...
The mitral valve (/ˈmaɪtrəl/), also known as the bicuspid valve or left atrioventricular valve, is a valve with two flaps in ... a common surgical procedure that aims at restoring proper leaflet adjustment. ... The mitral valve is named after the mitre of a bishop, which resembles its flaps.[3][4] ... reflecting the dual-flap shape of the valve. ...
The scalp is pulled away from the skull in two flaps with the front flap going over the face and the rear flap over the back of ... An autopsy (post-mortem examination, obduction, necropsy, or autopsia cadaverum) is a surgical procedure that consists of a ... The chest flaps are then closed and sewn back together and the skull cap is sewed back in place. Then the body may be wrapped ... After the examination, the body has an open and empty thoracic cavity with chest flaps open on both sides, the top of the skull ...
Laboratory instruments, blood transfusion bags, and medical and surgical equipment will get clogged up and become non- ... flap raising procedure, gingival recontouring and biopsies, the dentist needs to take extra precautions apart from the standard ... clinical prospective studies on DOACs are required to investigate the bleeding risk and haemostasis associated to surgical ...
Due to the LASEK procedure not requiring a surgical flap, athletes or individuals concerned with trauma introduced by the flap ... When LASEK is compared to LASIK, LASIK can have better outcomes with corneal haze while LASEK has a lower rate of flap ... In 1 to 3% of cases, loss of best corrected visual acuity (BCVA) can result, due to decentered ablative zones or other surgical ... LASEK has advantages over LASIK in that it avoids added complications associated with the flap created during surgery. The ...
During a 17-hour operation, a surgical team led by MUDr. Bohdan Pomahač, replaced the nose, upper lip, cheeks, and roof of the ... The photograph shows him before (left) and after (right) receiving a flap surgery by Sir Harold Gillies. ... In March 2011, a surgical team, led by Bohdan Pomahač at Brigham and Women's Hospital in Boston, Massachusetts, USA, performed ... Almost one month later on 24 February 2012, a surgical team led by Serdar Nasır conducted the country's second successful full ...
"FDA approves non-surgical temporary balloon device to treat obesity". U.S. Food and Drug Administration. July 30, 2015. ... These are addressed in a series of plastic surgery procedures sometimes called body contouring in which the skin flaps are ... It was a surgical weight-loss procedure performed for the relief of morbid obesity from the 1950s through the 1970s in which ... Robinson MK (July 2009). "Editorial: Surgical treatment of obesity-weighing the facts". The New England Journal of Medicine. ...
Another common cause is entrapment of food beneath the gum flap (also called an operculum). Pericoronitis can present as a mild ... Extraction might be contraindicated and might be simple or surgical, often depending on the location of the teeth. ... thus not requiring surgical intervention.[2] However, removal of asymptomatic, pathology-free, impacted teeth isn't a medical ... "Open versus closed surgical exposure of canine teeth that are displaced in the roof of the mouth". Cochrane Database Syst Rev ...
... lid of a Tic Tac box, with a living hinge and the resin identification code under its flap ... UPDATE on Serious Complications Associated with Transvaginal Placement of Surgical Mesh for Pelvic Organ Prolapse: FDA Safety ...
The periodontal therapy carried out at this stage is of a non-surgical approach, which is aimed at the removal of supra- and ... This could involve an open flap debridement with or without regenerative procedures, with the aim of gaining access and ... Periodontal surgery: If it is a localised problem and if the case is non-response to non-surgical treatment despite the oral ... Regenerative surgical therapy currently available include the use of bone replacement grafts, barrier membranes or guided ...
Skin flap necrosis (death of the skin flap, e.g. due to interrupted blood supply) ... Surgical procedure[edit]. The bone behind the ear is exposed through a U-shaped or straight incision or with the help of a ... No other ear surgical procedure is reversible like this.. By bypassing the outer or middle ear, BAHA can increase hearing in ... Sometimes, a second surgical procedure is required. Complications are less likely with good wound hygiene.[3] Other drawbacks ...
Escharotomy · Suture · Skin grafting · Mohs surgery · Free flap · Rotation flap · TRAM flap · Electrodesiccation and curettage ...
Larger defects may require repair with a skin graft, local skin flap, pedicled skin flap, or a microvascular free flap. Skin ... Currently, surgical excision is the most common form of treatment for skin cancers. The goal of reconstructive surgery is ... An example of such reconstruction is a pedicled forehead flap for repair of a large nasal skin defect. Once the flap develops a ... Local skin flaps are a method of closing defects with tissue that closely matches the defect in color and quality. Skin from ...
They have a large, tapering operculum flap, a large mouth, and a flat, paddle-shaped rostrum that measures approximately one- ... a relatively quick surgical method of extracting eggs through a 4 in (10 cm) abdominal incision; considered faster than hand ... minimally invasive surgical technique) which is the fastest of the three procedures because it requires less handling of the ... Clusters of electroreceptors also cover the head and operculum flaps. The American paddlefish's diet consists primarily of ...
It has two flaps, or leaflets, known as cusps.. The techniques of mitral valve repair include inserting a cloth-covered ring ... The traditional surgical approach to a mitral valve repair is a full or partial sternotomy, in which the surgeon cuts through ... Lewis, sharon (8/4/2015). Medical-Surgical Nursing: Assessment and Management of Clinical Problems (Ninth ed.). St. Louis, MO: ... For decades after, mitral valve replacement was the only surgical option for patients with a severely diseased mitral valve. ...
Post-surgical recoveryEdit. The surgical scars of a breast augmentation mammoplasty develop approximately at 6-weeks post- ... In the mid-twentieth century, Morton I. Berson, in 1945, and Jacques Maliniac, in 1950, each performed flap-based breast ... "American Journal of Surgical Pathology. 29 (4): 506-11. doi:10.1097/01.pas.0000155145.60670.e4. PMID 15767806. Archived from ... Surgical proceduresEdit. IndicationsEdit. A mammoplasty procedure for the placement of breast implant devices has three (3) ...
Preliminary surgical measures: Types of surgical operations, collecting equipment and accessories, prophylactics, modes of ... Sushruta's treatise provides the first written record of a forehead flap rhinoplasty, a technique still used today to ... These include using a flap of skin from the cheek or the forehead, which is akin to the most modern technique today..[142][143] ... Surgical appliances, their use and construction: names, dimensions, use and functions, excellence of each appliance, defect of ...
Within a few years, spinal anesthesia became widely used for surgical anesthesia and was accepted as a safe and effective ... Kampe S, Warm M, Kasper SM, Diefenbach C (July 2003). "Concept for postoperative analgesia after pedicled TRAM flaps: ...
Surgical avulsions[edit]. An avulsion is sometimes performed surgically to relieve symptoms of a disorder, or to prevent a ... In rock climbing, a "flapper" is an injury in which parts of the skin are torn off, resulting in a loose flap of skin on the ... To fix this injury and to be able to continue climbing, many climbers will apply sports tape to the flapped finger to cover up ... The severity of avulsion ranges from skin flaps (minor) to degloving (moderate) and amputation of a finger or limb (severe). ...
... used in facial reconstruction literature to mean either rhombuslike or to describe one of the popular transposition flaps used ... Surgical Therapy. The Limberg flap is conceptually the easiest of the 3 flaps to construct. The Limberg flap is a series of ... Webster flaps also incorporate a 30° angle at the apex of the rotation flap. Reducing the flap angle from 60° to 30° makes the ... The Dufourmentel flap is more versatile than the Limberg flap. The Dufourmentel flap can be used to close a rhomboid with any ...
These flaps are used when insufficient tissue or mobility in nearby skin prevents coverage of a surgical defect with primary ... An interpolation flap is a 2-stage tissue flap in which the base of the flap is not immediately adjacent to the recipient site ... Surgical Therapy. Forehead flap, or paramedian forehead flap. The postsurgical nasal defect is examined first to determine if ... The flap is draped over the surgical defect. After ensuring that the designed flap covers the defect without tension, the ...
"Surgical Flaps" by people in Harvard Catalyst Profiles by year, and whether "Surgical Flaps" was a major or minor topic of ... "Surgical Flaps" is a descriptor in the National Library of Medicines controlled vocabulary thesaurus, MeSH (Medical Subject ... Below are the most recent publications written about "Surgical Flaps" by people in Profiles. ... Below are MeSH descriptors whose meaning is more general than "Surgical Flaps". ...
Flap Versus Graft. Surgical flaps and surgical grafts are both used in H&N reconstruction. While the 2 are distinct entities, ... free flap. H&N. head and neck. SCC. squamous cell carcinoma. Surgical free flaps (FFs) have become the preferred reconstruction ... Local flaps, flaps generated adjacent to the primary defect, are examples of random flaps. Examples of local flaps include ... Free Flap Types. Surgeons innovatively use a wide variety of surgical free flaps (Table 1).14 Most surgeons approach FF ...
Surgical repair may not always be necessary but if surgical repair is carried out, the Mathieu technique modification may offer ... Surgical repair is complicated by a wide distal urethra which may be injured if not properly identified. Overall satisfactory ... Surgical repair is complicated by a wide distal urethra which may be injured if not properl... ... standard procedure and those who underwent a repair using a modification of the Mathieu procedure using an infra-meatal flap. ...
Surgical management of scrotal lymphedema using local flaps. Halperin TJ, Slavin SA, Olumi AF, Borud LJ. From the Division of ... Surgical management of scrotal lymphedema using local flaps.. by patoco » Fri Jun 29, 2007 12:30 am ... No ideal surgical or medical therapy exists for the treatment of male genital lymphedema. Fasciocutaneous thigh flaps have been ... Surgical management of scrotal lymphedema using local flaps.. laser workshops, physiatrists, Diaphragmatic Breathing, daflon ...
One of the suggested treatment methods is breast reconstruction with a pedicled skin and muscle TRAM flap (transverse rectus ... abdominis muscle - TRAM). Surgical incisions performed during a cholecystectomy... ... Cholecystectomy after breast reconstruction with a pedicled autologous tram flap. Types of surgical access. Magdalena Graczyk ... Surgical incisions performed during a cholecystectomy procedure may be located in the areas significant for flap survival. The ...
... design and use of surgical flaps, handpieces and hand instruments, surgical extractions, splitting teeth, retrieving root tips ... design and use of surgical flaps, handpieces and hand instruments, atraumatic extraction instruments and techniques, surgical ... To understand the how and why of surgical flaps.. *To better understand how to use a large variety of oral surgery instruments. ... Improving Your Confidence and Competence in Office Oral Surgery...Atraumatic Surgical Extractions, Flaps, and Splitting Teeth. ...
Surgical management of bronchopleural fistula using a greater pectoral muscle flap in empyema due to aspergillus infection. ... We describe the use of a greater pectoral muscle flap to fill an intrathoracic defect and close a pleural window. A 67-year-old ... The intrathoracic defect and pleural window were perfectly covered with the flap and skin. To date, ten months after the third ... A greater pectoral muscle flap was created and inserted into the space of the empyema. ...
Flaps (Surgery) Plastic Surgery Microsurgery Reconstructive Surgical Procedures Surgical Flaps Wounds and Injuries Surgery, ... Videos demonstrate the entire spectrum of surgical reconstructive procedures and flaps, while high-quality illustrations, clear ... pedicled flaps for reconstruction of shoulder motion in brachial plexus palsy ; anterolateral thigh flaps for reconstruction of ... Flaps and Reconstructive Surgery, by Drs. Fu-Chan Wei and Samir Mardini, explains how to achieve excellent results while ...
Perioperative Complications in Posterior Pharyngeal Flap Surgery: Review of the National Surgical Quality Improvement Program ... Posterior pharyngeal flap (PPF) surgery is effective for treating velopharyngeal insufficiency but has historically been ... Patients who underwent PPF surgery were selected from the 2012 American College of Surgeons National Surgical Quality ...
Patients and Methods: Use of Anterior Palatal Island Advancement Flap is presented by the authors. It is a mucoperiosteal flap ... Keywords: Anterior maxilla, bone graft, dental implant, palatal advancement flap Abstract. Background: The most important step ... Anterior palatal island advancement flap for bone graft coverage: technical note * Amin Rahpeyma ... Results: Anterior Palatal Island Advancement Flap was effective in bone graft coverage in premaxillary edentulous area. ...
Two pedicled flaps, the galeal-pericranial flap and the temporoparietal flap, can also be used in combination with free flaps ... the rectus abdominis flap, the radial forearm flap, the latissimus dorsi flap, and the anterolateral thigh flap. ... 3), but free flaps are generally used for large, more complex surgical defects.2 Indeed, free flaps have become the most ... FLAP DESIGN AND ELEVATION. The Rectus Abdominis Flap. The flap is dissected with the patient supine. The skin incision is ...
Background Double-flap technique (DFT) has received increased attention as an anastomotic procedure preventing reflux ... Surgical outcomes and risk assessment for anastomotic complications after laparoscopic proximal gastrectomy with double-flap ... Patient background data, surgical outcomes, post-operative courses, and complications for patients who underwent LPG-DFT from ... Double-flap technique as an antireflux procedure in esophagogastrostomy after proximal gastrectomy. J Am Coll Surg. 2016;223(2 ...
Surgical outcomes of radial forearm free flap surgeries performed by trainee surgeons. Zahid QAYYUM 1 ✉, Nadeena JAYASURIA 2, ... Qayyum Z, Jayasuria N, Attygalla M. Surgical outcomes of radial forearm free flap surgeries performed by trainee surgeons. Eur ... BACKGROUND: Radial forearm free flap (RFFF) is reliable microvascular flap in head and neck reconstructions with success ... RESULTS: Total flap failure occurred in two patients (10.5%) due to venous congestion after fifth postoperative day. Re- ...
Local flaps, regional flaps, distant flaps, and free flaps are surgical procedures that use safe flap reconstruction, repair, ... Surgical site infections after tissue flaps performed in Low and Middle Human Development Index Countries: A systematic review ... Background: Surgical site infections (SSIs) affect the safety of surgical care and are particularly problematic and prevalent ... we performed a prospectively registered systematic review of the existing literature on SSIs after surgical flap procedures in ...
The DIEP flap procedure can help the result look more natural. It involves microsurgery and the use of healthy tissue from ... The DIEP flap can be a good option for many people. However, there are risks associated with this complicated surgical approach ... Advantages of DIEP flap reconstruction. The DIEP flap is a newer, more complex version of a TRAM flap or Transverse Rectus ... Is DIEP flap the best approach?. The DIEP flap is an evolving approach to breast reconstruction surgery and the tissue used can ...
... Login ... An alternative surgical flap design for impacted third molars : a comparison of two different surgical techniques. Roode, G.J ... AIMS AND OBJECTIVES: The study was done to prove a hypothesis that an alternative surgical flap (ASF) is effective in limiting ... It is therefore recommended that surgeons use this flap method for removal of impacted third molars to enhance post-operative ...
Learn about the options, incuding TRAM, DIEP and latissimus dorsi flap procedures. ... Surgical methods. Autologous tissue breast reconstruction uses one of two surgical methods:. *Pedicled flap surgery The surgeon ... flap. The TRAM flap can be transferred as a free flap or a pedicled flap. ... Pedicle TRAM flap. Pedicle TRAM flap. In a pedicle TRAM flap procedure, the surgeon cuts a section of skin, muscle, fat and ...
Figure 3: Surgical pictures of pectoralis minor pedicle flap transfer onto the anterior defect of glenohumeral joint capsule. ( ... 5. Surgical Reconstruction: Pectoralis Minor Pedicle Flap. The pectoralis minor tendon lies beneath the pectoralis major muscle ... In a quickly aging society, this pedicle flap may present a new surgical repair in the armamentarium of the shoulder surgeon ... a) Mobile pedicle flap. (b) Insertion of the pedicle flap onto the anterior labrum and glenoid, covering the sizable defect of ...
p = 0.003) was observed at time of flap coverage. An ESBL Enterobacteriaceae spp. was found in 5 (12%) patients, associated ... Adult patients with pressure ulcer-related pelvic osteomyelitis treated by a two-stage surgical strategy were included in a ... 44%) and anaerobes (44%). Flap coverage was performed after 7 (IQR, 5-10) weeks of NPT, with 43 (68%) positive bone samples ... and flap coverage) with prolonged antimicrobial therapy is usually proposed in pressure ulcer-related pelvic osteomyelitis but ...
Surgeons for years have stepped into operating rooms wearing their surgical cap. But a crackdown appears to be underway on that ... For sure, other operating room staff wear surgical caps, but they have long been the hat of choice for many surgeons. The ... And a study in the 1970s linked two outbreaks of post-surgical wound infections to germs on staff members hair and scalp. ... Surgeons for years have stepped into operating rooms wearing their surgical cap - a snug covering that ties in back and comes ...
The skin and underlying fascia were cut to visualize the surgical sites. Craniotomy sites were evaluated for evidence of flap ... 0, no flap fixation; 1, severe flap movements; 2, moderate flap movements; 3, slight flap movements; 4, no flap movements. ... severe flap movements, 1; moderate flap movements, 2; slight flap movements, 3; and no flap movements, 4. ... After the bone flaps were dried, three 2-hole plates were fixed to the flaps with self-drilling screws. Each flap was replaced ...
Endoscopic dacryocystorhinostomy: surgical technique and results. Laryngoscope 1996;106:187-9.. OpenUrlCrossRefPubMedWeb of ... Once the lacrimal sac flaps have been positioned on the lateral nasal wall the nasal mucosal flap is trimmed into a "C" shape. ... The flaps are not sutured but closely apposed. This leads to the marsupialisation of the sac on the lateral nasal wall rather ... The mucosal flap is elevated exposing the junction of the hard frontal process of the maxilla and the thin soft lacrimal bone. ...
Evaluation of Gengigel® Application in the Management of Furcation with Coronally Advanced Flap through Surgical Re-Entry- A ... Conclusion: Both Gengigel® with coronally positioned flap and coronally positioned flap alone are effective in the treatment of ... with coronally positioned flap leads to better results in hard tissue measurement as compared to coronally positioned flap ... defect assessment was done in vertical and horizontal depth preoperatively and postoperatively at six months through surgical ...
... extended extensor digitorum brevis muscle flap for limb salvage in a patient with diabetes and osteomyelitis of the great toe. ... Keys To Surgical Planning Perioperative planning involves deciding on the optimal incision approach. Reported incisions have ... Muscle flaps are preferred in the management of complicated wounds involving osteomyelitis. These flaps are pliable, contour to ... The main limitations to this flap include limited muscle size and sacrifice of a major blood vessel. The muscle flap may not ...
This category presents Flap Disc, Polishing Disc, from China Abrasive Cloth & Mesh suppliers to global buyers. ... J Weight Flexible Abrasive Cloth for Surgical Instrument Grinding Featured Product. FOB Price: $350 - $385 / Roll Min. Order: 1 ... Flap Wheel Flap Disc Polishing Wheel for Stainless Steel FOB Price: $0.1 - $10 / Piece Min. Order: 10000 Pieces ... Flap Disc Flap Wheel Abrasive Cloth Abrasive Cloth Roll Abrasive Sanding Belt Sanding Disc ...
"Surgical Flaps" by people in this website by year, and whether "Surgical Flaps" was a major or minor topic of these ... Free Flap Versus Pedicled Flap Reconstruction of Laryngopharyngeal Defects: A 10-Year National Surgical Quality Improvement ... "Surgical Flaps" is a descriptor in the National Library of Medicines controlled vocabulary thesaurus, MeSH (Medical Subject ... Below are the most recent publications written about "Surgical Flaps" by people in Profiles. ...
... this flap can provide soft tissue coverage and vascularized bone in a single surgical procedure. The purpose of this study is ... The serratus anterior-latissimus-rib (SALR) composite flap consists of bone and muscle; ... to describe the use of the SALR flap for the treatment ... The flap may be taken with a portion or all of the latissimus ... 7-9 Unlike free fibula and latissimus flaps, composite SALR flaps provide both osseous reconstruction and soft tissue in 1 flap ...
  • When planning a reconstruction, every rhombus can be closed with 1 of 4 distinct flaps (see the image below). (
  • Head and neck surgical reconstruction is complex, and postoperative imaging interpretation is challenging. (
  • Surgeons now use microvascular free tissue transfer, also known as free flaps, more frequently in head and neck reconstruction than ever before. (
  • Despite the complexity and increasing frequency of free flap reconstruction, there is no comprehensive head and neck resource intended for the radiologist. (
  • We hope that this image-rich review will fill that void and serve as a go to reference for radiologists interpreting imaging of surgical free flaps in head and neck reconstruction. (
  • Surgical free flaps (FFs) have become the preferred reconstruction method for most large head and neck (H&N) oncologic defects. (
  • Surgical flaps and surgical grafts are both used in H&N reconstruction. (
  • We present 2 cases of severe scrotal lymphedema treated by lymphangiectomy and reconstruction with local flaps. (
  • We present our miniseries of scrotal lymphedema treated by excision and anterior and posterior flap reconstruction as a successful treatment of this difficult problem. (
  • Cholecystectomy after breast reconstruction with a pedicled autologous tram flap. (
  • Graczyk M, Kostro J, Jankau J, Bigda J, Skorek A. Cholecystectomy after breast reconstruction with a pedicled autologous tram flap. (
  • One of the suggested treatment methods is breast reconstruction with a pedicled skin and muscle TRAM flap (transverse rectus abdominis muscle - TRAM). (
  • The aim of this paper is to present anatomical changes in abdominal walls secondary to pedicled skin and muscle (TRAM) flap breast reconstruction, which influence the planned access in cholecystectomy procedures. (
  • The authors present 2 cases of cholecystectomy performed due to cholelithiasis in female patients with a history of TRAM flap breast reconstruction procedures. (
  • The patient who had undergone laparoscopy was discharged home on the second postoperative day without any complications.In order to plan a safe surgical access, it is necessary to know the changes in the anatomy of abdominal walls following a pedicled TRAM flap breast reconstruction procedure. (
  • Local flaps, regional flaps, distant flaps, and free flaps are surgical procedures that use safe flap reconstruction, repair, and coverage of a wide range of pathologic conditions spanning trauma, burns, and cancer. (
  • A deep inferior epigastric artery perforator, or DIEP, flap, is a type of breast reconstruction procedure that a woman can have after a mastectomy or removal of her breast due to breast cancer. (
  • The term "flap" means that a surgeon takes healthy tissue from another area of a woman's body for use in reconstruction. (
  • A DIEP flap reconstruction is often performed in phases for the reconstructed breasts to look as natural as possible. (
  • The DIEP flap is one of several evolving approaches to breast reconstruction surgery. (
  • Microsurgery is required for the DIEP flap breast reconstruction process. (
  • The DIEP flap reconstruction process requires specialized training in a field of medicine known as microsurgery. (
  • A microsurgery procedure takes anywhere from 4-8 hours for one flap and up to 24 hours for a bilateral flap reconstruction. (
  • Breast reconstruction is a surgical procedure that restores shape to your breast after a mastectomy - surgery that removes your breast to treat or prevent breast cancer. (
  • Breast reconstruction with flap surgery involves taking a section of tissue from one area of your body - most often your abdomen - and relocating it to create a new breast mound. (
  • Breast reconstruction with flap surgery is a complex procedure performed by a plastic surgeon. (
  • Ideally, your breast surgeon and the plastic surgeon should work together to develop the best surgical treatment and breast reconstruction strategy in your situation. (
  • Your plastic surgeon will describe your surgical options and may show you photos of women who have had different types of breast reconstruction. (
  • Breast reconstruction with flap surgery is the most complex breast reconstructive option. (
  • Even if immediate reconstruction is proposed by some surgical teams [ 15 ], one of the most commonly accepted options for the treatment of sacral or ischial pressure ulcer-related chronic osteomyelitis is a two-stage surgical strategy. (
  • This surgical note offers a relatively simple reconstruction of the anterior capsule and subscapularis muscle using a pectoralis minor pedicle flap. (
  • The use of a pectoralis minor pedicle flap has primarily been described for anterior shoulder and breast reconstruction as well as for treatment of unilateral facial palsy [ 1 - 4 ]. (
  • Haidar YM, Kuan EC, Verma SP, Goddard JA, Armstrong WB, Tjoa T. Free Flap Versus Pedicled Flap Reconstruction of Laryngopharyngeal Defects: A 10-Year National Surgical Quality Improvement Program Analysis. (
  • The extensor digitorum brevis muscle flap has been an option for local soft tissue reconstruction since the 1970s. (
  • These flaps provide immediate osseous and soft tissue reconstruction with an acceptable complication profile. (
  • Since these injuries necessitate the need for soft tissue flap coverage along with vascularized bone grafting, free fibula flaps have classically been used for reconstruction. (
  • 6 In cases of "mangled extremities," bone defects are associated with large soft tissue defects, which require either single-stage surgery consisting of 2 separate free flaps (ie, free fibula and free latissimus) or a 2-stage procedure where the soft tissue reconstruction precedes the bone reconstruction. (
  • The pedicled supraclavicular artery perforator flap is an emerging option, and its applicability in head and neck reconstruction is gaining popularity. (
  • A retrospective analysis of patients regarding medical history, surgical indication, surgical technique, postoperative complications, and outcomes was carried out on all patients admitted to undergo pedicled supraclavicular artery perforator flap reconstruction within our institution. (
  • Surgical indications were 3 pharyngocutaneous fistulas, 2 tracheoesophageal fistulas, 2 cutaneous defects, 1 immediate pharyngoesophageal reconstruction, and 1 cutaneous and intraoral defect. (
  • The purpose of this article is to demonstrate the indications, complications, and outcomes of the SAP flap reconstruction performed within our institution. (
  • Cite this: Versatility of the Supraclavicular Flap in Head and Neck Reconstruction - Medscape - Jun 01, 2020. (
  • While there are several reconstructive options available, latissimus dorsi flap reconstruction is a good option for many women who are not candidates for other reconstructive procedures. (
  • In this article, we take a look at what happens in latissimus dorsi flap reconstruction, including what women can expect from the surgery and who may benefit from it most. (
  • What is latissimus dorsi flap reconstruction? (
  • In a latissimus dorsi muscle myocutaneous flap (LDMF) reconstruction, surgeons take a large flap of skin, containing some, fat, muscle and blood vessels from this area of the back. (
  • One of the most reliable flaps used in reconstructive surgery, it is known for its use in chest wall surgery and reconstruction after breast removal. (
  • During latissimus dorsi flap reconstruction surgery, the surgeon makes an incision in the back near the shoulder blade and passes the oval section of skin, fat, blood vessels, and muscle through a tunnel under the skin and arm to the chest. (
  • Who should have latissimus dorsi flap reconstruction? (
  • Though a good option for some women, latissimus dorsi flap reconstruction is not the only option available. (
  • A latissimus dorsi flap reconstruction does have some advantages, such as being close to the donor site as well as the blood vessels it requires. (
  • Li JH, Xing X, Li P, Xu J. Transposition movement of V-Y flaps for facial reconstruction. (
  • The Cutler-Beard flap is a good alternative in the reconstruction of superior eyelid defects [ 6 ]. (
  • The investigators hypothesize the pedicled nerve flap taken from the dorsal branch of the homolateral digital nerve is better than conventional methods for reconstruction of the digital nerve defect after painful neuroma resection. (
  • A retrospective study was conducted to evaluate the advantages of anterolateral thigh (ALT) flap in tongue reconstruction. (
  • From September 2008 to February 2012, patients receiving ALT flap tongue reconstruction were included in the study. (
  • The ALT flap is an ideal method for tongue reconstruction. (
  • The ALT flap has since become a standard technique for reconstructive microsurgery, with many reports about its application for reconstruction of the head and neck, upper and lower extremities, and the trunk and breast [ 4 - 22 ], but few reports exist on its use in tongue reconstruction. (
  • During the period September 2008 to February 2012, 53 patients underwent simultaneous tumor resection and free ALT flap reconstruction of tongue and mouth floor defects at the Oral-maxillofacial Head and Neck Tumor Center (China Medical University, Shenyang, China). (
  • To evaluate the advantages of ALT flap more clearly, we made a comparison between the group receiving ALT and a similar group in which all patients (from September 2008 to February 2012) received radial forearm flap (RFF) reconstruction for defects in the tongue and mouth floor. (
  • Immediate reconstruction using composite grafts with bone as a free or pedicled flap 1-3 have been described as well as delayed primary bone grafting. (
  • Immediate reconstruction using one of the available local flaps is the gold standard. (
  • Finally, an immediate distant inguinal flap is still included among the standard techniques of soft tissue reconstruction 13 . (
  • For the simultaneous reconstruction of the missing soft tissues, the flap paddle was designed over the distal dorsal radial quarter of the forearm (Fig. 2). (
  • The increasing frequency of early breast cancer cases has driven an increasing number of patients to choose immediate reconstruction with an autologous flap. (
  • Omentum-flap-based breast reconstruction is a unique strategy that is highly suitable for repairing moderate tissue defects. (
  • Here, we reported 7 cases of laparoscopically harvested omental free flap breast reconstruction and performed a systematic review to assess the applicability and safety of this approach. (
  • Overall, our systematic review found that omentum-flap-based breast reconstruction could achieve a satisfactory aesthetic outcome, especially for small breasts and tissue replacement after breast-conserving surgery, and the safety of the procedure was also acceptable. (
  • Currently, the most popular autologous flaps for breast reconstruction are latissimus dorsi (LD) and abdominal flaps, such as transverse rectus abdominis myocutaneous (TRAM) and deep inferior epigastric perforator (DIEP) flaps. (
  • The use of the omental flap is a unique technique that was first described in the 1880s for abdominal reconstruction[ 3 ]. (
  • The first report of breast reconstruction using the omental flap was in 1963[ 4 ]. (
  • What is the definition of Latissimus Flap Reconstruction Procedure? (
  • Latissimus Flap reconstruction uses the latissimus dorsi myocutaneous flap as an option that may be used for reconstruction, with or without a tissue explander/implant. (
  • The authors present their experience with use of the pedicled latissimus dorsi flap for fat grafting in total autologous immediate breast reconstruction without implants. (
  • From 2010 to 2013, 23 patients underwent breast reconstruction with primary fat augmented latissimus dorsi flaps (21 unilateral procedures and two bilateral procedures). (
  • To the best of the authors' knowledge, this is the first report in which fat transfer was used to achieve immediate latissimus dorsi flap volume augmentation as an alternative for total autologous reconstruction, avoiding implant-related complications. (
  • We investigated whether defect reconstruction with gluteus maximus (GLM) adipomuscular sliding flaps would improve patient outcomes. (
  • The use of GLM adipomuscular sliding flaps for reconstruction after posterior sacrectomy can significantly reduce the risk of infection and improve outcomes. (
  • We performed a retrospective study to assess whether reconstruction with gluteus maximus (GLM) adipomuscular sliding flaps would improve outcomes after sacral tumor excision. (
  • Resultant donor site morbidity is low in comparison to other flaps that are commonly utilized for head and neck reconstruction. (
  • In recent practice, we have selected three workhorse free flaps for head and neck reconstruction: the anterolateral thigh (ALT) and fibula and radial forearm flaps. (
  • 16 , 17 Since then, others have reported their experience, establishing the ALT flap as one of the major workhorse flaps used for head and neck reconstruction. (
  • After debridement, bone reconstruction was performed using a polytetrafluorethylene mesh, while soft tissue reconstruction was achieved using a free flap. (
  • 2015) Use of a free antero-lateral thigh flap for two-stage reconstruction of a large thoracic defect. (
  • Twenty RSSAF flaps were harvested for reconstruction of different traumatic soft tissue defects of the lower third of leg, ankle and foot. (
  • The reverse superficial sural artery flap RSSAF can be used as a reliable alternative to free tissue transfer in reconstruction of defects over the lower third of leg, ankle, and foot. (
  • At the Plastic Surgery Department of Ahmed Maher Teaching hospital, from March 2016 to October 2017, we harvested 20 RSSAF flaps for reconstruction of different traumatic soft tissue defects of the lower third of leg, ankle and foot. (
  • Flap surgery is a type of plastic surgery used in various procedures like dental procedures and reconstructive surgery including breast reconstruction. (
  • Keystone island flaps are perforator-based, fasciocutaneous island flaps used for locoregional reconstruction. (
  • For locoregional reconstruction, however, rotational type IV keystone island flaps are raised in the subfascial plane and undermined only as much as necessary. (
  • Lateral intercostal artery perforator flap breast reconstruction (LICAP) aims to restore the size and shape of your breast by replacing lost breast tissue from the cancer surgery with skin and fat taken from the side of your chest wall and back. (
  • At Spire Tunbridge Wells Hospital we have expert Breast Surgeons who perform Lateral intercostal artery perforator (LICAP) flap breast reconstruction. (
  • Introduction: The transverse rectus abdominis musculocutaneous (TRAM) flap has become the standard and most popular method for autogenous breast reconstruction. (
  • Ligation of the deep inferior epigastric vessels prior to TRAM flap reconstruction (delay procedure) was introduced to augment vascularity to the island flap through improved superior epigastric flow, thus decreasing flap morbidity. (
  • The extraperitoneal laparoscopic delay procedure is a safe and effective method to improve flap vascularity in pre-TRAM reconstruction. (
  • The primary aim of our study is to compare invasive and non-invasive techniques to select a dominant perforator when harvesting a DIEP-flap for autologous breast reconstruction. (
  • Dynamic InfraRed Thermography (DIRT) in DIEP-flap breast reconstruction: A review of the literature. (
  • Random-pattern skin flap is commonly used for surgical tissue reconstruction due to its ease and lack of axial vascular limitation. (
  • Segmental resection with adequate margins followed by reconstruction with free fibula flap is closest to the most ideal form of treatment available. (
  • Chana JS, Chang YM, Wei FC et al (2004) Segmental mandibulectomy and immediate free fibula osteoseptocutaneous flap reconstruction with endosteal implants: an ideal treatment method for mandibular ameloblastoma. (
  • What Is Flap Reconstruction? (
  • Flap reconstruction (also called tissue-based reconstruction) is a procedure that involves moving healthy, live tissue from one location on your body to another. (
  • Flap surgery can be used for procedures, such as breast reconstruction or trunk and extremity reconstruction. (
  • There are several different types of flap reconstruction surgery. (
  • Ten patients were included in the study, all treated with radiotherapy after a mastectomy and breast reconstruction with a contralateral pedicled TRAM flap. (
  • Spear, S.L., Ducic, I., Low, M. and Cuoco F. (2005) The effect of radiation on pedicled TRAM flap breast reconstruction: Outcomes and implications. (
  • A wide variety of surgical techniques are then described with the aid of high-quality illustrations, covering nasal airway procedures and surgical approaches to the paranasal sinuses, including diverse endoscopic and image-guided procedures, nasal reconstruction, and endonasal and external rhinoplasty. (
  • Implant and flap surgery are the two major types of breast reconstruction. (
  • To help you better understand your options, we spoke with Peter Cordeiro , Chief of the Plastic and Reconstructive Surgical Service, whose work has contributed to a number of improvements in breast reconstruction and microsurgery. (
  • At MSK, breast surgeons [who perform mastectomies] and plastic surgeons [who reconstruct breasts] work closely with medical oncologists, radiation oncologists, and with the patients themselves to develop the optimal surgical treatment and a reconstruction strategy. (
  • In joint areas, it often leads to limited range of motion, deformity and even disability, which is especially true in pediatric patients.The most powerful treatment option for contracture release and reconstruction is by surgical procedures, in which skin grafts and flaps have been successfully used, although it is still unclear which procedure is most effective. (
  • What Is DIEP Flap Breast Reconstruction? (
  • Deep inferior epigastric artery perforator (DIEP) flap is one of the most common breast reconstruction procedures done after a mastectomy . (
  • While some women only undergo a DIEP flap reconstruction, others opt to have additional reconstructive surgery to create the appearance of a ​ nipple and areola . (
  • They will work with your breast surgeon to determine the best surgical treatments and reconstruction surgeries for your unique situation. (
  • All published studies comparing the effectiveness of quilting versus no-quilting of LD flap donor site in the prevention of seroma and related morbidities in patients undergoing breast reconstruction were analysed systemically. (
  • Quilting with or without fibrin glue may be considered an option in patients undergoing LD flap breast reconstruction to control seroma -related morbidity. (
  • This type of skin flap is used for one-stage reconstruction of wounds. (
  • Extensive multiple piloleiomyoma in the submental region treated successfully by surgery and reconstruction with a submental perforator flap. (
  • Robotic latissimus dorsi-flap reconstruction (RLDFR) after skin-sparing mastectomy (SSM) for breast cancer (BC) has been performed through a single nipple incision. (
  • Nipple-sparing mastectomy (NSM) with immediate robotic latissimus dorsi-flap (RLDF) reconstruction has been reported in seven patients in Selber et al. (
  • A prospective cohort of patients undergoing SSM and robotic latissimus dorsi-flap reconstruction (RLDFR) over a period of 29 months (March 2016 to July 2018) was analyzed. (
  • In Italy, Gasparo Tagliacozzi (1546-1599), professor of surgery and anatomy at the University of Bologna , published Curtorum Chirurgia Per Insitionem (The Surgery of Defects by Implantations, 1597), a technico-procedural manual for the surgical repair and reconstruction of facial wounds in soldiers. (
  • In Germany, rhinoplastic technique was refined by surgeons such as the Berlin University professor of surgery Karl Ferdinand von Gräfe (1787-1840), who published Rhinoplastik (Rebuilding the Nose, 1818) wherein he described 55 historical plastic surgery procedures, and his technically innovative free-graft nasal reconstruction (with a tissue-flap harvested from the patient's arm), and surgical approaches to eyelid, cleft lip , and cleft palate corrections. (
  • Free-flap breast reconstruction is a type of autologous-tissue breast reconstruction applied after mastectomy for breast cancer, without the emplacement of a breast implant prosthesis. (
  • As a type of plastic surgery, the free-flap procedure for breast reconstruction employs tissues, harvested from another part of the woman's body, to create a vascularised flap, which is equipped with its own blood vessels. (
  • Breast-reconstruction mammoplasty can sometimes be realised with the application of a pedicled flap of tissue that has been harvested from the latissimus dorsi muscle, which is the broadest muscle of the back, to which the pedicle ("foot") of the tissue flap remains attached until it successfully grafts to the recipient site, the mastectomy wound. (
  • The clinical advantage of the free-flap breast reconstruction procedure is avoidance of the medical complications-infection, malposition of the breast implant(s), capsular contracture-which occasionally occur consequent to breast-reconstruction surgery procedures that emplace breast prostheses to the mastectomy wounds. (
  • The clinical disadvantages of free-flap breast reconstruction surgery are: (i) the technical complexity of the plastic surgery procedure, (ii) prolonged surgical operation times, (iii) additional, secondary scarring at the flap-tissue donor site, (iv) possible medical complications at the flap-tissue donor-site, and (v) possible necrosis of the tissues harvested to create the free-flap. (
  • Therapeutically, the free-flap breast reconstruction procedure is always possible after radiation oncology for the treatment of breast cancer. (
  • Technique The Transverse Rectus Abdominis Myocutaneous free-flap, created from the transverse abdominal muscle, is a breast reconstruction flap harvested from the abdomen of the woman. (
  • Indications The woman must be psychologically motivated to undergo such great surgical interventions (reconstruction and harvesting), and she must physically possess sufficient abdominal tissues (skin, muscle, and fat) with which to construct the replacement breast. (
  • The division of the superior epigastric blood supply, by a previous surgery, precludes a pedicled TRAM flap as the feasible method for breast reconstruction. (
  • In the course of time these flaps have rapidly evolved from "random-pattern flaps with an unknown blood supply, through axial-pattern flaps with a known blood supply to muscle and musculocutaneous perforator flaps" for the sole purpose of optimal reconstruction with minimum donor-site morbidity. (
  • the lateral circumflex femoral artery perforator (LCFAP) flap (previously named anterolateral thigh or ALT flap) and the thoracodorsal artery perforator (TAP) flap, mainly for the extremities and the head and neck region as a free flap and for breast and thoracic wall reconstruction as a pedicled perforator flap. (
  • The patients were divided into two groups: those who underwent the standard procedure and those who underwent a repair using a modification of the Mathieu procedure using an inframeatal flap. (
  • 6 years later Duckett and Keating described the congenital defect in detail and put forth the "pyramid procedure" as a surgical treatment for the patient with MIP ( 2 ). (
  • Surgical incisions performed during a cholecystectomy procedure may be located in the areas significant for flap survival. (
  • Double-flap technique (DFT) has received increased attention as an anastomotic procedure preventing reflux esophagitis after laparoscopic proximal gastrectomy (LPG) for upper-third gastric cancer. (
  • In the TRAM flap procedure, the skin and fat of the lower abdomen were removed, as well as one or both of the rectus or "sit-up" muscles. (
  • Eventually, the TRAM flap procedure was refined to the DIEP flap, where very little or no muscle is removed, leaving a person with fewer core strength problems. (
  • According to Johns Hopkins Medicine , a woman will stay in the hospital an estimated 3 to 4 days after her DIEP flap procedure. (
  • In the surgical correction of CP, covering the penile skin defect is a major challenge, but is also the most important part of the procedure. (
  • this flap can provide soft tissue coverage and vascularized bone in a single surgical procedure. (
  • The entire surgical procedure lasts between 3 and 4 hours. (
  • Care provider and investigator cannot be blinded as they are involved in the surgical procedure so blinding is not feasible. (
  • Cutler-Beard flap is a successful procedure for superior eyelid tumours accompanied by wide tissue loss. (
  • The surgical procedure and complications were noted. (
  • A surgical tooth extraction is a procedure that's used to remove a tooth that includes additional surgical steps that aren't performed with routine extractions . (
  • When one or more of the above techniques are used, the procedure is formally categorized as a "surgical" extraction. (
  • And as such requires the inclusion of one or more of the above surgical techniques as a means of helping to lessen the complexity, difficulty or risk of the procedure. (
  • Surgical tooth extraction procedure details. (
  • The variables studied were sex, age, size of the lesion, type of reconstructive procedure used, the postoperative evolution of the flap and the donor area, and the length of the hospital stay. (
  • Trimethoprim drops (0.1%, w/v) were used as prophylaxis for the surgical procedure every 4 h (50 µl, qid). (
  • Following this surgical procedure, you can expect to stay 1-2 nights in hospital. (
  • Wound debridement is a minor surgical procedure that enhances the growth of healthy tissues in the wound, creating an environment that leads to healing. (
  • The secondary aim is to compare Dynamic Infrared Thermography (DIRT) and Laser Fluorescence Angiography (LFA) of Indocyanine green (ICG) in order to see whether they could be useful in the early detection of insufficient perfusion following the microvascular anastomotic procedure in DIEP flaps. (
  • Patients can get excellent cosmetic results whether they choose to have the procedure done with implants or using their own tissue, generally known as flap surgery. (
  • The DIEP flap procedure uses skin and tissue (no muscle) from the abdomen to create a new breast mound. (
  • A DIEP flap is done for aesthetic reasons and is a voluntary procedure. (
  • It is similar to a TRAM flap , though the TRAM procedure uses muscle from the abdomen as well. (
  • BACKGROUND: Dynamic cardiomyoplasty is a relatively new surgical procedure proposed for treatment of severe myocardial failure. (
  • CONCLUSIONS: The axillary flap technique is a safe and simple surgical procedure that provides excellent access to the frontal recess without using a 70-degree endoscope, even in Japanese patients. (
  • The main bases of surgical treatment of pilonidal sinus treatment including surgical excision of the sinus tracts followed by either primary closure, flap procedure or left open the wound for secondary healing. (
  • A DIEP flap involves taking excess skin and fat from the stomach to reconstruct the breast. (
  • DIEP flap surgery requires specialized microsurgery training and is highly complex. (
  • Usually, the surgeon will not reconstruct the nipple or areola portion of the breast at the time of the DIEP flap surgery. (
  • The DIEP flap is a newer, more complex version of a TRAM flap or Transverse Rectus Abdominus Myocutaneous flap. (
  • This switch in surgeries can also result in shorter recovery times associated with the DIEP flap approach, and a lesser chance of a hernia or bulge of the abdomen after surgery. (
  • Whether a person undergoes a free TRAM or DIEP flap, the incisions appear the same. (
  • One of the patients was reconstructed with a deep inferior epigastric perforator free (DIEP) flap and the rest with transverse myocutaneous gracilis (TMG) free flap. (
  • DIEP Flap Perfusion Evaluated by DIRT and ICG-FA. (
  • Following anastomoses for the DIEP flap to internal mammary vessels , patency of the anastomosis was evaluated with DIRT and ICG-FA. (
  • skin flap with preserved medial and lateral DIEP perforators. (
  • Reconstructed breasts with hemi-DIEP-flaps were intraoperatively evaluated with DIRT and LFA immediately after the completion and opening of the microvascular anastomosis.The recorded images from the different techniques were assesses in relation to clinical outcome. (
  • Research published in 2017 shows that DIEP flap surgery is safe and the risk for complications is low. (
  • While rare, tissue rejection can affect a small number of people who have a DIEP flap surgery. (
  • Thus, an understanding of free flaps, their expected appearance on cross-sectional imaging, and their associated complications (including tumor recurrence) is crucial for the interpreting radiologist. (
  • This review article focuses on free flaps, summarizing what defines an FF, those most commonly used, the expected postoperative imaging appearances, and associated complications. (
  • This study was a retrospective review aimed to demonstrate details of surgical outcomes and to assess risk factors for anastomotic complications using pre-operative CT image after LPG with DFT (LPG-DFT). (
  • Patient background data, surgical outcomes, post-operative courses, and complications for patients who underwent LPG-DFT from January 2013 to June 2017 were collected. (
  • Our review highlights the need for more work to develop standardized hospital-based reporting for surgical outcomes and complications, as well as future studies by large, multi-national groups to establish baseline incidence rates for SSIs and best practice guidelines to monitor SSI rates. (
  • Surgery to remove your healthy breast (contralateral prophylactic mastectomy) can double the risk of surgical complications, such as bleeding and infection. (
  • The purpose of this study is to describe the use of the SALR flap for the treatment of a large open tibia fracture with segmental bone loss, with a specific focus on postoperative complications, limb salvage, and time to union. (
  • All flaps (both ALT and RFF) were successful In the ALT group, most patients were satisfied with the appearance of the reconstructed tongue and the intelligibility of their speech, and there were fewer complications with this technique compared with the RFF. (
  • Smoking compromises blood flow by causing spasm of blood vessels and significantly increases the risk of flap complications and wound healing problems. (
  • All flaps healed uneventfully, no seroma occurred at the flap donor-site, and no fat grafting-related complications were observed. (
  • While performing sacrectomy from a posterior approach enables the en bloc resection of sacral tumors, it can result in deep posterior peritoneal defects and postoperative complications. (
  • The process of reconstructive surgery using tissue transfer flaps is not without complications. (
  • These complications may include acute arterial or venous occlusion, as well as the development of late complications such as fat necrosis and flap atrophy. (
  • It has been suggested in the reconstructive literature that the development of fat necrosis and flap atrophy are caused by a relative arterial or venous insufficiency, which could be detected using the MI device prior to the clinical manifestations of these complications.Patients undergoing reconstructive surgery at UCI Medical Center will be recruited for enrollment into the study. (
  • No flap-related complications were observed during the postoperative period. (
  • Complications amenable to surgical treatment. (
  • The member has complications of a surgically created wound (e.g., dehiscence) or a traumatic wound (e.g., pre-operative flap or graft ) where there is documentation of the medical necessity for accelerated formation of granulation tissue which can not be achieved by other available topical wound treatments (e.g., other conditions of the member that will not allow for healing times achievable with other topical wound treatments). (
  • Combination of quilting and glue did not influence the incidence of seroma formation at LD flap donor site and overall operative complications. (
  • The purpose of this article is to demonstrate the clinical versatility of the reverse saphenous conduit flap, the outcome of the flap, and associated complications. (
  • Demographic data, identification of the frontal ostium, surgical findings, preoperative and postoperative symptoms, incidence of revision surgery, and postoperative complications were collected. (
  • Aim of the study: The aim of this study was to compare two operative procedures (modified Limberg flap versus Z plasty flap) in management of recurrent pilonidal sinus, regarding their complications including recurrences of the disease, morbidity, hospital stay, day off work and postoperative complications. (
  • 30 patients were divided into 2 groups: Group (1) treated with modified Limberg flap and group (2) treated with Z plasty, and we followed up the patients in both groups for postoperative complications, hospital stay, day off work, recurrences, patients satisfactions. (
  • modified Limberg transposition flap is better than Z plasty flap, because of the less hospital stay time, early return to work, and cosmetically more accepted as it has less postoperative complications. (
  • Disadvantages Besides a long scar to the abdomen, the surgical sacrifice of the rectus abdominis muscle can result in a higher risk of medical complications of the abdominal donor-site, such as hernia, and consequent intestinal protrusion (bulging), and pain. (
  • Respected microsurgeons from around the world describe how to use these flaps to reconstruct particular defects around the body. (
  • At our institution, the use of vascularized, free-tissue transfer has replaced pedicled flaps as the preferred modality for reconstructing complex cranial base defects involving resection of dura, brain, or multiple major structures adjacent to skull base, including the orbit, palate, mandible, skin, and other structures. (
  • The exact location of the surgical defects varies depending on the nature and extent of the primary tumor. (
  • 1 Since that time, there has been an increased utilization of the muscle flap for a variety of applications including coverage of foot and ankle defects. (
  • These flaps are pliable, contour to defects, fill dead space, provide improved tissue ingrowth, enhance the local delivery of antibiotics and revascularize underlying bone. (
  • In this study, the use of the SALR composite flap was capable of healing large segmental bony defects at an average of 7 months. (
  • 4 In contrast, free composite serratus anterior-latissimus-rib (SALR) flaps can provide both long segments of vascularized bone and abundant soft tissue coverage for large segmental defects. (
  • We designed a new pedicled fasciocutaneous flap for large sacral defects that combined a classic superior gluteal artery perforator flap and an acentric axis perforator pedicled propeller flap. (
  • There are many methods suitable for defects after ablative surgery or for small or mid-sized defects, including primary closure or local flaps. (
  • Here, we present our experience with the ALT flap for defects of the tongue and floor of the mouth, highlighting the reasons for its versatility and benefits, and presenting analyses of the functional results. (
  • However, some of these flaps appear to be too thick, especially for limited defects of the thumb. (
  • Surgical resection can result in large defects that extend to the rectum ventrally or to the sacroiliac joints laterally. (
  • The unique anatomy of the thigh allows unparalleled flexibility in flap design, useful for reconstructing defects of the tongue, buccal region, mandible, midface, scalp, and through-and-through defects of the cheek. (
  • 2 , 14 , 15 Koshima et al were the first to describe the use of the ALT flap to reconstruct head and neck defects. (
  • The reverse superficial sural artery flap (RSSAF) is a distally based fasciocutaneous or adipo-fascial flap that is used for coverage of defects that involve the distal third of the leg, ankle, and foot. (
  • He planned to correct both the nose and lip defects using open rhinoplasty and Abbe flap. (
  • Encyclopedia of Flaps is the most comprehensive reference ever published on surgical flaps for reconstructing defects in the torso, pelvis, and lower extremities. (
  • This technique was used to transfer 8 transpositional fasciocutaneous flaps in 7 patients for the closure of axillary defects resulting from radical excision of chronic hidradenitis suppurativa. (
  • This skin flap provides an excellent treatment method that is reliable in closure of defects of the distal tarsus with few adverse effects. (
  • Therefore, reconstructive surgeons have developed a variety of surgical techniques to conceal the soft tissue defects by using tissue transfers, better known as flaps. (
  • Doppler ultrasonography is used to identify the course of the supratrochlear artery prior to flap surgery. (
  • Hirata Y, Yuda K, Odontuya D, Hayashi T, Suzuki Y. A Viscoelastic Aspiration Technique for Autologous Transplantation of the Free-Flap Inner Limiting Membrane During Macular Hole Surgery. (
  • This presentation covers important oral surgery topics for the general dentist including management of the patient on anticoagulants, antibiotic prophylaxis, design and use of surgical flaps, handpiec. (
  • Flaps and Reconstructive Surgery, by Drs. Fu-Chan Wei and Samir Mardini, explains how to achieve excellent results while performing all major conventional and perforator flaps used as both pedicled and free flap procedures. (
  • Posterior pharyngeal flap (PPF) surgery is effective for treating velopharyngeal insufficiency but has historically been associated with risk of airway compromise. (
  • Patients who underwent PPF surgery were selected from the 2012 American College of Surgeons National Surgical Quality Improvement Program Pediatric (NSQIP-PEDS) database. (
  • RFFF is a good flap to start training in microvascular surgery. (
  • Pedicled flap surgery The surgeon cuts some of the blood vessels to the tissue to be transferred but keeps other blood vessels intact. (
  • With coverage of nearly twice the number of flaps as the previous edition, Flaps and Reconstructive Surgery, 2nd Edition provides trainees and practicing surgeons alike with the detailed, expert knowledge required to ensure optimal outcomes. (
  • Patients undergoing ALT flap were compared with those undergoing similar surgery with radial forearm flap (RFF). (
  • A a plastic surgery team focused on harvesting the tissue for the ALT free flap commensurate with the size of the defect. (
  • Sanchez, JA & Panait, L 2012, ' Surgical repair of long-segment cervical esophageal injury with a sternocleidomastoid myocutaneous flap ', Annals of Thoracic Surgery , vol. 94, no. 1, pp. 305-307. (
  • The ALT flap has only recently gained popularity because its original description preceded the development of perforator flap surgery. (
  • The process of reconstructive surgery using tissue transfer flaps allows for improved results in terms of functionality, aesthetic appearance, and psychological well-being in patients requiring reconstructive surgery after cancer resection or trauma. (
  • The MI device's detection of specific optical properties of a tissue flap could also potentially be used as a diagnostic tool to predict the likelihood of the development of fat necrosis or flap atrophy in a delayed fashion several months after reconstructive surgery. (
  • To our knowledge, this is the first animal model of M. chelonae infection following corneal flaps for refractive surgery to be described in the literature and can be used for the analysis of therapeutic responses. (
  • Although flaps transfer the greatest amount of hair in the shortest amount of time, the surgery is more extensive and specific skill and experience is required by the doctor. (
  • In order to demonstrate both the concept and the surgical technique, we use videos taken during surgery as well as extensive cadaver preparations. (
  • After surgery, you will have two wounds, the graft or flap itself and the donor site. (
  • Doctors may also use flap surgery to help them reconstruct facial features or nerves. (
  • This type of flap is often used to rebuild a breast after a mastectomy (breast removal surgery). (
  • The combination of two surgical sites of which one is previously irradiated, is rarely encountered in humans and thus compiles a unique opportunity to study the implications of irradiation followed by surgery. (
  • Both options - implant surgery and flap surgery (in which the surgeon uses the patient's own tissue to reconstruct the breast) - can provide excellent cosmetic results, but it's important to make the decision in close collaboration with your surgeon. (
  • If this happens, the dead tissue flap will be removed and surgery can be re-attempted in six to 12 months. (
  • The axillary flap approach is one of the surgical techniques of endoscopic sinus surgery (ESS) that can improve access to the frontal recess. (
  • Surgical technique, duration of surgery, and complication rate were reported according to three successive periods: P1-3. (
  • Surgical technique using da Vinci Si ® Surgical System SI or XI (Intuitive Surgical, Sunnyvale, CA), number of trocars, skin incision, and duration of anesthesia and surgery were recorded according to period of treatment and associated surgical procedures (breast implant, LDFR, ALND, and contra-lateral breast surgery). (
  • Perforator flap surgery is a technique used in reconstructive surgery where skin and/or subcutaneous fat are removed from a distant or adjacent part of the body to reconstruct the excised part. (
  • All angles are 60°, which means that every side of both the defect and the flap is equal in length. (
  • This orientation creates a flap that is the same size as the defect to be excised. (
  • An elliptical defect at the donor site remains after the flap is rotated to fill the rhomboid defect. (
  • With rhomboid defect angles of less than 60°, the Dufourmentel flap is narrower than a Limberg flap. (
  • This technique combines a 30° rotation flap with an M-plasty at the defect base, thereby minimizing chances of creating a standing cone at the turning point of the flap and also reducing the tension associated with closure. (
  • The flap and surrounding tissue are undermined in the subdermal plane after creating the rhombus defect. (
  • In this technique, the forehead flap is based contralateral to the nasal defect, with the proximal 75% of the flap running vertically and then the distal 25% crosses the forehead obliquely to achieve a greater length of optimal skin. (
  • Template of nasal tip subunit is drawn on the forehead after the length of tissue flap needed to reach the defect is carefully measured. (
  • A foil template of the surgical defect is placed with its most distal aspect touching the mark representing the distal end of the flap. (
  • The distal third of the flap is thinned almost to the dermis and trimmed to precisely fit the defect. (
  • Meticulous hemostasis is obtained, and the sides and distal end of the flap are sutured into the defect in a layered manner, as shown below. (
  • We describe the use of a greater pectoral muscle flap to fill an intrathoracic defect and close a pleural window. (
  • The intrathoracic defect and pleural window were perfectly covered with the flap and skin. (
  • The surgical repair of an extensive anterior glenohumeral soft tissue defect is complicated by glenohumeral instability and subsequent significant functional deficit. (
  • Occasionally, the skin defect cannot be covered following previous surgical intervention. (
  • We discuss using the advanced musculocutaneous scrotal flap for covering the ventral skin defect in the correction of CP, and we evaluated the patients' surgical outcomes. (
  • Treatment becomes difficult when there is a significant post-surgical tissue defect along the operated hallux that is not amenable to skin grafting. (
  • After having clear surgical margins, the exact size of the defect was determined. (
  • The Cutler-Beard flap was prepared from the inferior eyelid below tars in order to be compatible with superior eyelid defect by doing a horizontal incision. (
  • The thickness and volume of the ALT flap can be adjusted based on the individual extent of the defect, and it can not only provide bulk but also ensure mobility, and it has other advantages also, including a long pedicle and low donor site morbidity. (
  • For each patient, the choice of flap type was based on the surgeon's experience, defect size, and the patient's characteristics. (
  • A case of a 52-year-old patient with a combined injury of the thumb reconstructed 1) primarily with emergency dorsoradial forearm flap together with the implementation of a silicone spacer to a bone defect and 2) secondarily by bone grafting is reported together with a brief literature review. (
  • Rüegg EM, Lantieri L, Marchac A (2012) Dual perforator propeller internal mammary artery perforator (IMAP) flap for soft-tissue defect of the contralateral clavicular area. (
  • The tracheal defect was attached and covered with the flap, which was sutured to the tracheal wall with interrupted sutures. (
  • Your consultant will need to map out the underlying blood vessels to ensure a good blood supply to the flap being used to fill the defect in your breast- this will be done by using a hand held Doppler. (
  • In clearly organized chapters, internationally recognized surgeons describe and illustrate every clinically proven flap option available for repairing every routine and unusual defect. (
  • This video demonstrates closure of a medial anterior lamellar defect using a myocutaneous advancement flap. (
  • The skin at the junction of the flap and medial edge of the defect is then closed with interrupted 6-0 prolene sutures placed in a vertical mattress fashion. (
  • Local muscle flap can fill in the defect but the range of adduction of the arm will be limited by its muscle bulk. (
  • Periosteal elevators are mainly used to lift full thickness soft tissue flaps.Prichard Periosteal Elevator X 1MEDENTRA® Pritchard Elevator is the perfect instrument to mix and prepare your graft material prior to placement into the defect. (
  • Also Z plasty flap has a major limitation as it is difficult to apply if there is a wide defect in the horizontal axis. (
  • TRAM flap (transverse rectus abdominus myocutaneous flap). (
  • Submental flap practice patterns and perceived outcomes: A survey of 212 AHNS surgeons. (
  • They have better functional outcomes and cosmetic restoration than surgical grafts and other types of surgical flaps (local and regional). (
  • 1 ⇓ ⇓ - 4 Since free flaps were first used in the 1970s, surgeons have expanded their repertoire, fine-tuned techniques, and improved outcomes. (
  • Videos demonstrate the entire spectrum of surgical reconstructive procedures and flaps, while high-quality illustrations, clear photographs and detailed case studies provide examples to help you achieve best possible outcomes. (
  • Qayyum Z, Jayasuria N, Attygalla M. Surgical outcomes of radial forearm free flap surgeries performed by trainee surgeons. (
  • Mattos D, Ko JH, Iorio ML. Wrist arthrodesis with the medial femoral condyle flap: Outcomes of vascularized bone grafting for osteomyelitis. (
  • Therefore, new surgical techniques are warranted to achieve better cosmetic and functional outcomes. (
  • unfortunately, outcomes using this flap for large Gustilo IIIB injuries are limited. (
  • Excluding one patient who required a second flap due to plate reexposure, the remaining functional and esthetic outcomes were good. (
  • The primary outcome is the number of seroma aspirations and secondary outcomes consist of number of out patient clinic visits, surgical skin infection rate, shoulder function, cosmesis, health-related quality of life and costs and cost-effectiveness (cost/QALY). (
  • After 7 weeks complete postoperative wound healing and correct healing of the TRAM flap were achieved. (
  • Bristol, S.G., Lennox, P.A. and Clugston, P.A. (2006) A comparison of ipsilateral pedicled TRAM flap with and without previous irradiation. (
  • The TRAM flap is composed of skin, adipocyte fat, and the musculus rectus abdominis, which is perfused (irrigated) by the deep inferior epigastric artery and by the deep inferior epigastric vein. (
  • Once the TRAM free flap is transposed to the woman's chest, the epigastric blood vessels are anastomosed (connected) to the internal thoracic vein to maintain the tissue viability of the reconstructed breast. (
  • This study introduces an axial pattern flap for bone graft coverage in anterior maxilla. (
  • Anterior Palatal Island Advancement Flap was effective in bone graft coverage in premaxillary edentulous area. (
  • This study specifically examines time to union, need for reoperation, and graft failure following the use of these flaps. (
  • The coronally advanced flap (CAF) together with a connective tissue graft (CTG) is regarded as the gold standard [4]. (
  • You will need to care for the flap or graft site as well as the donor site. (
  • Avoid any movement that might stretch or injure the flap or graft. (
  • You may need to have the dressing to your flap or graft site changed by your doctor a couple times over 2 to 3 weeks. (
  • The assurance of a blood supply allows a longer flap to be harvested, and an axial pattern flap shows a 50% increased graft survival area compared with a routine sub-dermal plexus flap (Moores 2009). (
  • On the basis of product, the global craniomaxillofacial implants market is classified into bone graft substitutes, distraction systems, total TMJ replacement systems, cranial flap fixation systems, thoracic fixation systems, dural repair products and screw, plates, and contourable mesh. (
  • Free flaps provide reliable, well-vascularized soft tissue to seal the dura, obliterate dead space, cover exposed cranial bone, and provide cutaneous coverage for skin or mucosa. (
  • Free SALR flaps can be a useful option for the treatment of high-energy tibia fractures with extensive soft tissue and bone loss. (
  • 1-5 The purpose of this study is to examine the use of free composite SALR flaps for soft tissue coverage in cases of Gustilo IIIB injuries with large soft tissue and bony deficits. (
  • Wei et a l. [ 3 ] reported that the failure rate of the ALT free flap was less than 2%, and they concluded that the ALT flap could replace most other flaps for soft tissue, because of the availability of a long pedicle with a suitable vessel diameter, versatility in design, and low donor site morbidity. (
  • Bone/soft tissue flap -This type of flap is often used when bone and the overlying skin are moved to a new location. (
  • We describe the use of transpositional fasciocutaneous flap, which can provide a reliable flap of variable size of skin and soft tissue coverage with good elastic properties. (
  • Periosteal elevators are mainly used to lift full thickness soft tissue flaps.Freer Periosteal Elevator X 1Freer Periosteal Elevators are designed for reflecting and retracting the mucoperiosteum after incisions of the gingival tissue.Goldman Fox Periosteal Elevator X 1MEDENTRA® Goldman Fox Periosteal Elevators are designed for reflecting and retracting the mucoperiosteum after incisions of the gingival tissue. (
  • Periosteal elevators are mainly used to lift full thickness soft tissue flaps.Seldin Periosteal Elevator X 1Seldin Periosteal Elevator is used to remove soft tissue and periosteum. (
  • To our knowledge the use of a bipolar pectoralis minor pedicle flap to reconstruct both the anterior glenohumeral capsule and subscapularis tendon has not been previously described. (
  • recently performed an anatomical study to assess anatomical and surgical possibilities of a pectoralis minor pedicle flap around the anterior shoulder [ 1 ]. (
  • If there is a potential to harvest multiple perforator flaps from one vessel, the name of each flap is based on its anatomical region or muscle. (
  • Koshima and Soeda were the first to use the name "perforator flaps" in 1989 and since then perforator flaps have become more popular in reconstructive microsurgery. (
  • Thus perforator flaps, using autologous tissue with preservation of fascia, muscle and nerve represent the future of flaps. (
  • Perforator flaps can be classified in many different ways. (
  • Due to confusion about the definition and nomenclature of perforator flaps, a consensus meeting was held in Gent, Belgium, on September 29, 2001. (
  • The skin is locally anesthetized, the incision is made, and the flap is elevated in a plane under the frontalis muscle. (
  • Classically Periosteal Releasing Incision (PRI) is performed to advance the flap. (
  • The aim of this trial is to compare Double Flap Incision (DFI), Modified Periosteal Releasing Incision (MPRI) & Coronally Advanced Lingual Flap (CALF) to PRI in terms of flap advancement, postoperative pain & swelling, membrane exposure and the amount of bone gain clinically and radiographically in GBR procedures. (
  • A full-thickness muco-periosteal flap is reflected on the buccal side (crestal incision and two vertical releasing incisions). (
  • The flap pedicle was exposed using S-shaped skin incision with preservation of the superficial venous network. (
  • The aim of our study is to evaluate the coma-shaped incision with sacral flap for the management of chronic pilonidal sinus. (
  • Comma-shaped incision with sacral flap was planned to all patients. (
  • Conclusion: Comma-shaped incision with sacral flap provides good results and low recurrence rate. (
  • Surgical methods are including simple incision, drainage, unroofing, curettage and spontaneous secondary healing, excision-flap sliding, Karydakis, Bascom methods, modified Limberg flap, Z plasty flap and modified Bascom cleft lift procedures are the most commonly used surgical methods. (
  • Microdissection thinning of a pedicled deep inferior epigastric perforator flap for burn scar contracture of the groin: case report. (
  • Despite its axial pattern, the use of too long flaps led to reports of distal necrosis, reducing its popularity. (
  • No patients had deep infection, wound dehiscence, necrosis, or partial loss or shrinkage of the flap at final followup. (
  • The purpose of this pilot study is to determine if a novel, unique, portable, non-contact optical imaging device developed at the Beckman Laser Institute called Modulated Imaging (MI) can detect changes in a flap's optical properties, which can correlate with arterial or venous occlusion or with the development of fat necrosis or flap atrophy. (
  • This impaired venous drainage of the RSSAF may contribute to flap necrosis in the early postoperative period [7]. (
  • In addition, they reported a series of 12 patients who successfully underwent free extended anterolateral thigh flap reconstructions (without flap necrosis-partial or total). (
  • Skin flaps necrosis is a matter of great concern to the Plastic Surgeons. (
  • Seroma formation is a common complication after mastectomy and is associated with delayed wound healing, infection, skin flap necrosis, patient discomfort and repeated visits to the out patient clinic to deal with seroma and its sequelae. (
  • However, ischemic necrosis is a common complication, especially in distal parts of skin flaps. (
  • However, due to the lack of axial blood vessels, the skin flap's blood supply mainly depends on the microvascular network at the pedicle of the flap, and the blood flow at the distal end of the flap is often poor and inadequate, often leading to ischemic necrosis 5 , 6 . (
  • Tissue rejection is called tissue necrosis, which means the entire flap has failed. (
  • All cases showed excellent results with a very low degree of flap necrosis that never exceeded 15% of the total flap area. (
  • because it possesses a robust blood supply, there is a low risk of tissue necrosis, either of the flap or of the adipocyte fat, and the reconstructed breast can tolerate oncologic radiotherapy. (
  • Autologous gluteal augmentation after massive weight loss: aesthetic analysis and role of the superior gluteal artery perforator flap. (
  • and how to use autologous skin flaps to repair damaged cheeks, eyebrows, lips, and nose, to restore the patient's normal visage . (
  • The latissimus dorsi flap provides suitable recipient tissue for fat transfer, with a good blood supply and a reasonable volume of host tissue to inject into. (
  • Fat was harvested using the Coleman technique with 10-ml syringes and injected into the adipose layer and muscle fascia of the latissimus dorsi flap skin paddle with 1-ml syringes. (
  • Prevention of postoperative seroma-related morbidity by quilting of latissimus dorsi flap donor site: a systematic review. (
  • To systematically analyze the effectiveness of quilting of latissimus dorsi (LD) flap donor site in the prevention of seroma and related morbidities. (
  • RESULTS: Total flap failure occurred in two patients (10.5%) due to venous congestion after fifth postoperative day. (
  • The purpose of this study is to evaluate the consequences of 3 selected surgical procedures on abdominal wall perfusion in order to help to reduce postoperative complication related to ina. (
  • Fasciocutaneous thigh flaps have been used for coverage of the testes after scrotal lymphedema resection, but these flaps alter testicular thermoregulation and may cause infertility. (
  • Borman H, Maral T. The gluteal fasciocutaneous rotation-advancement flap with V-Y closure in the management of sacral pressure sores. (
  • It is usually these musculocutaneous perforators that are encountered and dissected when harvesting a cutaneous or fasciocutaneous flap. (
  • Derived from his earlier work on the angiotome principle, 2 our senior author (F.C.B.) has been performing fasciocutaneous island flaps for more than three decades and first published an article describing the surgical technique of keystone island flaps in 2003. (
  • Although there are a significant amount of animal data supporting the application of hyperbaric oxygen for grafts and flaps, there is very little clinical information other than case reports and series to sustain its choice over other modalities of therapy. (
  • Surgical repair may not always be necessary but if surgical repair is carried out, the Mathieu technique modification may offer better anatomic delineation of the urethra and will provide an extra layer of tissue to cover the reconstructed urethra. (
  • This is a new technique that involves creation of a large rhinostomy and mucosal flaps. (
  • The technique involved anastomosis of nasal mucosal and lacrimal sac flaps and a large bony ostium. (
  • The authors suggest that creation of a large ostium as well as mucosal flaps improves the efficacy of this endonasal technique. (
  • From January 2010 to June 2014, we evaluated 12 patients (12-40 years old) with concealed penises who were surgically treated with an advanced musculocutaneous scrotal flap technique after degloving through a ventral approach. (
  • Our advanced musculocutaneous scrotal flap technique for concealed penis repair is technically easy and safe. (
  • From January 2010 to June 2014, we evaluated 12 cases of CPs that were surgically treated using the advanced musculocutaneous scrotal flap technique after degloving through a ventral approach. (
  • Different surgical techniques (laterally positioned flap, or coronally advanced flap, tunnel technique) have been evaluated in the last few years to obtain root coverage with regard to predictability and the amount of root coverage achieved [1, 4]. (
  • The authors of the present study decided to use collagen matrix (Mucoderm) because this product was less studied as a substitute for CTG in coronally advanced flap technique. (
  • We present a useful technique for the surgical management of long-segment cervical esophageal tears using a sternocleidomastoid flap with overlying skin patch. (
  • It has shown that flap survival was improved by various modifications to the operative technique that enhanced venous outflow of the RSSAF, and that these changes reduced the use of leech therapy [8]. (
  • Then, Surgical prodecure will be done either following the conventional two flap palatoplasty technique or the Furlow double-opposing z-plasty technique. (
  • Free flap transfer is a choice of management but this technique calls for a trained team, laborious execution, expensive instruments and plenty of time. (
  • Use of Tunica vaginalis flap for repair of post circumcision urethro- cutaneous fistula is a highly effective technique regardless of size and site of the fistula . (
  • Conclusion: Both of modified Limberg flap and Z-plasty technique are used to cause flattening of the natal cleft, thus reducing local recurrence rates. (
  • The complex anatomy of the vital structures in this area makes surgical resection of tumors involving the skull base extremely difficult. (
  • Tumors of the pterygomaxillary region and the infratemporal fossa require special attention to the surgical approach for exposure and resection. (
  • This study concluded that this flap is simple to perform, is reproducible, and should be a primary choice for coverage following tumour resection around the clavicular region. (
  • Surgical resection is the mainstay for mandibular ameloblastomas. (
  • Outcome depends on the appropriate positioning of the defect's base and on proper flap choice. (
  • Muscle flaps are preferred in the management of complicated wounds involving osteomyelitis. (
  • Some wounds will not heal without surgical closure. (
  • It has also been used to improve ischemic wounds before skin grafting and to support ischemic flaps. (
  • Axial pattern flaps are more resilient to movement because they do not rely completely on vascularisation from the wound bed, thus making them an excellent choice when wounds extend over, or are close to, a high-motion joint. (
  • There is little information published on the clinical use of the reverse saphenous flap, however, it remains a versatile and robust method of closure for wounds over the tarsus and metatarsus (Pavletic 1991). (
  • Planned nasal subunit excision and flap incisions are drawn with a surgical marker. (
  • The Cutler-Beard flap was applied to patients with more than 50% of superior eyelid loss after surgical excision of the tumour. (
  • Surgical excision margins were marked from the tumour border with 5 mm intact skin tissue. (
  • The statement points out that the skull cap "is symbolic of the surgical profession'' and argues there is no evidence linking modest amounts of uncovered hair to wound infections. (
  • Direct closure of the fistula without a protection flap carries a high possibility of pneumothorax, pneumomediastinum, respiratory compromise, and wound breakdown. (
  • If there is a large wound with exposed bone, muscle or tendon, your surgeon may have to use a reconstructive flap for wound closure. (
  • The flap is placed over the wound and attached with sutures or staples. (
  • Patients will be randomly allocated to one of three treatment arms consisting of flap fixation using ARTISS tissue glue with a low suction drain, flap fixation using sutures and a low suction drain or conventional wound closure (without flap fixation) and low suction drainage. (
  • Multicenter prospective clinical studies are clearly needed comparing hyperbaric oxygen to other mechanical or pharmacologic interventions to improve wound healing for grafting or to support flap survival. (
  • A skin flap is healthy skin and tissue that is partly detached and moved to cover a nearby wound. (
  • Axial pattern flaps can be used in areas of poor vascularity, as they are not dependent on local blood supply from the wound bed. (
  • The mean time for complete healing of the wound after Modified Limberg flap group (1) was 16 ± 4.2 days while in Z plasty group (2) it was 22 ± 6.8 days. (
  • Vascular anatomy of the anterolateral thigh flap. (
  • on their recent publication "The Extended Anterolateral Thigh Flap: Anatomical Basis and Clinical Experience. (
  • Place the line of maximal flap tension, also called the line of closure of the donor site, in a line of maximum extensibility of the face. (
  • Use of a Contralateral Nasoseptal Flap for Sino-Orbital Fistula Closure. (
  • The superior gluteal artery perforator flap for the closure of sacral sores. (
  • Therefore, the authors decided to perform primary closure of the TCF using a pectoral muscle-cutaneous flap. (
  • Three-layered fistula closure was done in all cases using the tunica vaginalis flap as the second layer for closure. (
  • Giladi AM, Rinkinen JR, Higgins JP, Iorio ML. Donor-Site Morbidity of Vascularized Bone Flaps from the Distal Femur: A Systematic Review. (
  • The flap is useful due to the muscle's size and thinness, consistent vascular anatomy, large vessel size, ease of dissection, minor donor site morbidity, arc of rotation and length of the pedicle. (
  • The pedicled supraclavicular artery perforator flap is reliable, is quick to harvest, and entails minimal donor site morbidity. (
  • However, even with its many advantages, it is encumbered by donor site morbidity, longer operative times, bulky contours, recipient vessel trauma, and the requirement for advanced surgical expertise and expensive equipment. (
  • Furthermore, achieving a balance between scar resurfacing and minimizing donor site morbidity is a challenging problem that depends on the size of the area involved, the region of involvement, and the availability of the non scarred tissue for use as skin flaps. (
  • 5 , 7 Surgical flaps are transferred either with an intact vascular supply or the blood supply is re-established at the recipient site using microvascular techniques. (
  • Microvascular free flap- This involves detaching and reattaching skin and blood vessels from one area of the body to another area. (
  • Drawing a second line from the distal end of the first line forms the apex of the rotation flap. (
  • Gauze or other flexible material is used to measure the necessary length of the flap, and a mark is made at the most distal portion. (
  • The gauze is rotated and placed over the course of the supratrochlear artery, and the distal end of the planned flap is marked on the forehead skin. (
  • Surgical repair is complicated by a wide distal urethra which may be injured if not properly identified. (
  • There are few local options available for the distal forefoot and toes such as the fillet of toe, the dorsometatarsal first web flap, and the distally-based dorsalis pedis flap. (
  • 14,15 , is a distally based cutaneous flap, harvested over the distal dorsal border of the forearm. (
  • The flap was then raised from proximal to distal preserving extensor retinaculum. (
  • Integration of IMA as a viable flap in the repair of aortic coarctation implies that this artery increases its collateral flow contribution to the distal aorta. (
  • One sample was obtained from the middle of the flap (5 cm from the base), another from the distal end, and one more, distant from the flap, from a normal skin area. (
  • After mobilizing the flaps, we demonstrate the way to cross the distal portions of the flaps underneath the vastus lateralis fasciae and fix them to the proximal femur using standard anchors. (
  • In addition, criteria for selecting patients for surgical repair are provided. (
  • AIMS AND OBJECTIVES: The study was done to prove a hypothesis that an alternative surgical flap (ASF) is effective in limiting pain and swelling when compared to the standard reverse L-flap (RL F). METHOD: A prospective randomized cross-over study was done, which included 33 healthy patients. (
  • Adult patients with pressure ulcer-related pelvic osteomyelitis treated by a two-stage surgical strategy were included in a retrospective cohort study. (
  • We reviewed the medical records of patients undergoing an SALR flap (n = 5) for the treatment of Gustilo Type IIIB tibia fractures within 1 month of injury. (
  • 1 , 2 , 3 , 4 Patients who were previously thought inoperable, such as those with locally advanced or recurrent disease, can now be considered candidates for surgical treatment. (
  • We believe that the use of free flaps to provide large amounts of tissue or cover particularly problematic areas can be an extremely useful tool for these patients. (
  • Eighteen patients with burns contracture to the knee 7 (34%), elbow 5 (28%), perineum 4 (22%), and axilla 2 (11%), were treated at our unit between February 1998 to October 2001 using the seven flap-plasty. (
  • To analyze the clinical features and factors that increase the risk of flap buttonholes, the authors retrospectively reviewed records of all patients who developed a flap buttonhole during LASIK performed at their institute. (
  • All four cases occurred in the second eye of patients who underwent thin-flap LASIK. (
  • There were no clinically significant differences between right and left eyes of patients who underwent thin-flap LASIK without complication versus those with partial-thickness buttonholes. (
  • Patients were randomized to either standard trabeculectomy (4 × 4 mm scleral flap) or microtrabeculectomy (2 × 2 mm scleral flap), both with adjustable sutures and antimetabolites. (
  • The current study reviewed all patients having surgical repair of post-circumcision urethrocutaneous fistula from December 2014 to April 2019 at our institution. (
  • Total flap loss occurred in two patients, both of whom had rheumatoid arthritis complicated by vasculitis. (
  • In this study, we examined the usefulness of the axillary flap approach to accessing the frontal recess and sinus by identifying the frontal ostium during ESS in Japanese patients. (
  • METHODS: We performed ESS with the axillary flap approach on 38 patients (59 sides). (
  • Patients and methods: This is comparative prospective study between modified Limberg flap and Z plasty flap in treatment of recurrent pilonidal sinus. (
  • It is a mucoperiosteal flap with axial pattern blood supply, based on nasopalatine artery. (
  • The reverse saphenous conduit flap is a type of axial pattern flap. (
  • 1995). Axial pattern flaps are durable, full-thickness pedicle flaps that contain a direct cutaneous artery and vein to supply and drain the entire length of the flap. (
  • There are, however, some disadvantages to the axial pattern flaps. (
  • Currently endoscopic DCR can be performed with laser assistance 10, 11 or other methods to remove bone and mucosa including powered drills, 12 punches, 13 and radio surgical electrodes. (
  • This article reviews the advantages of the ALT flap, its anatomy, and various methods of its elevation. (
  • Various methods have been described to reduce the dead space after mastectomy: closed suction drainage, quilting of the skin flaps and application of adhesive tissue glues. (
  • The aim of this trial is to compare seroma formation and its sequelae in the various methods of flap fixation. (
  • This thematic collection covers recent understanding in molecular pathogenesis of burn scar contracture, surgical treatment methods and innovative strategies including growth factor, and stem cell therapies in management of scar contracture. (
  • There are many surgical and conservative (medical) methods used for treatment. (
  • Bilateral gluteus maximus V-Y advancement musculocutaneous flaps for the coverage of large sacral pressure sores: revisit and refinement. (
  • Musculocutaneous flap (muscle and skin flap)- This type of flap is often used when the area to be covered needs more bulk and an increased blood supply. (
  • In the last decade, many publications have surfaced, focusing on the surgical prevention of seroma formation following mastectomy and/or axillary clearance. (
  • The dorsoradial forearm flap, as described by Bakhach et al. (
  • In the case of a free tissue transfer flaps, the blood vessels to the transferred tissues are detached and then re-attached to different arteries & veins at the recipient site. (
  • Healthy blood vessels and adequate blood supply are critical to the survival of the transplanted tissue, so flap procedures may not be the best options for women who have uncontrolled diabetes , vascular disease, or connective tissue diseases like rheumatoid arthritis and scleroderma . (
  • It is therefore recommended that surgeons use this flap method for removal of impacted third molars to enhance post-operative patient comfort. (
  • No more surgical caps for surgeons? (
  • Surgeons for years have stepped into operating rooms wearing their surgical cap - a snug covering that ties in back and comes in standard-issue blue or hundreds of personalized designs. (
  • For sure, other operating room staff wear surgical caps, but they have long been the hat of choice for many surgeons. (
  • Advances in microsurgery often lead plastic surgeons to the top of the reconstructive ladder, avoiding morbid regional flaps. (
  • Surgeons tunnel the flap under the skin from the back to the chest. (
  • Surgeons can use an abdominal flap to reconstruct a breast in women who have extra abdominal tissue. (
  • From this remarkably complete collection of clinical information, surgeons can select with confidence the best flap for safe, predictable, and aesthetically acceptable results. (
  • Three important aesthetic and/or functional considerations must be balanced in the flap design: (1) using relaxed skin tension lines, (2) preserving the integrity of neighboring landmarks, and (3) observing aesthetic subunits. (
  • If vertical placement will result in harvesting hair-bearing scalp skin, a cross-paramedian forehead flap may be used. (
  • To provide accurate and useful H&N imaging reports, radiologists should have a basic understanding of the surgical options, ranging from skin grafts to surgical flaps. (
  • This flap utilizes tissue from the back using a small ellipse of skin, as well as the back muscle. (
  • Note the skin flap supplied by either septocutaneous vessels or myocutaneous perforators from the descending branch of the circumflex femoral vessel. (
  • ICD-10-PCS code 0HRT079 for Replacement of Right Breast using Gluteal Artery Perforator Flap, Open Approach is a medical classification as listed by CMS under Skin and Breast range. (
  • To verify the possible role of uric acid as a monitor of oxidative stress in a random skin flap, in the rat. (
  • Uric acid levels in the flap skin were lower than those in the normal skin, denoting local oxidative stress. (
  • Malondialdehyde (MDA) is a product of lipid peroxidation, helpful in studies that deal with oxidative stress, serving as a quantifier of the aggression suffered by the tissues 4 .This study determined the levels of both uric acid and MDA in skin samples, at early stages after elevation of a random skin flap and it aims to elucidate the role of this acid in this model of oxidative stress. (
  • After anesthesia with pentobarbital (40 mg/kg) intraperitoneally, the rats were shaved and a random skin flap was elevated, with a cranial base, measuring 10x4 cm, on the back of the animals 5 . (
  • Uric acid levels in the skin samples in the middle of the flap ranged between 1.9 mg/dl and 8.6 mg/dl (average 4.9 mg/dl), 1 mg/dl and 13 mg/dl (average 4.6 mg/dl) and 0.9 mg/dl and 11.2 mg/dl (average 4.9 mg/dl), in groups POI, PO5 and PO15, respectively. (
  • A flap is a piece of tissue that contains skin, fat, and sometimes muscle and may include an artery and vein for blood supply. (
  • A much larger portion of hair bearing skin (a flap) is transferred from sides and back to the balding area. (
  • In this review, we analyze the available literature that investigates the use of hyperbaric oxygen for composite grafts, skin grafts, random flaps, distant flaps, and free flaps. (
  • Learning how to care for skin flaps and grafts can help them heal more quickly and reduce scarring. (
  • Often, a skin flap is still attached to its original site at one end and remains connected to a blood vessel. (
  • In this study, using a rat model of random skin flaps, we found that the expression of FGF21 is significantly increased after establishment skin flaps, suggesting that FGF21 may exert a pivotal effect on flap survival. (
  • Our results showed that FGF21 directly increased the survival area of skin flaps, blood flow intensity, and mean blood vessel density through enhancing angiogenesis, inhibiting apoptosis, and reducing oxidative stress. (
  • Our studies also revealed that FGF21 administration leads to an upregulation of autophagy, and the beneficial effects of FGF21 were reversed by 3-methyladenine (3MA), which is a well-known inhibitor of autophagy, suggesting that autophagy plays a central role in FGF21's therapeutic benefit on skin flap survival. (
  • Together, our data provides novel evidence that FGF21 is a potent modulator of autophagy capable of significantly increasing random skin flap viability, and thus may serve as a promising therapy for clinical use. (
  • This flap is taken from the back and is made up of fat and muscle with or without skin. (
  • Abdominal flaps use skin, fat, and sometimes muscle. (
  • To the author's knowledge there has been only one previously published report on the clinical use of this type of skin flap, even though the flap is well described in most texts. (
  • In surgical praxis, the abdomen is the primary donor-site for harvesting the tissues to create the free flap, because that region of the woman's body usually contain's sufficient (redundant) adipocyte fat and skin -tissues that are biologically compatible and aesthetically adequate for the construction of a substitute breast. (
  • The secondary donor-sites for harvesting adipocyte and skin tissues to create a free flap are the regions of: (i) the gluteus maximus muscles, (ii) the medial thigh, (iii) the buttocks, and (iv) the waist of the woman's body. (
  • Whereas a flap that is vascularised by a perforator traversing only through muscle to supply the underlying skin is called a muscle perforator. (
  • Articles describing local or free flap procedures in these countries were critically evaluated to assess baseline SSI incidence and mortality rates and establish a potential benchmark for future studies. (
  • Lemaire V, Boulanger K, Heymans O. Free flaps for pressure sore coverage. (
  • The anterolateral thigh (ALT) free flap was first described by Song et al . (
  • The use of emergency free flap is another valid and advanced surgical approach 10,11,12 . (
  • During the treatment of severe thoracic radionecrosis, the aggressive ablation of a large amount of damaged tissue is fundamental, making the use of healthy remote tissue provided by a free flap essential. (
  • Identifying and dissecting individual perforators are routine in raising perforator free flaps. (
  • Oxidative stress is a phenomenon that occurs after elevation of ischemic flaps, with excessive production of free radicals and damage to the cells. (
  • This is called a free flap. (
  • Abdominal flaps are often used as a free flap. (
  • A lateral malleolus ulcer in a patient with rheumatoid arthritis recurred after 1 year and had to be covered with a free parascapular flap. (
  • Flaps make use of a woman's own tissue to reconstruct the breast. (
  • Visualize what to look for and how to proceed with high-quality illustrations of regional anatomy, flap anatomy, and step-by-step flap dissections, as well as clear photographs demonstrating successful reconstructions. (
  • In consecutive views, the video demonstrates the principal anatomy as well as the preparation of both flaps. (
  • Complementing the text are hundreds of clinical photographs and diagrams of anatomy, blood supply, flap design, and operative procedures. (
  • Flap planning should avoid distortion of prominent landmarks like the eyelid, lip margin, or the nasal ala. (
  • On the soft palate, mirror image Z-plasties are drawn, one for the nasal musoca and the other oral flaps, the nasal flaps are developed and closed first .The oral flaps are then approximated. (
  • Unreliable blood supply and paucity of local donor tissue often preclude the use of local and regional flaps [1]. (
  • Compared with other local and regional flaps, the RSSAF has a larger arc of rotation than the extensor digitorum brevis and peroneus brevis muscle flaps. (
  • Aladmawy MA, Natto ZS, Steffensen B, Levi P, Cheung W, Finkelman M, Ogata Y, Hur Y. A Comparison between Primary and Secondary Flap Coverage in Ridge Preservation Procedures: A Pilot Randomized Controlled Clinical Trial. (
  • This course aims to increase the knowledge level and comfort zone of the general dentist when performing surgical procedures. (
  • Many of the surgical techniques will be illustrated using video of the procedures discussed. (
  • We performed a systematic review of the existing literature on SSIs after tissue flap procedures in LMHDICs through the PubMed, Ovid, and Web of Science databases. (
  • Recent estimates of the global incidence of surgical site infections (SSIs) range from 1.2 to 23.6 per 100 surgical procedures, with particularly high rates noted in developing countries [ 3 ]. (
  • While the rate of SSIs after flap procedures in high Human Development Index Countries (HHDICs) is well described [ 4 , 5 ], less is known about the incidence of SSIs after flap procedures in LMHDICs. (
  • To help address this deficit, we performed a prospectively registered systematic review of the existing literature on SSIs after surgical flap procedures in LMHDICs. (
  • The challenge for periodontal plastic surgical procedures is to achieve stable and complete root coverage with the attachment of the tissue margin at the cementoenamel junction and no bleeding on probing as well as a minimal probing depth of the healthy gingival sulcus [1, 3, 4]. (
  • The ability to combine presbyopia-correcting inlays with other refractive procedures makes this technology an attractive option for the surgical management of presbyopia. (
  • Which procedures classify as a surgical extraction? (
  • Emerging techniques for facial and cranial surgical procedures with higher success rate will also promote the use of craniomaxillofacial implants throughout the forecast period. (
  • All six cases were treated with a reverse saphenous conduit flap and two of them underwent radiation therapy with no adverse side effects. (
  • [ 4 ] This period also corresponded to the widespread use of concurrent flaps such as the pectoralis major or the trapezius. (
  • Grolleau JL, Collin JF, Chavoin JP, Costagliola M. [Iliac transosseous transposition of rectus abdominis muscle flap to cover a sacral pressure sore] [in French]. (