Surgical Flaps
Free Tissue Flaps
Flap Endonucleases
Reconstructive Surgical Procedures
Rectus Abdominis
Keratomileusis, Laser In Situ
Epigastric Arteries
Soft Tissue Injuries
Skin Transplantation
Fascia Lata
Fibula
Debridement
Oral Surgical Procedures
Myocutaneous Flap
Surgical Wound Dehiscence
Rhinoplasty
Omentum
Fascia
Esthetics
Surgery, Plastic
Abdominal Wall
Lasers, Excimer
Corneal Stroma
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)Soft tissue injuries can cause pain, swelling, bruising, and limited mobility, and can impact an individual's ability to perform daily activities. Treatment for soft tissue injuries may include rest, ice, compression, and elevation (RICE), as well as physical therapy, medication, or surgery, depending on the severity of the injury.
Some common examples of soft tissue injuries include:
* Sprains: stretching or tearing of ligaments, which connect bones to other bones and provide stability to joints.
* Strains: stretching or tearing of muscles or tendons, which connect muscles to bones.
* Contusions: bruises that occur when blood collects in soft tissues as a result of trauma.
* Tendinitis: inflammation of tendons, which connect muscles to bones.
* Bursitis: inflammation of bursae, small fluid-filled sacs that cushion joints and reduce friction between tendons and bones.
* Fasciitis: inflammation of the fascia, a thin layer of tissue that surrounds muscles and other organs.
Surgical wound dehiscence is a condition where the incision or wound made during a surgical procedure fails to heal properly and starts to separate, leading to an open wound. This complication can occur due to various factors, such as poor wound care, infection, or excessive tension on the wound edges.
Types of Surgical Wound Dehiscence
There are several types of surgical wound dehiscence, including:
1. Superficial dehiscence: This type of dehiscence occurs when the skin over the incision starts to separate but does not extend into the deeper tissue layers.
2. Deep dehiscence: This type of dehiscence occurs when the incision starts to separate into the deeper tissue layers, such as muscles or organs.
3. Full-thickness dehiscence: This type of dehiscence occurs when the entire thickness of the skin and underlying tissues separates along the incision line.
Causes of Surgical Wound Dehiscence
Surgical wound dehiscence can occur due to a variety of factors, including:
1. Poor wound care: Failure to properly clean and dress the wound can lead to infection and delay healing.
2. Infection: Bacterial or fungal infections can cause the wound edges to separate.
3. Excessive tension on the wound edges: This can occur due to improper closure techniques or excessive tightening of sutures or staples.
4. Poor surgical technique: Improper surgical techniques can lead to inadequate tissue approximation and delayed healing.
5. Patient factors: Certain medical conditions, such as diabetes or poor circulation, can impair the body's ability to heal wounds.
Symptoms of Surgical Wound Dehiscence
The symptoms of surgical wound dehiscence may include:
1. Redness and swelling around the incision site
2. Increased pain or discomfort at the incision site
3. Discharge or fluid leaking from the incision site
4. Bad smell or foul odor from the incision site
5. Increased heart rate or fever
6. Reduced mobility or stiffness in the affected area
Treatment of Surgical Wound Dehiscence
The treatment of surgical wound dehiscence depends on the severity and underlying cause of the condition. Treatment options may include:
1. Antibiotics: To treat any underlying infections.
2. Dressing changes: To promote healing and prevent infection.
3. Debridement: Removal of dead tissue or debris from the wound site to promote healing.
4. Surgical revision: In some cases, the wound may need to be reclosed or revisited to correct any defects in the initial closure.
5. Hyperbaric oxygen therapy: To promote wound healing and reduce the risk of infection.
6. Surgical mesh: To reinforce the wound edges and prevent further separation.
7. Skin grafting: To cover the exposed tissue and promote healing.
Prevention of Surgical Wound Dehiscence
Preventing surgical wound dehiscence is crucial to ensure a successful outcome. Here are some measures that can be taken to prevent this condition:
1. Proper wound closure: The incision should be closed carefully and securely to prevent any gaping or separation.
2. Appropriate dressing: The wound should be covered with an appropriate dressing to promote healing and prevent infection.
3. Good surgical technique: The surgeon should use proper surgical techniques to minimize tissue trauma and promote healing.
4. Proper postoperative care: Patients should receive proper postoperative care, including monitoring of vital signs and wound status.
5. Early recognition and treatment: Any signs of dehiscence should be recognized early and treated promptly to prevent further complications.
Conclusion
Surgical wound dehiscence is a serious complication that can occur after surgery, resulting in unstable or gaping wounds. Prompt recognition and treatment are essential to prevent further complications and promote healing. Proper wound closure, appropriate dressing, good surgical technique, proper postoperative care, and early recognition and treatment can help prevent surgical wound dehiscence. By taking these measures, patients can achieve a successful outcome and avoid potential complications.
1. Strains and sprains: These are common injuries that occur when the muscles or ligaments in the foot are stretched or torn. They can be caused by overuse or sudden movement.
2. Fractures: A fracture is a break in a bone. In the foot, fractures can occur in any of the five long bones (metatarsals) or the heel bone (calcaneus).
3. Plantar fasciitis: This is a common condition that affects the plantar fascia, a band of tissue that runs along the bottom of the foot. It can cause pain and stiffness in the heel and bottom of the foot.
4. Achilles tendinitis: This is an inflammation of the Achilles tendon, which connects the calf muscles to the heel bone. It can cause pain and stiffness in the back of the ankle.
5. Bunions and hammertoes: These are deformities that can occur when the bones in the foot are not properly aligned. They can cause pain, swelling, and stiffness in the foot.
6. Infections: Foot injuries can increase the risk of developing an infection, especially if they become exposed to bacteria or other microorganisms. Signs of an infection may include redness, swelling, warmth, and pain.
7. Ulcers: These are open sores that can develop on the skin of the foot, often as a result of diabetes or poor circulation. They can be difficult to heal and can lead to further complications if left untreated.
Treatment for foot injuries will depend on the severity of the injury and may include rest, ice, compression, and elevation (RICE) as well as physical therapy exercises to improve strength and flexibility. In some cases, surgery may be necessary to repair damaged tissues or realign bones.
Types of Finger Injuries
-----------------------
1. Cuts and Lacerations: These are the most common type of finger injury and can occur when the skin is cut or torn due to a sharp object or blunt force.
2. Sprains and Strains: These injuries occur when the ligaments or muscles in the fingers are stretched or torn, causing pain and swelling.
3. Fractures: Finger fractures can occur when the bones in the finger are broken due to a direct blow or crushing force.
4. Dislocations: This occurs when the bones in the finger are forced out of their normal position.
5. Tendon Injuries: Tendons connect muscles to bones and can become injured due to overuse or sudden strain.
6. Nerve Injuries: Finger injuries can also affect the nerves, causing numbness, tingling, or pain in the fingers.
Causes of Finger Injuries
-------------------------
1. Accidents: Car accidents, falls, and other accidents can cause finger injuries.
2. Sports: Contact sports such as basketball, football, and hockey can lead to finger injuries due to collisions or falls.
3. Work-related Activities: Jobs that involve manual labor or heavy machinery can increase the risk of finger injuries.
4. Overuse: Repetitive movements or overuse of the fingers can lead to injuries such as tendonitis or sprains.
5. Medical Conditions: Certain medical conditions such as arthritis, gout, and diabetes can increase the risk of finger injuries.
Symptoms of Finger Injuries
--------------------------
1. Pain: Pain is the most common symptom of finger injuries, ranging from mild to severe.
2. Swelling: Swelling in the affected finger or fingers can occur due to inflammation or bruising.
3. Limited Mobility: Finger injuries can limit mobility and make it difficult to move the fingers or perform everyday activities.
4. Deformity: In severe cases, finger injuries can cause deformities such as bone misalignment or muscle imbalance.
5. Numbness or Tingling: Finger injuries can cause numbness or tingling sensations in the affected fingers.
Treatment of Finger Injuries
-------------------------
1. Rest: Resting the injured finger and avoiding activities that exacerbate the injury is essential for recovery.
2. Ice: Applying ice to the affected area can reduce swelling and relieve pain.
3. Compression: Wrapping the injured finger with a bandage or compression glove can help reduce swelling and stabilize the joints.
4. Elevation: Elevating the injured hand above heart level can reduce swelling and promote healing.
5. Medications: Over-the-counter pain medications such as ibuprofen or acetaminophen can relieve pain and reduce inflammation.
6. Immobilization: Immobilizing the injured finger with a splint or cast can help promote healing and prevent further injury.
7. Physical Therapy: Gentle exercises and stretches can help improve mobility and strength in the affected finger.
8. Surgery: In severe cases, surgery may be necessary to repair damaged tissues or realign bones.
Prevention of Finger Injuries
-----------------------------
1. Warm-up Exercises: Performing warm-up exercises before engaging in physical activities can help prevent finger injuries by increasing blood flow and flexibility.
2. Proper Equipment: Using proper equipment such as gloves or protective gear can help prevent finger injuries, especially in sports or high-risk activities.
3. Careful Lifting: Lifting objects with proper technique and using the legs instead of the fingers can help prevent strains and sprains.
4. Finger Stretching: Regular stretching exercises can help improve flexibility and reduce the risk of finger injuries.
5. Strengthening Exercises: Strengthening the muscles in the hand and fingers through exercises such as grip strengthening can help prevent injuries.
6. Avoiding Overuse: Taking regular breaks and avoiding overuse can help prevent fatigue and reduce the risk of finger injuries.
List of plastic surgery flaps
Surgical suture
Free flap breast reconstruction
Perforator flaps
Free flap
Cheesewiring
Periradicular surgery
Leo Eloesser
Hairline lowering
Lip augmentation
Glued intraocular lens
Hidradenitis suppurativa
Dentistry in ancient Rome
Buttock augmentation
Pharyngeal flap surgery
Hair loss
Periodontal surgery
Cleft lip and cleft palate
Hypernasal speech
David A. Hidalgo
Webbed penis
Benefis Health System
Vomer flap surgery
Young's operation
Osteoradionecrosis
Cysts of the jaws
Palatal lift prosthesis
Facing Africa
Obstructive sleep apnea
Jeff Machat
Uvulopalatopharyngoplasty
David B. Hoyt
Scalp reconstruction
Eloesser flap
Trabeculectomy
Gundersen
Emergency Care Practitioner
Glaucoma
John H. Healey
June K. Robinson
Amastia
Phalloplasty
List of Dr. Slump characters
List of Ig Nobel Prize winners
Tod Browning
G. Patrick Maxwell
Lateral pectoral nerve
Microtia
T. Glenn Pait
Facial nerve paralysis
Facial prosthetic
Laryngotracheal reconstruction
Facial artery
Vocal cord cyst
Periodontal disease
Sudhakar Krishnamurti
Lifestyle Lift
Plastic surgery
Central polydactyly of the foot: surgical management with plantar and dorsal advancement flaps - PubMed
Short-Term Outcomes of Two Surgical Techniques for the Treatment of Coarctation of the Aorta in Infants: Subclavian Flap Repair...
Subjects: Surgical Flaps - Digital Collections - National Library of Medicine Search Results
Management of major complications in surgical treatment of mandibular osteoradionecrosis by using vascularized free flaps]. |...
Advancement Flaps in Dermatologic Surgery Workup: Laboratory Studies
Human tracheal reconstruction with a composite radial forearm free flap and prosthesis
Application of finite element modeling to optimize flap design with tissue expansion - PubMed
Propeller Flap: Surgical Option after Resection of Lower Limb Melanoma
Unique components of the Microsurgery & Flap Dissection Course | Surgical Art
Skin flaps and grafts - self-care: MedlinePlus Medical Encyclopedia
Zippered Tram Flap/ Tummy Tuck Panty Girdle - EMS Surgical | Post Surgery Compression Garments
A prospective randomised trial comparing MUTAF technique with Limberg flap technique in surgical treatment of chronic ...
FREEMAN FLAP RETRACTOR, WITH FIBER OPTIC LIGHT GUIDE, 25MM X 20CM | Buy Surgical Instruments
March 2009 - Volume 35 - Issue 3 : Dermatologic Surgery
Axillary lymph node recurrence in patients with breast cancer who underwent breast reconstruction using a latissimus dorsi flap...
6 Dental Implants Placement without Surgical Incisions or Flaps for a Full-Arch Implant Prosthesis Case # 3778 - Archangel...
A new technique for the surgical repair of double cleft earlobe: modified Millard's rotation-advancement flap | AVESİS
Early Placement of an Implant in a Maxillary Left First Premolar Site - Clinical Case Report - Home - ITI
CPT® Code 15756 - Other Flaps and Grafts Procedures - Codify by AAPC
XenMatrix™ AB Surgical Graft, Rectangle, 3.9 in x 7.9 in (10 cm x 20 cm) - 1151020 | BD
Biomarkers Search
DIMETHYLSULFOXIDE (DMSO): Overview, Uses, Side Effects, Precautions, Interactions, Dosing and Reviews
Evaluation of Results of Surgical Correction for Coarctation of Aorta by Subclavian Flap Aortoplasty(SCFA) and other Methods in...
Surgical considerations of one-stage reconstruction of large extremity defects using a thin deep inferior epigastric perforator...
Benign Essential Blepharospasm Treatment & Management: Medical Care, Surgical Care, Long-Term Monitoring
Reconstruction55
- In 7 of the unilateral cases, the mean forefoot radiographic width of the affected side, after surgical resection and reconstruction of the central polydactyly, was 2% greater than the contralateral, uninvolved side. (nih.gov)
- Johnson-Jahangir H, Stevenson M, Ratner D. Modified flap design for symmetric reconstruction of the apical triangle of the upper lip. (medscape.com)
- Surgical gem: island advancement flaps for lip reconstruction. (medscape.com)
- Goldberg LH, Alam M. Horizontal advancement flap for symmetric reconstruction of small to medium-sized cutaneous defects of the lateral nasal supratip. (medscape.com)
- Meanwhile, among 430 patients with malignant tumor who underwent surgeries of vascular free flap reconstruction, 25 cases (5.8%) had postoperative local infection and 29 cases (6.7%) had pulmonary infection . (bvsalud.org)
- The reconstruction was completed using a conduit composed of a radial forearm free flap for lining with a combined PolyMax mesh (Synthes, Paoli, PA) and Hemashield vascular graft (Boston Scientific, Natick, MA) for rigid support. (nih.gov)
- To describe a series of cases of lower limb reconstruction using an axial reverse flow flap (propeller flap) after melanoma excision. (heraldopenaccess.us)
- Another advantage is that, especially in the reconstruction of defects in the distal third of the leg, they can be alternatives to microsurgical flaps, with lower cost, shorter surgical time, and no need for vascular anastomosis [7]. (heraldopenaccess.us)
- To describe five clinical cases in which the helix flap was used for treatment of lower limb reconstruction after melanoma resection. (heraldopenaccess.us)
- The zippered Tram Flap/Tummy Tuck heavy compression panty girdle is designed for post surgery recovery after procedures including abdomen, tummy tuck, breast reconstruction, excess skin removal and other surgeries. (emssurg.com)
- This study is a prospective randomized trial comparing MUTAF technique with Limberg flap reconstruction in the management of chronic pilonidal sinus. (who.int)
- At our institution (Tokyo Medical and Dental University, Medical Hospital), latissimus dorsi flap (LD flap) reconstruction without a prosthetic implant is a popular surgical strategy following total mastectomy in patients with breast cancer. (spandidos-publications.com)
- However, if future additional surgery is required for axillary recurrence after LD flap reconstruction, the flap interferes with the visual field, making the surgical procedure more difficult. (spandidos-publications.com)
- Because cases of axillary lymph node recurrence alone are rare, to the best of our knowledge, no paper has reported in detail on the technique and course of lymph node recurrence after LD flap reconstruction. (spandidos-publications.com)
- The present study describes two cases of successful axillary lymph node dissection without sacrificing the flap for breast cancer recurrence after LD flap reconstruction. (spandidos-publications.com)
- A brief analysis of immediate breast reconstruction with an LD flap performed in patients with breast cancer at our institution is also reported. (spandidos-publications.com)
- Among them, latissimus dorsi (LD) flap reconstruction without a prosthetic implant is very popular in Japan and at our institution. (spandidos-publications.com)
- Additionally, LD flap reconstruction reportedly tends to have fewer complications than other autologous tissue reconstructions ( 2 ). (spandidos-publications.com)
- Since we experienced two cases of axillary lymph node recurrence in breast cancer patients after LD flap reconstruction, we report these cases along with a brief summary of patients who underwent immediate LD flap reconstruction at our institution. (spandidos-publications.com)
- The Institutional Review Board of Tokyo Medical and Dental University approved the retrospective review of the medical records of patients who had undergone breast cancer surgery with immediate LD flap reconstruction from February 2005 to December 2018. (spandidos-publications.com)
- LD flap reconstruction was mainly indicated in Tis/T1/T2 and N0/N1 patients. (spandidos-publications.com)
- Blood circulation to the flap is restored through microvascular reconstruction - a process where the physician joins the existing blood vessels on the flap to the vessels at the wound site under microscopic guidance. (aapc.com)
- Background One-stage reconstruction with 'thin perforator flaps' has been attempted to salvage limbs and restore function. (ewha.ac.kr)
- The deep inferior epigastric perforator (DIEP) flap is commonly utilized flap in breast reconstruction (BR). (ewha.ac.kr)
- The purpose of this study is to present the versatility of DIEP flaps for the reconstruction of large defects of the extremities. (ewha.ac.kr)
- We also considered the technical differences in the DIEP flap between breast and extremity reconstruction. (ewha.ac.kr)
- Conclusion A DIEP flap is not the first choice for soft tissue defects, but it should be considered for one-stage reconstruction of large defects when the circulation zone of the DIEP flap is considered. (ewha.ac.kr)
- 21. [Reconstruction of the mouth floor using a musculo-mucosal buccinator flap supplied by facial vessels. (nih.gov)
- 24. [One-stage reconstruction of large through-and-through defect of cheek with a combination of forehead skin flap and sternocleidomastoid island myocutaneous flap after cancer dissection]. (nih.gov)
- 25. Buccinator myomucosal flap for reconstruction of glossectomy defects. (nih.gov)
- 31. Submental island flap versus radial forearm free flap for oral tongue reconstruction: a comparison of complications and functional outcomes. (nih.gov)
- 32. The contralateral based submental island flap for reconstruction of tongue and floor of mouth defects: Reliability and oncological outcome. (nih.gov)
- 34. Reconstruction of the anterior floor of the mouth using a labial mucosal flap. (nih.gov)
- 35. [The clinical application of free anteromedial thigh perforator flap in the reconstruction of tongue and mouth floor defect after tongue carcinoma]. (nih.gov)
- 36. [Primary reconstruction of the anterior sublingual sulcus with a nasolabial flap after the resection of a malignant neoplasm]. (nih.gov)
- 37. Intra-oral reconstruction using the nasolabial flap. (nih.gov)
- Surgical technique and possible variations in facial reconstruction]. (nih.gov)
- The SIEA (superficial inferior epigastric artery) flap is a type of breast reconstruction surgery. (peacehealth.org)
- Breast reconstruction is an increasingly common surgical procedure for women who have had a mastectomy. (plasticsurgery.org.au)
- Breast reconstruction is a surgical procedure that rebuilds a new breast or breasts to resemble a natural breast in appearance and form. (plasticsurgery.org.au)
- There are two main types of breast reconstruction: implant reconstruction and flap reconstruction. (plasticsurgery.org.au)
- In flap reconstruction, skin, fat and muscle are taken from elsewhere on the body to make the new breast. (plasticsurgery.org.au)
- Three years later, she underwent breast reconstruction that used a cutaneomuscular latissimus dorsi flap with a prosthetic implant. (cdc.gov)
- The patient had a tattoo on the skin flap used for the breast reconstruction, and ink has been shown to be a source for rapidly growing mycobacteria other than M. conceptionense ( 6 ). (cdc.gov)
- 1. Combined cutaneous rotation flap and myomucosal tongue flap for reconstruction of an upper lip defect. (nih.gov)
- 3. Abbe Flap Reconstruction of the Upper Lip. (nih.gov)
- 4. Split myomucosal advancement flap for reconstruction of a lower lip defect. (nih.gov)
- 5. Ventral tongue myomucosal flap: a suitable choice for shaved lower vermilion border reconstruction. (nih.gov)
- 6. Island Flap for Upper-Lip Reconstruction: Analysis of Key Aspects and a Case Series. (nih.gov)
- 10. Pursuing symmetry in reconstruction of the upper lip apical triangle with a hatchet flap. (nih.gov)
- 14. Reconstruction of large defect of lower lip and commissure using Karapandzic flap: case report. (nih.gov)
- 16. Reconstruction of total lower lip defects using radial forearm free flap with subsequent tongue flap. (nih.gov)
- 19. Local flap reconstruction of acquired lip defects. (nih.gov)
- The reconstruction of small defects in the maxillofacial region is usually done with local flaps, whereas large defects are reconstructed with a variety of vascularized regional flaps or free flaps, however, defects of moderate size many times represent a challenge to the surgeon. (bvsalud.org)
- This flap presents advantages like its constant anatomy, the possibility of providing sufficient muscle bulk, a good healing and a minimal post-operatory morbidity, besides its reliable arc of rotation, which can cover most ipsilateral defects of the palate and maxilla, leading to this technique a preferential place for the reconstruction of moderate size defects of the oral cavity. (bvsalud.org)
Radial forearm free flap1
- 26. Swallowing function in patients with base of tongue cancers treated with primary surgery and reconstructed with a modified radial forearm free flap. (nih.gov)
Resection5
- Conclusions: Both the subclavian flap repair and resection with extended end-to-end anastomosis for coarctation of the aorta in infants provide excellent short-term outcomes with lower recurrence rates requiring surgery or angioplasty. (scirp.org)
- 2005) Extended resection and end-to-end anastomosis for aortic coarctation in infants: results of a tailored surgical approach. (scirp.org)
- Among the 34 ORN cases (34/104, 32.7%) of segmental resection with vascularized free flap transfer, there were 13 cases (13/34, 38.2%) of postoperative local infection in maxillofacial area, 6 cases (17.6%) of pulmonary infection , 2 cases (5.9%) of venous thrombosis , 3 cases (8.8%) of anastomotic artery rupture and 5 cases (14.7%) of vascular crisis. (bvsalud.org)
- From August 2014 to December 2016, at the Plastic Surgery Service at UNIFESP, five patients with defects in the lower limbs after melanoma resection were reconstructed using propeller flap. (heraldopenaccess.us)
- This is a retrospective and descriptive study of five patients submitted to the propeller flap - consisting of two "blades" of a propeller, with the perforating vessels located in the center, so that the larger "blade" is rotated in order to close the defect - in the distal third of the lower limbs after resection of primary or metastatic melanoma. (heraldopenaccess.us)
Myomucosal flap1
- An alternative is the use of flaps that contain both muscle and mucosal tissue, such as the buccinator myomucosal flap. (bvsalud.org)
Grafts2
- Learning how to care for skin flaps and grafts can help them heal more quickly and reduce scarring. (medlineplus.gov)
- The Current Procedural Terminology (CPT ® ) code 15756 as maintained by American Medical Association, is a medical procedural code under the range - Other Flaps and Grafts Procedures. (aapc.com)
Repairs for coarctation of th1
- Methods: Outcomes of two different surgical repairs for coarctation of the aorta in 43 infants were evaluated retrospectively. (scirp.org)
Island advancement flaps1
- 20. Double mental neurovascular V-Y island advancement flaps combined with tongue flaps for functionally reconstructing total lower-lip defects. (nih.gov)
Defects12
- Repair of cutaneous and mucosal upper lip defects using double V-Y advancement flaps. (medscape.com)
- A dorsal nasal advancement flap for off-midline defects. (medscape.com)
- Columellar advancement flap for midline nasal defects. (medscape.com)
- Genders RE, van Kester MS. Novel uses of bilateral advancement flaps for tip defects on the nose: Part II. (medscape.com)
- Tissue expansion is a widely used technique to create skin flaps for the correction of sizable defects in reconstructive plastic surgery. (nih.gov)
- Microsurgical flaps are time and support structure demanding, and are reserved for large defects. (heraldopenaccess.us)
- Methods Patients with large tissue defects on extremities who were treated with thin DIEP flaps from January 2016 to January 2018 were included. (ewha.ac.kr)
- 22. Two submental island flaps for reconstructing oral and maxillofacial defects following cancer ablation. (nih.gov)
- 27. Bilobed perforator free flaps for combined hemitongue and floor-of-the-mouth defects. (nih.gov)
- 29. Repair of anterior floor of mouth defects: the island pedicle tongue flap. (nih.gov)
- Carticel is an autologous cellular product indicated for the repair of symptomatic cartilage defects of the femoral condyle (medial, lateral or trochlea), caused by acute or repetitive trauma, in patients who have had an inadequate response to a prior arthroscopic or other surgical repair procedure (e.g., debridement, microfracture, drilling/abrasion arthroplasty, or osteochondral allograft/autograft). (nih.gov)
- 17. The transposition advancement flap for repair of postsurgical defects on the upper lip. (nih.gov)
Surgery8
- Cobanoglu, A., Thyagarajan, G.K. and Dobbs, J.L. (1998) Surgery for Coarctation of the Aorta in Infants Younger than 3 Months: End-to-end Repair versus Subclavian Flap Angioplasty: Is Either Operation Better? (scirp.org)
- All cases diagnosed as mandibular ORN and received surgical treatment in the Department of Oral and Maxillofacial Surgery , Guanghua School of Stomatology , Hospital of Stomatology , Sun Yat-sen University from August 2014 to March 2019 were included. (bvsalud.org)
- After surgery, you will have two wounds, the graft or flap itself and the donor site. (medlineplus.gov)
- Materials and methods: This prospective study was conducted in Department of General Surgery in Al Azhar Medical College, from June 2018 to June 2019 who were treated for chronic pilonidal sinus by comparing MUTAF technique with Limberg flap technique. (who.int)
- 33. [Clinical application of irregular anterior lateral femoral flap in hand surgery]. (nih.gov)
- At day 15 after surgery, a serous discharge appeared in the tip of the skin flap. (cdc.gov)
- Modern plastic surgery involves the advanced techniques of scalp lifts and flaps, scalp reduction and scalp extenders. (aafp.org)
- found in surgical smoke produced by electrocautery knives during surgery. (cdc.gov)
Complications12
- Management of major complications in surgical treatment of mandibular osteoradionecrosis by using vascularized free flaps]. (bvsalud.org)
- To retrospectively analyze of the prevention and management of major complications in surgical treatment of osteoradionecrosis (ORN) of the mandible by using vascularized free flaps and to provide a reference for improving clinical treatments . (bvsalud.org)
- The patients ' clinical data, mainly including general information, primary tumor , interval time between radiotherapy and osteoradionecrosis , surgical methods and postoperative complications , were collected. (bvsalud.org)
- The data of surgical methods and postoperative complications of these patients were compared with the similar data of patients with malignant tumor surgically treated by using vascularized free flaps during the same period. (bvsalud.org)
- Compared with patients with malignant tumors undergoing vascularized free flap transfer surgeries, patients with mandibular ORN undergoing same surgeries are more likely to have postoperative complications . (bvsalud.org)
- Major complications following the inset of expanded flaps include breakdown and uncontrolled scarring secondary to excessive tissue tension. (nih.gov)
- Propeller flaps are also subject to complications, the most worrisome of which is partial or total necrosis of the flap. (heraldopenaccess.us)
- The main goal of this study is assessing the frequency of reccurent coarctation after repair and determining the results and complications after subclavian flap aortoplasty. (ac.ir)
- Conclusion: In conclusion, we believe that surgical repair for neonatal and infantile coarctation gives no rise to incidence of recoarctation and decreases postoperation complications such as HTN(Hypertension). (ac.ir)
- Regarding fewer complications in SCFA method, it provides an excellent method of surgical repair especially in young age. (ac.ir)
- We analyzed the etiology and location of the soft tissue defect, flap design, anastomosis type, outcome, and complications. (ewha.ac.kr)
- Five flaps survived with no complications. (ewha.ac.kr)
Advancement8
- A retrospective case series of 22 patients with 27 feet with central polydactyly, treated surgically by the dorsal and plantar advancement flap technique, was performed. (nih.gov)
- The crescentic advancement flap revisited. (medscape.com)
- It was repaired with a Burow advancement flap to camouflage suture lines within the preauricular crease. (medscape.com)
- A Burow advancement flap is planned, which places the suture line along the superolateral aspect of the orbital rim for camouflage. (medscape.com)
- A Burow advancement flap is sewn into place. (medscape.com)
- It was repaired with a bilateral advancement flap, which camouflages the suture lines within the preexisting forehead lines. (medscape.com)
- The authors establish computer-aided design as a tool with which to explore stress profiles for two commonly used flap designs, the direct advancement flap and the double back-cut flap. (nih.gov)
- 8. Bilateral V-Y advancement flaps with pincer modification for re-creation of large philtrum lip defect. (nih.gov)
Pedicle flap2
- It was repaired with an island pedicle flap. (medscape.com)
- 39. [The effect of transferring adjacent non-main vessel pedicle flap on repairing the heel]. (nih.gov)
Subclavian flap1
- 2013) Long-Term Results of the Subclavian Flap Repair for Coarctation of the Aorta in Infants. (scirp.org)
Myocutaneous flap2
Deep inferior epigastric perforator1
- The procedure is then called a DIEP flap, from the name of the artery (deep inferior epigastric perforator). (peacehealth.org)
Anastomosis1
- My surgeon did and free flap (15756) and wonders if there is a code for an additional vein anastomosis code? (aapc.com)
Coarctation of Ao1
- Patients & Method: In this retrospective study, the results of surgical repairs for coarctation of aorta in 188 patients under 14 who had been treated at the Rajaee Heart Center were evaluated. (ac.ir)
Excision2
- Central polydactyly is the least common form of foot polydactyly, and the intercalary location of the duplicated ray makes the surgical exposure, excision, and closure more complex. (nih.gov)
- Wide surgical excision has long been considered the most definitive surgical therapy for hidradenitis suppurativa. (medscape.com)
Graft6
- You will need to care for the flap or graft site as well as the donor site. (medlineplus.gov)
- Avoid any movement that might stretch or injure the flap or graft. (medlineplus.gov)
- You may need to have the dressing to your flap or graft site changed by your provider a couple times over 2 to 3 weeks. (medlineplus.gov)
- XenMatrix™ AB Surgical Graft should not be used on patients with known sensitivity to porcine products. (bd.com)
- Postoperative signs of toxicity, as possibly evidenced by worsening renal or hepatic function, or an allergic reaction that is unrelated to other therapy is an indication to consider removal of XenMatrix™ AB Surgical Graft. (bd.com)
- The safety and performance of XenMatrix™ AB Surgical Graft in pediatric patients has not been evaluated. (bd.com)
Implant2
DIEP1
- Results Overall, six free DIEP flaps were included in the study. (ewha.ac.kr)
Procedures6
- Background: The aims of the study were to analyze the importance of two different surgical procedures, and to determine outcomes for neonates with coarctation of the aorta in two newly established centers. (scirp.org)
- Myocutaneous (muscle) flaps are used for cosmetic procedures and to aid in repairing a wound. (aapc.com)
- procedures where surgical smoke is produced. (cdc.gov)
- The surgical procedures took place at 39 medical centers in the United States, Canada and Germany. (nih.gov)
- See the Carticel Surgical Manual, Vericel document #65021 for instructions on the performance of these procedures. (nih.gov)
- The necessity of subsequent surgical procedures, primarily arthroscopic, following Carticel implantation is common. (nih.gov)
Infection1
- In this patient, use of contaminated aqueous solutions or inadequately rinsed surgical equipment ( 9 ) was unlikely the source of infection because further investigations indicated proper use of sterilized, nonreusable surgical equipment. (cdc.gov)
Necrosis1
- However, partial necrosis occurred in one flap. (ewha.ac.kr)
Surgeries2
- In the control group , surgeries of vascularized free flap transfer were performed in 430 patients with malignant tumor . (bvsalud.org)
- FLAPLESS SURGERIES can be performed using surgical templates (guides) that are made in the dental laboratory prior to the procedure that help aid in the correct placement of the dental implants within the bone. (archangelimplants.com)
Procedure2
- Any surgical or invasive procedure carries risks. (plasticsurgery.org.au)
- In the STAR study, 49% of patients underwent a subsequent surgical procedure, irrespective of relationship to Carticel. (nih.gov)
Donor site2
- The flap is taken from a donor site and placed at the wound site. (aapc.com)
- In addition, this flap has many advantages over other flaps such as provision of the largest skin paddle, low donor site morbidity with a concealed scar, versatile supercharging technique, and a long pedicle. (ewha.ac.kr)
Muscle1
- Muscle flaps are used today with great discretion, given the enormous morbidity in the donor area. (heraldopenaccess.us)
Dissection2
- A unique porcine dissection model, extra and intra-vascular views and a digital microscopy laboratory are all being utilised right now on our Microsurgery & Flap Dissection Course. (surgical-art.com)
- Especially in the case of axillary recurrence in patients with an LD flap, passage of the flap through the axilla might interfere with the operation, since it requires careful dissection to preserve the axillary vein, thoracodorsal bundle and long thoracic nerve, in a limited surgical field. (spandidos-publications.com)
Local4
- Local skin flaps on the cheeks. (medscape.com)
- The propeller flap is a type of local flap based on perforating vessels, defined by the Tokyo Consensus (2011) as "a perforating flap with a skin island composed of two parts, one larger and one smaller, separated by a nutrient perforating vessel that corresponds to its axis of rotation" [1]. (heraldopenaccess.us)
- Authors such as Donski and Fogdestam described that fasciocutaneous flaps that maintained vascularization through perforators could be larger than the local flaps previously used [3]. (heraldopenaccess.us)
- In a local flap, the flap is taken from the area surrounding the wound. (aapc.com)
Vessels1
- who used an island flap, vascularized by perforating vessels, with an axis of rotation in the pedicle, for the treatment of burn sequelae [2]. (heraldopenaccess.us)
Perforators1
- Three flaps were elevated with two perforators. (ewha.ac.kr)
Clinical1
- To help health professionals and patients make informed decisions about what to do in these cases, researchers from the Cardiothoracic Surgical Trials Network (CTSN), which is supported by NHLBI, launched a multi-year randomized clinical trial in 2016 with patients being treated for worsening mitral valve regurgitation with mild to moderate tricuspid regurgitation. (nih.gov)
Tissue5
- The authors advanced both flaps parallel and perpendicular to the relaxed skin tension lines to quantify the impact of tissue anisotropy on stress distribution profiles. (nih.gov)
- A skin flap is healthy skin and tissue that is partly detached and moved to cover a nearby wound. (medlineplus.gov)
- 30. [Application of flap in repair of heel skin and soft tissue defect]. (nih.gov)
- The SIEA flap uses tissue from a woman's own body to make a new breast. (peacehealth.org)
- The tissue, or flap, is attached to the chest along with the new artery. (peacehealth.org)
Microsurgery1
- b]Per CPT book[/b] "The surgical microscopy is employed when the surgical services are performed using the techniques of microsurgery. (aapc.com)
Advantages1
- Since then, propeller flaps have become increasingly popular, as they have several advantages. (heraldopenaccess.us)
Free3
- This is called a free flap. (medlineplus.gov)
- For this case, a free-handed surgical approach was used instead of utilizing surgical templates (guides). (archangelimplants.com)
- This method is called a Free Flap. (aapc.com)
Surgically1
- Sometimes a flap is moved to a new site and the blood vessel is surgically reconnected. (medlineplus.gov)
Postoperative1
- In Mutaf technique due to double flap there is less flap tension reduced postoperative pain and early return to work. (who.int)
Closure1
- By Terri Brame MBA CHC CPC CPCH CGSC CPCI Surgical wound closure can be confusing and vague but you can sew up your wound closure knowledge by returning to the basics. (aapc.com)
Placement1
- Carticel should be used only in conjunction with debridement, placement of a periosteal flap and rehabilitation. (nih.gov)
Technique3
- For these reasons there is little consensus concerning the optimal technique for surgical management. (nih.gov)
- The propeller flap is a simple and low cost technique. (heraldopenaccess.us)
- Page 42 Conclusion: MUTAF technique can be a good alternative for the treatment of chronic pilonidal sinus because of excellent surgical outcome. (who.int)
Incision2
Mandibular1
- The treatment included nonextraction, nonsurgical orthodontic camouflage by en masse distalization of the mandibular teeth using skeletal anchorage devices. (hindawi.com)
Treatment3
- Axial fasciocutaneous flaps are very versatile, but usually require treatment of the donor area. (heraldopenaccess.us)
- Nevertheless, it becomes more challenging when a patient refuses any surgical intervention or extraction treatment options. (hindawi.com)
- This case report presents an orthodontic camouflage treatment of an adult patient with a pronounced skeletal Class III malocclusion who did not accept surgical or extraction treatment options. (hindawi.com)
Partial1
- Mitral valve stenosis -- A narrowing of the mitral valve opening caused by partial fusing of the valve flaps. (nih.gov)
Repair1
- 11. Three rhombic flaps for repair of an upper lip wound. (nih.gov)
Patients4
- Since Asian breast cancer patients generally have small to moderately-sized breasts, the LD flap provides a natural feel and appearance postoperatively. (spandidos-publications.com)
- Prescribing intravenous or intraosseous BP to cile en rapport avec la gravité de cette pathologie et la patients has become more and more frequent these complexité de ses lésions. (who.int)
- A full discussion of all potential treatments (medical and surgical) for male pattern baldness is indicated for our patients. (aafp.org)
- ABSTRACT At a hospital in Damman, Saudi Arabia, it was noticed that many patients had developed dry socket after surgical removal of wisdom teeth. (who.int)