Perforator-based Reverse Radial Teno-Adipo-Fascial Flap: Surgical Technique and Case-report for the Functional Reconstruction of the Dorsum of the Hand.

CONCLUSIONS: This reconstructive strategy provides a quick and straightforward single-stage option for the reconstruction of complex cutaneotendinous defects of the dorsum of the hand. Such a reconstruction, with a completely vascularized procedure, is particularly indicated in cases of high contamination or infection of the recipient site. PMID: 31698492 [PubMed - in process]
Source: Handchirurgie Mikrochirurgie Plastische Chirurgie - Category: Cosmetic Surgery Tags: Handchir Mikrochir Plast Chir Source Type: research

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Reconstructions of complex scalp after ablative resection or by post-traumatic tissue loss, can present difficulties regarding recipient vessel selection, functional, and aesthetic outcome. The harvesting method for many microvascular free flaps requires a need for changing patients position during surgery and makes a simultaneous interdisciplinary two-team approach complicated, which is a major disadvantage regarding safety and operation time. The ideal flap for scalp reconstruction has yet to be described, although the microvascular latissimus dorsi flap is frequently referred to as the first choice in this context, espe...
Source: Frontiers in Oncology - Category: Cancer & Oncology Source Type: research
Abstract Orbitorrhea is defined as a leak of cerebrospinal fluid from a cranio-orbital fistula. It is usually related to anterior skull base trauma. Orbitorrhea is an exceptional and life-threatening condition which should be promptly managed. We herein report the case of a right post-traumatic orbitorrhea following anterior skull base trauma. Conservative treatment was initially attempted. At 6 weeks, recurrence was noted, and the patient underwent neurosurgical management. A few months later, a secondary upper lid retraction was diagnosed and treated by full-thickness skin graft with favourable outcome. To our k...
Source: European Journal of Ophthalmology - Category: Opthalmology Authors: Tags: Eur J Ophthalmol Source Type: research
We report the preliminary results of soft tissue complex defect treatment and coverage with our new lipogluing technique plus full-thickness skin graft. From September 2015, five patients with complex soft tissue defects on the lower leg underwent the coverage procedure with our new lipogluing technique plus full-thickness skin graft. At the first surgical step after standard debridement, we fix by fibrin glue the graft of fat cells withdrawn using the standard Coleman technique. Lipoglued fat cells enhance the soft tissue cover and better supplement the final skin thickness and pliability. This allows us to achieve the ul...
Source: European Journal of Plastic Surgery - Category: Cosmetic Surgery Source Type: research
A 36- year old male with a past history significant for bipolar disorder, depression, and PTSD presented to UW Pain Clinic for management of ongoing pain related to an electrical burn injury (4.5%) to the left hand and flank sustained in August 2016. He underwent a skin graft for the burn six months later and has experienced difficulties with his pain since. During the consult, the patient described his pain as a burning, tingling sensation over the left flank and hand. He also experiences sharp muscle cramps in that area which are made significantly worse in cold temperatures.
Source: The Journal of Pain - Category: Materials Science Authors: Source Type: research
We present a novel surgical approach for the revision of deliberate self-harm scars. The isotopic skin graft technique employs the harvest of a thin split-skin graft from the affected area, excision and closure of wide dermal scars with replacement of the ...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
ConclusionsThickness of the skin graft is a significant factor affecting recipient wound healing parameters. It is necessary to evaluate healing of the donor wound, as well as distant treatment outcomes, such as scarring, pigmentation, and esthetic results of skin grafting with different thickness grafts.Level of Evidence: Level I, therapeutic study.
Source: European Journal of Plastic Surgery - Category: Cosmetic Surgery Source Type: research
DiscussionPatients with long bone PTOM and extensive soft tissue defects often fail to develop complete remission of their symptoms by 12  months postoperatively. Sequential administration of parenteral and oral antibiotics may help to limit infection recurrence. Further research is required to inform optimal treatment strategy.
Source: European Journal of Orthopaedic Surgery and Traumatology - Category: Orthopaedics Source Type: research
There are many conditions that can be associated with elbow pain. Elbow pain is not usually a serious condition. Tennis Elbow Tennis elbow can also be referred to as lateral epicondylitis. Tennis elbow is an inflammation, soreness or pain on the outside (lateral) area near the elbow (Figure 1). The condition is usually seen in patients who perform manual labor or sports that require twisting and extension of the wrist against resistance. Tennis elbow is often associated with degeneration, irritation, tears and pain of the extensor tendons. Treatment: Treatment of tennis elbow includes ice, wearing an elbow pad, a decrea...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
Conclusion The development of AMD in burn patients is associated with poor clinical outcomes including longer hospitalization, decreased survival, and increased complication rates. Premorbid psychopathology, substance abuse and age were associated with a higher incidence AMD after burn than was the severity of the burn wound itself. Routine screening for psychological symptoms of AMD should be performed in all burn patients to avoid increased rates of short and long-term morbidity and mortality.
Source: Burns - Category: Dermatology Source Type: research
This study is the largest and most comprehensive to date exploring cancer screening adherence in BMT survivors in Australia. These data provide the basis for health service reform to better meet the needs of BMT survivors and provide evidence to support counseling and education of both patients and professionals. We conducted a cross‐sectional survey of 441 Blood and Marrow Transplant (BMT) survivors who were>1 year post transplant, to explore rates of screening for secondary cancers and to identify barriers to adherence with cancer screening recommendations. Rates of cancer screening uptake were as follows: cer...
Source: Cancer Medicine - Category: Cancer & Oncology Authors: Tags: Original Research Source Type: research
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