Clinical experience with surgical debridement and simultaneous meshed skin grafts in treating biofilm-associated infection: an exploratory retrospective pilot study.
Authors: Namgoong S, Jung SY, Han SK, Kim AR, Dhong ES Abstract Current treatment guidelines for biofilm-associated infections (BAI) recommend repeated sharp/surgical debridement followed by treatment with antimicrobial agents until the wound becomes self-sustaining in terms of a positive wound-healing trajectory. However, complete removal of a biofilm is unlikely, and biofilms reform rapidly. We have treated BAI in patients with chronic diabetic ulcers using a meshed skin graft combined with negative pressure wound therapy (NPWT) immediately after surgical debridement, rather than waiting until the development of ...
Source: Journal of Plastic Surgery and Hand Surgery - October 3, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Cleft lip repair: are outcomes between unilateral and bilateral clefts comparable?
This study sought to compare patient demographics, operative course, and peri-operative outcomes between unilateral and bilateral cleft patients. Primary cleft lip repairs were isolated from the National Surgical Quality Improvement Program Pediatric Database (NSQIP-P). Unilateral and bilateral cases of primary cleft lip were identified by ICD codes. Demographics, comorbidities, and post-operative outcomes were compared between cohorts. Patients were propensity matched to control for differences before repeating the analysis. About 4550 cleft lip repairs were evaluated over the 5-year period. Of the cases where the cleft t...
Source: Journal of Plastic Surgery and Hand Surgery - September 17, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Surgical management of hand deformities in patients with recessive dystrophic epidermolysis bullosa.
In conclusion, our results show that surgical correction followed by skin dressing changes is an effective approach to improving mitten-hand malformations in RDEB patients. PMID: 31502914 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - September 12, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Venous thromboembolism in plastic surgery: the current state of evidence in risk assessment and chemoprophylactic options.
Authors: Fan KL, Black CK, Abbate O, Lu K, Camden RC, Evans KK Abstract The application of venous thromboembolism (VTE) prophylaxis has been the topic of intense debate in plastic surgery. The overall incidence of VTE is low in plastic surgery patients as compared to other surgical subspecialties but may be higher in the inpatient rather than outpatient plastic surgery populations. The Caprini Risk Assessment Model is the most highly studied and validated tool to assess VTE risk in plastic surgery patients. However, the Caprini model lacks procedure-specific risk assessment and patient-specific risk factor calculat...
Source: Journal of Plastic Surgery and Hand Surgery - September 5, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Effectiveness of the combination of fat grafting and injection on radiation ulcer healing.
In conclusion, the combination treatment of fat grafted onto ulcer surfaces and injected around ulcers was effective in accelerating the epithelization of radiation-induced ulcers. PMID: 31460817 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - August 30, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

An effective technique for managing vascular diameter discrepancies in microsurgery: tapering with a hemoclip.
Authors: Bali ZU, Evrenos MK, Karatan B, Kececi Y, Yoleri L Abstract Microvascular anastomosis is mandatory for free flap surgery, but free flap transfer can be challenging because of vascular diameter discrepancies during microsurgery. Different methods have been described for preventing vascular discrepancies. The aim of this study was to test a simple technique using a hemostatic clip to taper the vessels. In 12 patients who had free tissue transfer with diameter discrepancies between donor and recipient vessels, tapering with a hemostatic clip technique was used. After key sutures were placed on the vessels, a ...
Source: Journal of Plastic Surgery and Hand Surgery - August 28, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Conservative treatment for pyogenic flexor tenosynovitis: a single institution experience.
Authors: Frenkel Rutenberg T, Velkes S, Sidon E, Paz L, Peylan J, Shemesh S, Iordache SD Abstract Pyogenic flexor tenosynovitis (PFT) of the hand is a common infection which is clinically diagnosed using Kanavel's signs. Delay in diagnosis and treatment may lead to devastating outcomes, including reduced range of motion (ROM), deformities, tendon impairment or even amputation. While the gold standard for treatment is irrigation and debridement of the flexor sheath, little is known about the outcomes of conservative treatment with intravenous (IV) antibiotics. Patients treated conservatively for PFT between 2000 and...
Source: Journal of Plastic Surgery and Hand Surgery - August 28, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Surgical, speech, and hearing outcomes at five years of age in internationally adopted children and Swedish-born children with cleft lip and/or palate.
In conclusion, IAC with CL/P represent a challenge for CL/P teams because of the heterogeneous nature of the patient group and difficulties associated with delayed treatment, and the results show the importance of close follow-up over time. PMID: 31393744 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - August 10, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Angular artery island flap for eyelid defect reconstruction.
In this report, the authors aimed to present the clinical results of angular artery-based island flap for the repair of the full thickness eyelid defects. This presented series consists of eight patients with full-thickness eyelid defects. Oncologic resection was the reason for all of them. Five of the patients had lower eyelid defects and the other three had upper eyelid defects. Nasojugal angular artery-based axial flap was used in reconstruction in all patients. The inferior limit of the flap was the alar rim level in order to make the flap totally axial. A tunnel was created under the orbicularis oculi muscle in cases ...
Source: Journal of Plastic Surgery and Hand Surgery - August 7, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Comparison of wound strength, histologic, and aesthetic outcomes after microsurgical versus conventional skin closure in a rat model.
Authors: Hinchcliff KM, Orlowski T, Orbay H, Hogan F, Grayson K, Sahar DE Abstract The purpose of this study was to compare the healing, strength, and cosmetic outcome of linear incisions after repair with the naked eye, surgical loupes, or a surgical microscope. Two parallel incisions were made on the dorsal skin of Sprague-Dawley rats (n = 36) and the rats randomized into four groups. A single surgeon repaired the incisions using 5-0 poliglecaprone in a running subcuticular pattern using the naked eye (Group I), surgical loupes with 2.5× magnification (Group II), surgical microscope with 5-10&...
Source: Journal of Plastic Surgery and Hand Surgery - August 4, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Cat bite: an injury not to underestimate.
Authors: Kheiran A, Palial V, Rollett R, Wildin CJ, Chatterji U, Singh HP Abstract Domestic cat bites are common and are often treated by simple wound care with good outcome. However, delayed presentation may lead to significant morbidity or even mortality. Twenty cases of cat bites to the hand and wrist were retrospectively reviewed between 2014 and 2018. Data included patient demographics, anatomical site of injury, microbiology results, method of treatment and surgical outcome. The subjects were 18 females and two males aged 27-86 years (mean age of 58 years). Eleven patients (Group A) were present...
Source: Journal of Plastic Surgery and Hand Surgery - July 11, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

The use of autologous platelet-rich plasma gel increases wound healing and reduces scar development in split-thickness skin graft donor sites.
This study evaluates whether the use of platelet-rich plasma (PRP) applied at the STSG area promotes wound healing and improves scar development. Clinical data of 30 patients who underwent STSG operations between January 2016 and January 2017 for various reasons were retrospectively analyzed. These 30 patients received two treatments and the data were summed up in two groups: the PRP group, which was the study group, included patients who received traditional petrolatum gauze dressing with PRP gel at the donor sites. The petrolatum gauze group, which was the control group, received only petrolatum gauze care without PRP ge...
Source: Journal of Plastic Surgery and Hand Surgery - July 5, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Trapeziectomy with LRTI or joint replacement for CMC1 arthritis, a randomised controlled trial.
Authors: Thorkildsen RD, Røkkum M Abstract We compared an uncemented joint replacement (Elektra) with trapeziectomy (with ligament reconstruction and tendon interposition, LRTI) for the treatment of primary osteoarthritis in the first carpometacarpal joint (CMC1) in a randomised controlled trial. Forty patients were included (20 in each group) and followed for 2 years. The median age in the groups was 64 and 61, respectively, with 14 females in each. At final follow-up, there was no difference in the primary outcome measure (the quick disabilities of the arm, shoulder and hand score, QDASH), but the joint re...
Source: Journal of Plastic Surgery and Hand Surgery - July 5, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Effects of adipose derived stromal vascular fraction on diabetic neuropathy: an experimental study.
Authors: Karatan B, Akşam E, Erden E, Demirseren ME Abstract The stromal vascular fraction (SVF) obtained from inguinal adipose tissue was injected into the sciatic nerve region in diabetic rats. The effects of the SVF on the sciatic nerve and functional, electrophysiological and histopathological changes were examined in this study. Rats were divided into five groups; a non-diabetic control group, and four diabetic groups. In the first diabetic rat group, the SVF was obtained from inguinal adipose tissue. The remaining diabetic groups included a sham control group, a phosphate-buffered saline (PBS) injection grou...
Source: Journal of Plastic Surgery and Hand Surgery - June 28, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Effects of omentin on flap viability: an experimental research on rats.
Conclusions: Omentin human increases the viable areas of flaps and may be used for enhancement of flap survival. PMID: 31244355 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - June 28, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Risk factors associated with the development of sepsis after reconstructive flap surgery.
Authors: Sparenberg S, Blankensteijn LL, Ibrahim AM, Peymani A, Lin SJ Abstract Sepsis is a serious and potentially life-threatening condition. Risk factors that are associated with the development of sepsis may differ as it relates to reconstructive flap surgery. The purpose of this study is to identify the incidence and predictors for sepsis in patients undergoing reconstructive flap surgery. The ACS-NSQIP database was queried from 2005 to 2016 for factors related to sepsis in patients undergoing reconstructive flap surgery. CPT codes were used to identify patient cohorts. A sepsis group was compared to a control...
Source: Journal of Plastic Surgery and Hand Surgery - June 18, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Bite force and electromyographic activity of the masseter muscle in children with hemifacial microsomia.
The objective of this work evaluate bite force and electrical activity of masseter muscle in children with HFM, and compare them to healthy controls. A cross-sectional study was performed to compare bite force and electrical activity of masseter muscle between subjects with HFM and healthy children. Mean bite force (MBF) and surface electromyography (EMG) on maximum intercuspation (MIC) and rest position (RP) from both sides of the face were recorded. Comparative statistics between HFM patients and controls were performed using the Mann-Whitney test, Wilcoxon's signed rank test was used to compare the microsomic and health...
Source: Journal of Plastic Surgery and Hand Surgery - June 14, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

In search of a single standardised system for reporting complications in craniofacial surgery: a comparison of three different classifications.
This study analysed all adverse events in a cohort of craniofacial (CF) operations over a 10-year period and applied three different scales (Clavien-Dindo, Leeds and Oxford) for systematic comparison. A total of 1023 consecutive CF procedures in 641 patients was identified. The Clavien-Dindo scale captured 74 complications in 74 procedures (7.2%), whereas the Leeds and Oxford scales captured 163 complications in 134 procedures (13.1%) and 85 complications in 83 procedures (8.1%), respectively. The Clavien-Dindo scale appeared less suitable for CF surgery, because it is predominantly adapted to severe complications and also...
Source: Journal of Plastic Surgery and Hand Surgery - June 14, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Surgical repair for transverse facial cleft: two flaps with a superiorly rotated single Z-plasty lateral to the commissure.
This study aimed to investigate an optimal method for repairing transverse facial clefts. Twenty-seven patients from 2008 to 2017 were evaluated. Their mean age at repair was 6.7 months with a follow-up period of 6 months to 10 years. A method using an inferior lip-based triangular mucosa flap and a superior lip-based rectangular vermilion-mucosa flap was designed for transposition. The orbicularis oris was reconstructed by using everting mattress suture. The skin was sutured using linear cutaneous closure with a single superiorly rotated Z-plasty lateral to the commissure. A postoperative symmetrical commis...
Source: Journal of Plastic Surgery and Hand Surgery - May 23, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Speech in 5-year-olds born with unilateral cleft lip and palate: a Prospective Swedish Intercenter Study.
Authors: Klintö K, Brunnegård K, Havstam C, Appelqvist M, Hagberg E, Taleman AS, Lohmander A Abstract Studies on the impact of cleft palate surgery on speech with stringent methodology are called for, since we still do not know the best timing or the best method for surgery. The purpose was to report on speech outcome for all Swedish-speaking 5-year-olds born with a non-syndromic unilateral cleft lip and palate (UCLP), in 2008-2010, treated at Sweden's six cleft palate centres, and to compare speech outcomes between centres. Speech was assessed in 57 children with percent consonants correct adjusted for ...
Source: Journal of Plastic Surgery and Hand Surgery - May 22, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

The effect of platelet-rich plasma in inactive form on the burn zone of stasis in rats.
This study has shown that PRP has a protective effect on BSZT. PMID: 31082278 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - May 16, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Usefulness of the LigaSure ™ small jaw sealing device for breast reconstruction with a latissimus dorsi flap.
CONCLUSION: The LigaSure device for latissimus dorsi flap breast reconstruction can reduce seromas, operative time, and hospital stay. It is a reliable and useful surgical sealing device that does not cause injury to the surrounding tissues. PMID: 31062994 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - May 9, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Unfavorable outcomes in microsurgery: possibilities for improvement.
Authors: Cariati P, Cabello Serrano A, Monsalve Iglesias F, Roman Ramos M, Fernandez Solis J, Martinez Lara I Abstract The main aim of the present report is to describe our learning curve in microsurgery and how we solved the problems that frequently occur during the first phases of this learning curve. We analyzed the medical records of 69 patients that underwent head and neck reconstruction with free flaps in our department. The patients were divided into two groups. Group 1 included the patients reconstructed between January 2011 and June 2017, whilst Group 2 included those reconstructed between July 2017 and Au...
Source: Journal of Plastic Surgery and Hand Surgery - May 9, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Periostin is induced by IL-4/IL-13 in dermal fibroblasts and promotes RhoA/ROCK pathway-mediated TGF- β1 secretion in abnormal scar formation.
In this study, we investigated the mechanism by which periostin is involved in abnormal scar formation. Treatment of human dermal fibroblasts (HDFs) with IL-4 and IL-13, which are cytokines of Th2 type immune responses that are up-regulated in abnormal scars, dramatically elevated the levels of periostin mRNA and protein, and also promoted the secretion of periostin by HDFs. Transforming growth factor-β1 (TGF-β1) had the same effect on HDFs as IL-4 and IL-13. Stimulation of HDFs with periostin promoted RhoA/ROCK pathway-mediated TGF-β1 secretion from HDFs. Our results suggest that IL-4 and IL-13 induce perio...
Source: Journal of Plastic Surgery and Hand Surgery - May 9, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Intraoperative computed tomography with an integrated navigation system versus freehand technique under fluoroscopy in the treatment of intra-articular distal radius fractures.
Authors: Kaneshiro Y, Hidaka N, Yano K, Kawabata A, Fukuda M, Sasaoka R, Sakanaka H, Takamatsu K Abstract Volar locking plate (VLP) fixation for distal radius fractures (DRF) is a technically demanding procedure, where accurate placement of the distal screws for subchondral articular support is essential. The purpose of this retrospective, case-control study was to compare a computed tomography (CT) navigation system for VLP fixation of intra-articular DRF with conventional freehand fluoroscopy guided surgery. Twelve consecutive patients with DRF, AO type C3.1, underwent VLP fixation using intraoperative CT navigat...
Source: Journal of Plastic Surgery and Hand Surgery - May 1, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Customized reconstruction of complex three-dimensional defects in the extremities with individual design of vastus lateralis muscle-chimeric multi-lobed anterolateral thigh perforator flap.
Authors: Qing L, Wu P, Zhou Z, Yu F, Tang J Abstract The anterolateral thigh perforator (ALTP) chimeric flap is one of the most popular procedures for the reconstruction of three-dimensional defects in the extremities. However, the problems of donor-site morbidity and inability to repair very large defects in a one-stage procedure remain. The purpose of this study was to present a novel design of ALTP chimeric flap and its various designs for customized reconstruction of complex three-dimensional defects in the extremities. From January 2009 to June 2017, we retrospectively analyzed 25 patients with complex three-d...
Source: Journal of Plastic Surgery and Hand Surgery - May 1, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Divulge the bulge: an international survey of abdominal donor site morbidity in free autologous breast reconstruction.
Authors: Christie B, Shulzhenko NO, Poore SO, Afifi AM Abstract The frequency of donor-site complications following abdominal free-flap breast reconstruction remains controversial. Consensus on strategies to minimize morbidity is underdeveloped. An online survey was distributed to surgeons practicing free-flap breast reconstruction worldwide. Contact information was obtained via (1) official website listings/directories of US Plastic Surgery residencies/fellowships and (2) first/last authors of PubMed-indexed publications relating to free autologous breast reconstruction over the past decade. Questions related to p...
Source: Journal of Plastic Surgery and Hand Surgery - April 25, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

The beneficial effects of subcutaneous Allium cepa injection on random flap survival in rats.
Authors: Altınel D, Serin M, Erdem H, Biltekin B, Celikten M, Kurt Yazar S, Toplu G, Oruc E Abstract Random flaps are frequently used in the practice of reconstructive surgery. The aim of this experimental study was to investigate the effects of Allium cepa on random flap survival in rats. Fourteen Wistar rats were used for this experimental study. The subjects were divided into experiment and control groups. Rats in the experiment group received daily injections of A. cepa extract for 7 d before the elevation of the flaps. Following the treatment period, elevation and reinsertion of the dorsal flaps were p...
Source: Journal of Plastic Surgery and Hand Surgery - April 25, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

The Danish Scale for visual rating of massive weight loss body contours. Conceptualization and construct.
Authors: Berg JO, Rosenkrantz Hölmich L, Printzlau A Abstract The 'Danish Scale' (DS) is a visual rating scale of massive weight loss body contour deformities and excessive skin in female MWL-patients with current BMI 15 kg/m2, regardless of weight loss method. The scope of the scale is to simplify the reporting of objective findings by a three-step grading of minor, moderate and severe body contour changes in six different body regions: breasts, abdomen, upper back, buttocks, arms and legs. The DS is presented with descriptions of the conceptualization and construct of the scale. It provides a new visu...
Source: Journal of Plastic Surgery and Hand Surgery - April 14, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Comparison of incisional delay patterns on a rat random flap model.
In this study, we have compared the efficiency of different patterns of skin incision to improve flap survival. Twenty-eight animals were used in four groups. Incisional delay was performed prior to flap elevation in the three experiment groups. Complete incision of the three flap edges was performed in the all experiment groups with the exception of an intact skin section on the middle 1/3rd of the bilateral edges in group 1 (bilateral skin edge preserved delay: BSEPD), of a unilateral edge in group 2 (unilateral skin edge preserved delay: USEPD) and of the superior edge in group 3 (superior skin edge preserved delay: SSE...
Source: Journal of Plastic Surgery and Hand Surgery - April 2, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

A novel method for flap delay vacuum assisted flap delay: an experimental study in rabbits.
Authors: Aydin OE, Algan S, Tan O, Demirci E, Keles ON, Kantarci A Abstract Flaps are the workhorse of plastic surgery practice. The delay procedures have been defined to prevent flap necrosis. The golden standard method of delay is a surgical delay. On the other hand, a major drawback of surgical delay is two sessions of surgery. Efforts have been made to omit one session and increase the patient safety and decrease the costs. The writer's aim was to evaluate the effects of topical negative pressure, applied prior to flap elevation, on flap survival, perfusion and compare the results with the surgical delay. In a ...
Source: Journal of Plastic Surgery and Hand Surgery - April 2, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Hepatic artery reconstruction in living donor liver transplantation: strategy of the extension of graft or recipient artery.
Authors: Okochi M, Okochi H, Sakaba T, Ueda K Abstract In living donor liver transplantation (LDLT) patients, the reconstruction of insufficiently long hepatic artery (HA) is difficult. However, no report has described the relationship between the length of HA and its reconstructive procedure. Herein, we aimed to identify the risk factors for the requirement of additional reconstructive procedures of direct anastomosis. Sixty-eight HA reconstructions in LDLT were conducted (37, men; 31, women). The causes of LDLT were hepatitis (n = 36), biliary atresia (n = 13), and primary biliary cirr...
Source: Journal of Plastic Surgery and Hand Surgery - April 2, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Bone-cartilage proportion in deformed ribs of male pectus excavatum patients.
This study verifies the hypothesis that bone/cartilage proportion in deformed ribs of male pectus excavatum patients varies according to their ages. Anatomical evaluation of the thoraces was performed for 79 male pectus excavatum patients, referring to their three-dimensional computer-tomographic images. The patients were divided into Child Group (5-9 years old: n = 35); Adolescent Group (12-15 years old: n = 15) and Adult Group (18+ years old: n = 29). For each patient, the most concave point of the sternum was identified and the pair of ribs closest to the point were defined as K...
Source: Journal of Plastic Surgery and Hand Surgery - March 22, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

BellaGel breast implant: 4-year results of a prospective cohort study.
This study is an ongoing 10-year study with 103 subjects undergoing augmentation or primary reconstruction with BellaGel implants. To assess effectiveness, rupture and capsular contracture rates were measured and Kaplan-Meier analysis was performed. Paired t-test was used to determine significant changes in breast dimensions. Safety assessment included evaluation of all adverse reactions. Average follow-up period was 5.9 years. Implant rupture and capsular contracture rate through 4 years were 0 percent and 2.3 percent, respectively. Capsular contracture rate was lower in the augmentation group (0.8%) than in...
Source: Journal of Plastic Surgery and Hand Surgery - March 20, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Transferring the protective effect of remote ischemic preconditioning on skin flap among rats by blood serum.
This study showed that RIPC forms a protective effect on the flaps and that this effect could be transferred among individuals with blood serum. PMID: 30888241 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - March 20, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Scaphoid fracture geometrics: an assessment of location and orientation.
Authors: Garala K, Dias J Abstract The location and angle of scaphoid fractures are important attributes which guide management. We used a 3 dimensional scaphoid model, generated from CT scans, to map scaphoid fracture planes. The point at which the fracture plane crossed the central axis of the scaphoid was noted. The angle of the fracture planes with regard to the central axis was also noted. This allowed calculation of the location of the fracture and the angle of the 379 fractures. The mean point of intersection for fractures with the scaphoid axis was 50% along the scaphoid. Sixty percent of all fractures were...
Source: Journal of Plastic Surgery and Hand Surgery - March 20, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Staged immediate nipple reconstruction with tube flap in secondary autologous breast reconstruction.
In this study, by virtue of tube flap technique, we hypothesize that an amount of mastectomy skin could be transferred to the apex of reconstructed breast mound for nipple reconstruction. A total of 30 female postmastectomy patients were recruited between June 2012 and August 2015. A bipedicle DIEP flap was harvested and folded upward to reconstruct the breast. An inferiorly based mastectomy flap was raised and rolled into a tube. The free end of the flap was sutured to the reconstructed breast mound to allow revascularization. After serial stages, a sufficient tissue bulk from the mastectomy flap was transferred to the ap...
Source: Journal of Plastic Surgery and Hand Surgery - March 16, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Axillary sentinel node biopsy in prone position for melanomas on the upper back or nape.
In conclusion, axillary SLNB in prone position yields a higher number of excised SLNs in patients with melanomas of the upper back or nape. Axillary SLNB in prone position is easy to perform and reliable. Intraoperative repositioning of the patient is not necessary, which saves time and resources. PMID: 30848977 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - March 10, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Comparison of aesthetic outcome with round and three-armed star flap umbilicoplasty.
Authors: Kurt Yazar S, Serin M, Diyarbakırlıoğlu M, Şirvan SS, Irmak F, Yazar M Abstract BACKGROUND: The umbilicus is an indicative aesthetic component of the abdomen. Many umbilicoplasty techniques have been defined and the most commonly used method is the round incision technique. In this paper, we present a new umbilicoplasty technique involving the use of a three-armed star flap and compare it with the round technique. METHODS: Forty-eight female patients who underwent umbilicoplasty during abdominoplasty and free deep inferior epigastric perforator flap (DIEP) procedures between February 2011 and Decem...
Source: Journal of Plastic Surgery and Hand Surgery - March 5, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Spatial and temporal changes of midface in Apert's syndrome.
Authors: Lu X, Forte AJ, Sawh-Martinez R, Wu R, Cabrejo R, Wilson A, Steinbacher DM, Alperovich M, Alonso N, Persing JA Abstract The dysplastic maxilla and retracted zygoma characterize Apert's syndrome. The relationship between the cranial base and facial development is believed to be influential and substantial. The purpose of this study is to explore the temporal relationships of maldevelopment of these structures to identify potential influence patterns. Fifty-four CT scans (unoperated Apert's, n = 18; control, n = 36) were included and divided into three age subgroups (0-6 months, 6 months-2 years, and 2-6 yea...
Source: Journal of Plastic Surgery and Hand Surgery - February 21, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Objective evaluation of fat tissue induration after breast reconstruction using a deep inferior epigastric perforator (DIEP) flap.
In this study, we measured the stiffness of transplanted DIEP flaps using SWE to examine the effects of measurement sites, flap size and perforator patterns on stiffness. The subjects were 26 patients who showed induration of a transplanted flap on palpation in follow-up observation performed more than 6 months after breast reconstruction with a DIEP flap. The effects of the weight of the transplanted flap, and the diameter, number and location of the perforators on the stiffness of fat tissue were also analyzed. Within each zone, distal regions showed higher values, but in Zone II, significantly higher stiffness wa...
Source: Journal of Plastic Surgery and Hand Surgery - February 10, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Effect of fentanyl nasal packing treatment on patients with acute postoperative pain after closed reduction of nasal bone fracture: a randomized double-blind controlled trial.
This study aimed to evaluate the effect of fentanyl-soaked packing as a method of controlling pain after nasal surgeries in a prospective, randomized, double-blind controlled trial. METHODS: Sixty-five patients that have undergone closed nasal bone fracture reduction surgery were included in this study. Thirty-two patients were treated postoperatively with 50 mcg fentanyl-soaked Merocel®, a biodegradable synthetic polyurethane foams packing, and the other 33 patients were treated with saline-soaked packings. To analyze the relative nasal pain control effect of fentanyl, Numeric Rating Scale, patient satisfac...
Source: Journal of Plastic Surgery and Hand Surgery - February 10, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Introduction of spring-assisted cranioplasty for scaphocephaly in Russia: first cases evaluated using detailed craniometry and principal component analysis.
This study provides a detailed analysis of the results of the first 14 SAC cases in Russia. The patients underwent a computed tomography scan before surgery and prior to spring removal 3 months later. Fourteen cases (10 males and 4 females) were operated on, with a mean surgery time of 56 ± 14 min. All operations were uneventful, with a mean hospital stay of 4.2 days. Detailed craniometry of the 10 male patients and their matched controls revealed that SAC induced changes in the shape of the entire skull. The cranial index of the male patients increased from 68.2 to 72.3, whereas i...
Source: Journal of Plastic Surgery and Hand Surgery - February 6, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Comparison of contraction rates of epigastric and extended dorsal island skin flaps in rats.
In conclusion, the rat extended dorsal island skin flap is a more reliable model for experimental flap research, which is resistant to contraction, when compared to the epigastric skin flap model. PMID: 30714454 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - February 6, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Effects of aspiration time on immediate viability of adipocyte cell in ultrasound-assisted liposuction (UAL) and in traditional suction-assisted lipectomy (SAL).
Authors: Ince B, Oltulu P, Yildirim MEC, Ismayilzade M, Dadaci M Abstract We aimed to determine the effect of aspiration periods following liposuction procedure on vascular structures, fibrocollagenous tissues and viability of adipose cells at different minutes, respectively in UAL and SAL. Abdominoplasty materials were divided into two equal parts from middle following excusion during the operations. Traditional SAL was performed to the right part of the abdominoplasty materials therewithal. Each side of the material was then divided into five parts enumarated from one to five and aspiration procedure time for eac...
Source: Journal of Plastic Surgery and Hand Surgery - February 3, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Comparison of wound closure techniques in median sternotomy scars in children: subcuticular suture versus Steri-Strip ™ S.
CONCLUSIONS: There are, according to our results, no significant differences in wound healing of median sternotomy incisions in children closed with either a subcuticular suture or Steri-Strip™ S. Significant differences do exist regarding scar formation and final cosmetic results of the scars, in favor of subcuticular closure. PMID: 30688134 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - January 30, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Ischemia postconditioning protects dermal microvascular endothelial cells of rabbit epigastric skin flaps against apoptosis via adenosine A2a receptors.
Authors: Cao J, Lin H, Li W, Dong Z, Shi Y, Zhang X, Xiao R Abstract BACKGROUND: It has been shown that endogenous adenosine-induced by ischemia postconditioning attenuates apoptosis in recent studies; however, they focus only on parenchymal cells. The detailed mechanism has not been clearly clarified in any research and the subtype of adenosine receptors involved remains unknown. In our study, dermal microvascular endothelial cells (DMECs) are used to explore the role of adenosine A2a receptor in the anti-apoptotic effects of ischemic postconditioning. MATERIAL AND METHODS: The epigastric skin flaps of rabbits...
Source: Journal of Plastic Surgery and Hand Surgery - January 30, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

The effect of chemical hemodynamic regulation on the survival of arterialized venous flaps.
Authors: Zhao B, Poonit K, Zhou X, Yao C, Sun C, Yan H Abstract The role of nitric oxide (NO) on the microcirculation of arterialized venous flaps (AVFs) remains controversial. We aimed to investigate the effect of hemodynamic regulation using nitric oxide synthase (NOS) inhibitor and its agonist as a chemical intervention on the survival of AVF. A 10 × 8 cm arterialized venous flap was designed symmetrically on the rabbit abdomen. Thirty-six rabbits were used and randomly divided into three groups: control group, L-arg group and L-NAME group, respectively. The L-arg group and the L-NAME ...
Source: Journal of Plastic Surgery and Hand Surgery - January 30, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Bedside monitoring of free flaps using ICG-fluorescence angiography significantly improves detection of postoperative perfusion impairment#.
Authors: Adelsberger R, Fakin R, Mirtschink S, Forster N, Giovanoli P, Lindenblatt N Abstract After microvascular tissue transfer, free flaps require meticulous postoperative surveillance. The purpose of this study was to evaluate the effect and applicability of indocyanine green fluorescence angiography (ICG-FA) in bedside monitoring of free flaps postoperatively, especially considering its role in correctly identifying vascular thromboses. Between February 2012 and October 2015, 210 free flaps used for defect reconstruction were analyzed. The flaps were monitored bedside for flap perfusion compromise by clinical ...
Source: Journal of Plastic Surgery and Hand Surgery - January 25, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Is split-thickness skin graft safe for coverage of the vascular pedicle in free tissue transfer?
CONCLUSION: During free flap surgery in the upper or lower extremities, inadequate pedicle coverage may occur easily. Applying a split-thickness skin graft in such cases can be safe and one of the simple methods. PMID: 30676836 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - January 25, 2019 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research