Reduction mammoplasty and mastopexy in the previously irradiated breast - a systematic review and meta-analysis
This study suggests that reduction mammoplasty or mastopexy in the previously irradiated breast is associated with a significantly increased risk of complications. Careful patient selection and information are paramount in the treatment of this patient group.PMID:33630696 | DOI:10.1080/2000656X.2021.1888745 (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - February 25, 2021 Category: Surgery Authors: Anne Kathrine Lorentzen J ørgen Lock-Andersen Louise Wichmann Matthiessen Tobias Wirenfeldt Klausen Lisbet Rosenkrantz H ölmich Source Type: research

In search for the 'perfect' breast implant: are textured implants still indicated in today's breast augmentation practice?
J Plast Surg Hand Surg. 2021 Feb 20:1-7. doi: 10.1080/2000656X.2021.1883630. Online ahead of print.ABSTRACTThe popularity of breast augmentation procedure has driven research and debate as to whether any given implant characteristic offers a functional advantage. One such debate exists about the role of surface texturing. In the aftermath of the recent withdrawal of aggressively textured surfaces we would like to summarize the first author's experience of nearly 1500 primary aesthetic breast augmentations with different surfaces and offer our thoughts on this topic. All consecutive primary breast augmentations operated by ...
Source: Journal of Plastic Surgery and Hand Surgery - February 22, 2021 Category: Surgery Authors: Paolo Montemurro Mubashir Cheema Per Hed én Source Type: research

St Andrew's COVID-19 Surgery Safety (StACS) study: Skin cancer.
CONCLUSION: These data support continued and safe service provision, and no increased risk to skin cancer patients who require surgical management, which is vital for continuation of cancer treatment in the context of a pandemic. LEVEL OF EVIDENCE: II. PMID: 33606568 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - February 21, 2021 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

The effect of ticagrelor on microarterial thrombosis in an experimental model.
Authors: Okur Mİ, Çetinbaş A, Altun S, Öztan M, Yıldız Altun A, Özercan İ Abstract Thromboses that form in the pedicle after free flap and/or replantation may result in the loss of the flap and/or limb. Ticagrelor is an adenosine diphosphate (ADP) receptor antagonist antithrombotic that can inhibit ADP-dependent platelet activation and aggregation. It is clinically used in acute coronary syndrome and unstable angina. However, its effect on microarterial anastomoses has not been investigated in the literature. An experimental thrombosis model was developed in both femoral arteries of a total of...
Source: Journal of Plastic Surgery and Hand Surgery - February 19, 2021 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Management of skin graft donor site in pediatric patients with tumescent technique and AQUACEL ® Ag foam dressing.
Management of skin graft donor site in pediatric patients with tumescent technique and AQUACEL® Ag foam dressing. J Plast Surg Hand Surg. 2021 Feb 16;:1-6 Authors: Shahzad F Abstract Split thickness skin graft donor sites are challenging to manage in children because of patient fear and anxiety. Therefore, strategies that minimize the frequency of dressing change are beneficial. This paper describes a technique to simplify wound care for split thickness skin graft donor sites. A tumescent solution of saline containing 0.25% bupivacaine with epinephrine is infiltrated into the graft donor site. Skin...
Source: Journal of Plastic Surgery and Hand Surgery - February 18, 2021 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Management of posterior interosseous nerve (PIN) palsies after distal biceps tendon repair using a single incision technique- a conclusive approach to diagnostics and therapy.
Authors: Besmens IS, Guidi M, Schiller A, Jann D, Giovanoli P, Calcagni M Abstract Complete distal ruptures of the biceps brachii tendon are rather rare and surgical reinsertion is the gold standard. Recently, one incision approaches for the refixation of the distal biceps tendon have been popularized with the introduction of a single-incision approach employing a trans-radial cortical button fixation. Since the introduction of this fixation technique we have seen more iatrogenic lesions to the posterior interosseous nerve (PIN) after not having seen any PIN lesions with 2 incision biceps refixation techniques over...
Source: Journal of Plastic Surgery and Hand Surgery - February 16, 2021 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

'Viewer discretion advised when preparing for surgery' - why YouTube cannot teach you how to do an upper blepharoplasty. An evaluation of the educational potential of surgical videos on blepharoplasty on YouTube.
Authors: Besmens IS, Uyulmaz S, Knipper S, Giovanoli P, Lindenblatt N Abstract Over the last years, the layout of surgical training has significantly changed. Surgical residents rely on YouTube videos to prepare for upcoming cases. Eyelid surgery including blepharoplasty ranks among the 5 most often performed cosmetic surgeries. It will be one of those surgeries regularly researched by plastic surgery residents. Therefore, the aim of this study was to evaluate the educational value of the most viewed upper lid blepharoplasty videos on the most popular video broadcasting website, YouTube. A video scoring system cons...
Source: Journal of Plastic Surgery and Hand Surgery - February 16, 2021 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

The use of ipsilateral skin grafts or local flaps for the closure of a free radial forearm flap donor site: a systematic review.
Authors: Shimbo K, Okuhara Y, Yokota K Abstract Skin grafts from distant sites are typically used to close free radial forearm flap (FRFF) donor sites. However, a variety of closure methods have been reported that avoid a second donor site. These are divided into four groups: separately combined full-thickness skin graft (FTSG), FTSG method based on V-Y closure, perforator flap, and non-perforator flap. We aimed to assess the differences in outcomes, including adapted FRFF size and postoperative complications, among the four groups of closure methods used for FRFF defects. Applying the Preferred Reporting Items for...
Source: Journal of Plastic Surgery and Hand Surgery - February 16, 2021 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

There is motion between the scaphoid and the lunate during the dart-throwing motion.
This study analyzes the direct motion between the scaphoid and the lunate during the dart-throwing motion in vivo. We examined nine individuals with standard CT scans of the wrist in radial extension and ulnar flexion. The paired CT scans were analyzed with a volume registration technique. The lunate was registered as fixed and the scaphoid as the mobile element. The motion of the scaphoid relative the lunate between the positions of radial extension and ulnar flexion was measured. There was considerable motion between the scaphoid and the lunate with both a distal to proximal translation and rotation during the dart-...
Source: Journal of Plastic Surgery and Hand Surgery - January 30, 2021 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Surgical techniques for repair of abdominal rectus diastasis: a scoping review.
Authors: Jessen ML, Öberg S, Rosenberg J Abstract Rectus diastasis is characterized by widening and laxity of the linea alba, causing the abdominal content to bulge. Rectus diastasis is treated either conservatively with physiotherapy, or surgically, surgical treatment showing especially convincing results. The primary aim of this study was to describe surgical techniques used to correct abdominal rectus diastasis. Secondary, we wished to assess postoperative complications in relation to the various techniques. A systematic scoping review was conducted and reported according to the PRISMA-ScR statement. PubMed...
Source: Journal of Plastic Surgery and Hand Surgery - January 29, 2021 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

The proximal ulnar perforator flap (PUPF) for hand digital reconstruction: an anatomical study.
Authors: Guiotto M, di Summa PG, Argentino G, Cherubino M Abstract Degloving injuries of the fingers represent a reconstructive challenge. Even if poorly described in literature, the proximal ulnar perforator flap (PUPF), based on perforator of the anterior ulnar recurrent artery or directly on a perforator branch of the ulnar artery, meets the requested criteria for the ideal coverage. We performed a cadaveric study in order to clarify the anatomical basis and vascularization of the PUPF flap. Eight injected upper limb specimens were dissected for this study: perforators were followed down to their origin and clas...
Source: Journal of Plastic Surgery and Hand Surgery - January 27, 2021 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Association between MeCP2 and Smad7 in the pathogenesis and development of pathological scars.
Authors: Li D, Yang E, Zhao J, Zhang H Abstract To explore the relationship between methylated binding protein 2 (MeCP2) and mothers against decapentaplegic homolog 7 (Smad7) in the pathogenesis and development of pathological scars. Immunohistochemistry, Western blot and real-time polymerase chain reaction (RT-PCR) were used to detect the expression of MeCP2 in different types of human scars and hypertrophic scars at different growth times. The methylation status of Smad7 gene promoter in different scar tissues was determined by methylation-specific PCR. After transfection with MeCP2-siRNA (small interfering RNA) ...
Source: Journal of Plastic Surgery and Hand Surgery - January 23, 2021 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Geometry and design of a rhomboid flap.
Authors: Ho W, Jones CD Abstract The rhomboid flap is a versatile random-pattern transposition flap with many clinical applications and has been adapted in many variations. The rhombic area of excision is associated with an area of "waste", while adapting Quaba's "square peg into a round hole" design is associated with the "pin-cushioning" effect. Using trigonometric calculations, we outline the association between different rhombic areas of excision and "waste", and a method to design a classical Limberg rhomboid flap. PMID: 33480812 [PubMed - as supplied by publisher] (...
Source: Journal of Plastic Surgery and Hand Surgery - January 23, 2021 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Correction of malrotation in two-stage breast reconstruction: outcomes and risk-factor analysis.
Authors: Lee J, Lee HC, Park SH, Jung SP, Yoon ES Abstract Although an anatomical implant is no longer recommended in practice, frequent use of the implants in the past decade left apprehension to surgeons, and malrotation is one of the concerns. However, a limited amount of literature has focused on malrotation to date, especially in breast reconstruction, and there also exists a lack of consensus regarding the correction of malrotation. Given that implant-based reconstruction has increased in frequency and there remain many potential patients who have used earlier models of anatomical implants, this study sought ...
Source: Journal of Plastic Surgery and Hand Surgery - January 22, 2021 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Long-term outcomes after phalangeal distraction lengthening in patients with constriction band syndrome.
Authors: Iba K, Takashima K, Hanaka M, Teramoto A, Emori M, Saito A, Hayakawa H, Yamashita T Abstract We investigated the long-term post-operative outcomes, more than 10 years after surgery, of distraction lengthening of phalanges in patients with congenital constriction band syndrome. Five shortened digits of two patients with congenital constriction band syndrome underwent distraction lengthening of the proximal phalanges using external fixator for the reconstruction of grasp and pinch at age of 53 and 41 months. The post-operative followed-up was 126 and 124 months. Subjective evaluation of ...
Source: Journal of Plastic Surgery and Hand Surgery - January 22, 2021 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Avoiding the night terrors: the effect of circadian rhythm on post-operative urine output and blood pressure in free flap patients.
Authors: El-Khayat B, Foong D, Baden J, Warner R, Filobbos G Abstract Multiple studies demonstrate the importance of goal-directed fluid regimens in avoiding complications. These regimens do not take account of circadian fluctuations in urine output (UO), MAP (mean arterial pressure) and pulse rate (PR). This is the first study that aims to demonstrate the effect of circadian rhythm on these haemodynamic parameters in post-operative patients with free flaps, as well as analysing clinicians' response to these variations. Retrospective analysis of 116 patients with free flaps. Records were assessed for UO, MAP, IV fl...
Source: Journal of Plastic Surgery and Hand Surgery - January 22, 2021 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Clinical experience of the use of Integra in combination with negative pressure wound therapy: an alternative method for the management of wounds with exposed bone or tendon.
Authors: Zhu B, Cao D, Xie J, Li H, Chen Z, Bao Q Abstract The use of Integra has attracted great interest in the treatment of wounds with exposed bone or tendon, which may lead to associated morbidities. However, the use of Integra alone results in poor wound outcomes. We conducted a randomized clinical study to evaluate the combined effects of Integra and negative pressure wound therapy (NPWT). Thirty-six patients with wounds with exposed bone or tendons were treated with Integra alone and with a combination of Integra and NPWT (n = 18 respectively). Negative pressure (125 mm Hg) was applied ...
Source: Journal of Plastic Surgery and Hand Surgery - January 13, 2021 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Evaluation of transversus abdominis plane (TAP) block in lipoabdominoplasty surgical procedure: a comparative study.
CONCLUSIONS: The ultrasound guided TAP block provides effective analgesia after Lipoabdominoplasty, which allows more convenient early post-operative mobilization and decreases opioid requirement as well as its related side-effects. Hence we suggest that ultrasound guided TAP block should be considered in most lipoabdominoplasty cases for better patient experience. PMID: 33397174 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - January 7, 2021 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Reinforcement of the abdominal wall with acellular dermal matrix or synthetic mesh after breast reconstruction with the pedicled transverse rectus abdominis musculocutaneous flap. A prospective double-blind randomized study.
CONCLUSION: The present study did not demonstrate any statistically significant differences between treatment groups regarding risk of bulging or hernia, abdominal muscle strength, complications, pain or pain related QoL within two years of follow-up. Although the small sample size sets limitations for drawing wide conclusions the hypothesis that reinforcement with ADM is superior to synthetic mesh cannot be confirmed. Further research into methods for decreasing donor-side morbidity related to the TRAM flap or other rectus abdominis muscle-based flaps is needed. PMID: 33356728 [PubMed - as supplied by publisher] (Sour...
Source: Journal of Plastic Surgery and Hand Surgery - December 30, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Multidimensional indicators of scholarly impact in the skin oncology literature: is there a correlation between bibliometric and altmetric profiles?
Conclusion: This work highlights the most influential work in the skin oncology field in the last 75 years. We have identified a differential relationship between commonly used metrics and evidence level in the field of skin oncology. As the digitalisation of research output and consumption increases, both bibliometric and altmetric analyses need to be considered when an article's impact is being assessed. PMID: 33356756 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - December 30, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Outcome of distal lower leg reconstruction with the propeller perforator flap in diabetic patients.
Authors: Kim K, Kim J, Jeong W, Jo T, Park SW, Choi J Abstract In diabetic foot patients, wound coverage options are quite limited due to vascular abnormalities. However, even though significant atherosclerotic changes are found in major vessels of the lower leg in diabetic foot patients, perforating vessels, which are used as the vascular pedicle of propeller perforator flaps, are often spared from atherosclerosis. Therefore, the propeller perforator flap could be an alternative option for diabetic foot patients. The purpose of this study was to compare the outcome of the propeller perforator flap between diabetic...
Source: Journal of Plastic Surgery and Hand Surgery - December 20, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Treatment of unstable scaphoid waist nonunion with cancellous bone grafts and cannulated screw or Kirschner wire fixation.
Authors: Hegazy G, Seddik M, Abd-Elghany T, Abdelaal M, Abdelaziz M, Elzahed E, Saqr Y, Seif E Abstract We compared two methods of fixation for unstable scaphoid waist nonunions regarding rate of scaphoid union, union time, deformity correction, clinical outcomes (pain, range of motion, and grip strength), and QuickDASH scores. Eighty-nine patients who undergo cancellous iliac bone grafting and internal fixation either with a Herbert screw (n = 46) or multiple Kirschner wires (n = 43) were evaluated. The rate of scaphoid union in the K-wire group was 98% (n = 42) versus 89%...
Source: Journal of Plastic Surgery and Hand Surgery - December 18, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Anatomical aspects of the selective infraspinatus muscle neurotization by spinal accessory nerve.
Authors: Kaiser R, Krajcová A, Makel M, Ullas G, Němcová V Abstract The suprascapular nerve (SSN) is commonly reconstructed by spinal accessory nerve (SAN) transfer. However, reinnervation of its branch to the infraspinatus muscle (IB-SSN) is poor. Reconstruction of the SSN in cases of scapular fractures is frequently neglected in clinical practice. The morphological study was performed on 25 adult human cadavers. The course and the length of SSN of minimal diameter of 2 mm within the trapezius muscle, the length of the distal stump of IB-SSN to its branching point and the length of the SSN av...
Source: Journal of Plastic Surgery and Hand Surgery - December 17, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Muscle flaps for sternoclavicular joint septic arthritis.
Authors: Ali B, Petersen TR, Shetty A, Demas C, Schwartz JD Abstract Septic arthritis of the sternoclavicular joint (SC) is rare. The most accepted technique for reconstruction of the defect after SC joint resection is the use of muscle flaps. We hypothesized that resection of ribs with the SC joint impacts timing, type and outcomes of reconstruction. This is a retrospective review of 44 patients who underwent wound closure with muscle flap following resection of the SC joint for septic arthritis over 14 years period from a single institution. Patients were divided into two groups based on the resection of t...
Source: Journal of Plastic Surgery and Hand Surgery - December 17, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Venous thromboembolic events in hand surgery.
Authors: Haque A, Patel MS, Siddiqui B, Wildin CJ, Dias JJ Abstract The risks of venous thromboembolism (VTE) following total hip and knee arthroplasty have been widely published. Our aim was to investigate the recorded incidence of VTE events at the time of elective and trauma hand surgery. The UK National Hospital Episode Statistics (HES) data linking VTE events with hand surgery for the financial years 2010-2012 were analysed. The local VTE rates following hand surgical procedures were also analysed. Finally, a cost assessment of VTE thromboprophylaxis was performed according to the British Society for Surgery o...
Source: Journal of Plastic Surgery and Hand Surgery - December 16, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Immediate fat and nanofat-enriched fat grafting in breast reduction for scar management.
Authors: Kemaloğlu CA, Özyazgan İ, Gönen ZB Abstract BACKGROUND: Reduction mammoplasty can be successful but surgical scars may continue to be a most undesirable and unavoidable outcome. Various medical and non-invasive methods are available to minimize scar formation but as yet no methods have been discovered to eliminate them. We hypothesize that immediate fat and nanofat-enriched fat graft transfer may improve the scar quality and optimize results. MATERIALS AND METHODS: This prospective study comprised 45 superomedial pedicle wise-pattern breast reduction patients divided into three groups of 15...
Source: Journal of Plastic Surgery and Hand Surgery - December 16, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Recent strategic approach in postburn extremity scars and contractures.
This study aims to present the outcomes from current alternative treatment modalities combined with the conventional techniques used in the treatment of burn contractures. Twenty-nine patients were included in the study. Patients were divided into three groups according to the severity of contractures: 1- mild, 2- moderate, and 3- severe. Skin defects that occurred following the incision and scar contracture release were closed with a collagen-elastin acellular dermal matrix (ADM). The split-thickness skin graft was evenly placed on the ADM and fixed with absorbable sutures. The grafts were closed with NPWT (negative press...
Source: Journal of Plastic Surgery and Hand Surgery - December 16, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Reconstruction of giant full-thickness lower eyelid defects using a combination of palmaris longus tendon with superiorly based nasolabial skin flap and palatal mucosal graft.
Authors: Wang W, Meng H, Yu S, Liu T, Shao Y Abstract Reconstruction of a full-thickness lower eyelid defect is challenging. We aim to use palmaris longus tendon to improve clinical outcomes in eyelid reconstruction. We generated a novel "three-layer structure" tissue by combination of palmaris longus tendon with superiorly-based nasolabial skin flap and palatal mucosal graft and applied in eyelid reconstruction surgery in 34 patients with significant full-thickness lower eyelid defects. The satisfaction scores were assessed in each patient to evaluate their cosmetic and functional outcomes in follow-up v...
Source: Journal of Plastic Surgery and Hand Surgery - December 16, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Does pediatric hand transplantation undermine a child's right to an open future?
Authors: MacKenzie J, Selvaggi G, Sassu P Abstract To date, pediatric hand transplantations have only been performed twice. The ethical issue most often discussed in the literature on this surgery concerns the risks of immunosuppression. While these risks are significant, they can be at least partially mitigated by selecting for patients who are already immunocompromised. Nevertheless, as we will argue, pediatric hand transplantation raises ethical issues that go beyond the risks of immunosuppression. In this paper, we focus on three additional ethical issues: the fact that pediatric hand transplantation aims to im...
Source: Journal of Plastic Surgery and Hand Surgery - December 16, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Patient-reported 'treatment injuries' after hand surgery. A review of 1321 claims submitted to the Norwegian system of patient injury compensation 2007-2017.
CONCLUSIONS/INTERPRETATION: This is the first national study of patient-reported injuries after hand surgery treatment in Norway. The proportion of accepted claims is similar to that seen for orthopaedics. Acceptance levels were, however, higher for hand trauma cases than for disorders treated electively. ABBREVIATIONS: NPE: Norwegian system of patient injury compensation; SD: standard deviation; CT: computed tomography; MRI: magnetic resonance imaging; UiT: University of Tromsø - Arctic University of Norway. PMID: 33302759 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - December 13, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

The use of platelet-rich products for skin graft donor site healing: a systematic review and meta-analysis.
Authors: Brewer CF, Smith A, Miranda BH Abstract Split thickness skin grafting is a common reconstructive technique which carries unavoidable donor site morbidity. The aim of this systematic review and meta-analysis is to present the evidence for the use of platelet rich plasma as an adjunct to donor site wound healing. A comprehensive literature search was performed, according to PRISMA guidelines from inception to August 2020, for studies regarding platelet rich plasma and skin graft donor site healing. Animal studies, case series of less than three cases and studies reporting histological outcomes only were excl...
Source: Journal of Plastic Surgery and Hand Surgery - November 17, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Histopathological evaluation of the effect of hyperbaric oxygen therapy on capsule occurrence around silicone breast prosthesis: an experimental study.
CONCLUSION: We believe that HBO therapy can be used as an adjuvant treatment options to decrease capsule contraction occurring after silicone implant application. PMID: 33176522 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - November 14, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Epithelioid sarcoma of the hand: a wolf in sheep's clothing.
Authors: Persitz J, Beit Ner E, Chechik I, Keren T, Avisar E Abstract Epithelioid sarcoma (ES) of the hand is a rare, aggressive cutaneous malignancy with high rates of recurrence, metastases and mortality. With an incidence rate of 0.4 cases/y per one million population, which compromise for approximately 1-1.4% of all soft tissue sarcoma, ES accounts for 10% of soft tissues sarcomas of the hand and foot. Its aggressiveness and propensity to spread and metastases without being noticed, makes it unique and potentially lethal. Missed or delayed diagnosis are often encountered as this tumor can mimic variety of diffe...
Source: Journal of Plastic Surgery and Hand Surgery - November 14, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Late arm and shoulder problems after axillary therapeutic lymph node dissection in patients with melanoma.
CONCLUSION: Our sample shows that ATLND in melanoma patients with the clinically detectable disease can be performed without a major risk of late ASPs and impaired daily life. Increasing tumor size and decreasing age at the surgery are risk factors for developing ASP-related dysfunction. PMID: 33176535 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - November 14, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

The role of ultrasonography in the assessment of ulnar collateral ligament injury of the thumb - a diagnostic test accuracy meta-analysis.
Authors: Raheman FJ, Rojoa DM, Dhingra M, Siddiqui S, Macdonald CR Abstract The accurate diagnosis of ulnar collateral ligament (UCL) injuries of the thumb is important in identifying patients requiring surgery. Stener lesion, the most severe form of such injuries, is debilitating and leads to chronic instability if misdiagnosed. We evaluated the diagnostic accuracy of ultrasonography (USS) in UCL injuries. A systematic review of existing literature was performed with a meta-analysis using a bivariate mixed-effects model to estimate summary sensitivity and specificity. All observational studies were assessed, with ...
Source: Journal of Plastic Surgery and Hand Surgery - November 11, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

A simple computerised technique for estimating resting lip position and symmetry.
In conclusion, computerised CCE angle measurement is highly repeatable and may be a useful tool with which to assess gross resting lip symmetry. PMID: 33124495 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - November 1, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Free neurosensory flap based on the accompanying vessels of lateral sural cutaneous nerve: anatomic study and preliminary clinical applications.
CONCLUSION: A free innervated flap may be elevated safely based on the LSCN and its accompanying vessels. It provides an alternative in reconstruction of soft tissue defects where sensory recovery is important. PMID: 33107362 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - October 28, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Lotus petal flap and vertical rectus abdominis myocutaneous flap in vulvoperineal reconstruction: a systematic review of differences in complications.
Conclusions: Overall, the lotus petal flap has lower complication rates at both the donor and the recipient site compared with the vertical rectus abdominis muscle flap. When both options seem viable, the lotus petal flap procedure may be preferred on the basis of the reported lower complication rates. Abbreviations: APE: abdominoperineal excision; ELAPE: extra levator abdominoperineal excision; LP flap: lotus petal flap; NIH: National Institute of Health; NR: not reported; RCT: randomized controlled trial; VRAM flap: vertical rectus abdominis myocutaneous flap. PMID: 33054472 [PubMed - as supplied by publisher] (Sourc...
Source: Journal of Plastic Surgery and Hand Surgery - October 21, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Vibrotactile perception in Dupuytren disease.
CONCLUSIONS: The data on vibration sensitivity obtained from a large group of subjects with and without DD present interesting trends that may serve as a useful reference to future DD researchers. Understanding additional symptoms of DD may facilitate development of novel diagnostic or prognostic protocols. PMID: 33043747 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - October 14, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Anatomic surface landmarks to guide injection for posterior interosseous nerve block.
Authors: Kachare SD, Vivace BJ, Meredith LT, Kachare MD, Kapsalis CN, Ablavsky M, Safeek RH, Muresan C, Choo JH, Kasdan ML, Wilhelmi BJ Abstract Proper injection of the posterior interosseous nerve (PIN) is important for both the therapeutic and diagnostic management of wrist pain. However, no anatomical study exists describing the site of injection based on individual wrist width. We sought to develop a reproducible anthropometric ratio utilizing external wrist surface anatomy to predict a safe and accurate injection site for the PIN. Fresh frozen cadaver forearms were dissected at the University of Louisville tis...
Source: Journal of Plastic Surgery and Hand Surgery - October 14, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Patient-reported outcomes following interposition arthroplasty of the basal joint of the thumb.
Authors: Wejnold Jørgensen R, Odgaard A, Flensted F, Daugaard H, Hjorth Jensen C Abstract LEVEL OF EVIDENCE: II - prospective cohort. PMID: 33043762 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - October 14, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Patient reported vaginal laxity, sexual function and stress incontinence improvement following vaginal rejuvenation with fractional carbon dioxide laser.
In this study, we have evaluated the efficiency of fractional carbon dioxide laser in the treatment of vaginal laxity and urinary incontinence. Thirty patients with vaginal laxity, sexual dysfunction and urinary incontinence complaints were treated with fractional carbon dioxide laser. Results were evaluated with patient questionnaires relating to comfort during the procedure and general satisfaction following the procedure. In the survey regarding comfort during the procedure, 90% (n:27) of the patients reported that they were comfortable during the procedure. The survey on the level of general satisfaction six months fol...
Source: Journal of Plastic Surgery and Hand Surgery - October 9, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Does methylene blue increases capsular contracture in immediate breast reconstruction with silicone implant? An experimental study.
Authors: Albayati A, Ozkan B, Atilgan AO, Sencelikel T, Uysal CA, Ertas NM Abstract Recently, most of the immediate breast reconstructions following mastectomy are being carried out with the use of silicone implants. In these patients, methylene blue is being used for the detection of sentinel lymph nodes. This experimental study was performed to determine the effect of methylene blue on capsular contracture around breast implants. Thirty-two Sprague Dawley rats were divided into 4 groups. Custom made silicone blocks were placed on the back of animals. In group 1, the incision was closed without performing any addi...
Source: Journal of Plastic Surgery and Hand Surgery - October 9, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Refracture after plate removal following ulnar shortening osteotomy for ulnar impaction syndrome - a retrospective case-control study.
Authors: Cha SM, Shin HD, Ahn BK Abstract LEVEL OF EVIDENCE: Level III, case-control study. PMID: 33019843 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - October 8, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Radial and palmar active range of motion measurement: reliability of six methods in healthy adults.
Authors: Holzbauer M, Hopfner M, Haslhofer D, Kwasny O, Duscher D, Froschauer SM Abstract The current study aims to assess the reliability of 6 range-of-motion measurement methods for the thumb carpometacarpal joint: Pollexograph-thumb, Pollexograph-metacarpal, radius-metacarpal goniometry, intermetacarpal goniometry, intermetacarpal distance, and thumb-distal-interphalangeal distance. A senior hand surgeon, an experienced resident, and a less experienced research fellow evaluated the dominant hands of 29 healthy subjects. All 6 methods were performed for radial adduction, radial abduction, and palmar abduction, bu...
Source: Journal of Plastic Surgery and Hand Surgery - October 8, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Thorax anthropometric position index: a simple evaluation of the inframammary fold position in the thorax.
Authors: Fujisawa K, Ito T, Aoyama S, Kiuchi T, Araki J, Nakao J, Nakagawa M Abstract Appropriate positioning of the inframammary fold (IMF) is essential for breast reconstruction. The purpose of this study was to quantitatively measure and evaluate the anthropometric position of the IMF in the thorax. A total of 145 Japanese women with unilateral breast cancer were analyzed. To indicate the superior-inferior position of the IMF on the non-diseased side, the distances from the sternal notch (SN) to the IMF along the midline (SN-IMFM) and from the SN to the umbilicus (UB) (SN-UB) were measured. A new index, the thor...
Source: Journal of Plastic Surgery and Hand Surgery - October 6, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Skin closure following abdominal wall reconstruction: three-layer skin suture versus staples.
This study assessed the postoperative wound-related complications and patient-reported outcomes after skin closure using single- or triple layer closure following AWR. This was a retrospective study at a University Hospital from 2016 to 2018. Patients were grouped into a single-layer cohort (SLC) and a triple-layer cohort (TLC). Skin incisions closed with either technique were compared. Postoperative complications were registered from chart review (SLC: n = 48, TLC: n = 40). Patient reported-outcomes were assessed through the Patient Scar Assessment Questionnaire (PSAQ) and the Hernia Related Qu...
Source: Journal of Plastic Surgery and Hand Surgery - September 19, 2020 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research